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University of Exeter Medical School

Dr Christopher Clark

Dr Christopher Clark

Clinical Senior Lecturer in General Practice

 C.E.Clark@exeter.ac.uk

 2754

 +44 (0) 1392 722754

 Smeall building JS111

 

Smeall Building, University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK


Overview

Chris studied Medicine and Physiology at University of Bristol Medical School, graduating in 1986. He joined the Mid Devon Medical Practice in 1994 as a partner, then Senior Partner, and continued working there until December 2020. He joined the Medical School as an Clinical Academic Fellow in 2004, completed his MSc in 2006 and his PhD in 2013. He was appointed as NIHR Clinical Lecturer in 2014, and Clinical Senior Lecturer in 2015.

Qualifications

  • BSc (Hons) Physiology
  • MB ChB
  • MSc
  • PhD
  • FRCP
  • FRCGP
  • FBHS
  • AFHEA

Research group links

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Research

Research interests

My areas of research are mainly cardiovascular within the following themes:

  • Significance and implications of a difference in blood pressures between arms
  • Organisation and management of care in hypertension in primary care
  • Estimation and early detection of cardiovascular risk
  • Recognition and management of postural hypotension in primary care

Research projects

  • INTERPRESS-IPD: the Inter-arm blood Pressure difference, cardiovascular events, cerebrovascular disease and mortality: an Individual Patient Data meta-analysis

  • DROP: Detecting Risks Of Postural hypotension

  • Cochrane Review: Allied health professional-led interventions for improving control of blood pressure in patients with hypertension

  • CHECK-UP study: Improving NHS cardiovascular health checks uptake in primary care

  • Trends in the diagnosis and organisation of care for hypertension over nine years in Primary Care in South West England

  • Understanding the barriers to successful treatment of newly diagnosed severe hypertension

  • Exploring the aetiology of clinic blood pressure changes during a single clinic visit: A cross-sectional study

  • Sensitivity and Specificity of a mobile lead-one ECG like device for the detection of Atrial Fibrillation (AF)

  • Rural General Practice

Research networks

  • Chair: Exeter Cardiovascular Research Network
  • RCGP Rural Forum Steering Group Chair
  • BIHS: Blood Presure Measurement Working Party
  • BIHS: Collaborative Research Working Party
  • NHS England: Hypertension Expert Advisory Group

Research grants

  • 2020 RCGP - Scientific Foundation Board
    Diagnosis of peripheral arterial disease in primary care; a survey of general practitioners in England
  • 2015 National Institute for Health Research, Research for Patient Benefit
    INTERPRESS-IPD an international collaboration conducting an Individual Patient Data meta-analysis of inter-arm blood pressure difference and survival
  • 2014 National Institute for Health Research
    NIHR Clinical Lecturer in General Practice

Links


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Publications

Books

Cox J, Clark CE, Sanders T (2023). Rural Healthcare: Second Edition. Abstract.

Journal articles

Clark C, Albsri A, Omboni S, McDonagh S, Fletcher B, McManus R, Shappard J (In Press). Hypertension: evidence for effective detection and management through pharmacy. The Pharmaceutical journal
McDonagh S, Clark CE (In Press). Inter-arm differences in blood pressure: a brief summary. Diabetes and Primary Care, 21
Clark C, Thomas D, Llewellyn D, Ferrucci L, Bandinelli S, Campbell J (In Press). Systolic inter-arm blood pressure difference and risk of cognitive decline in the elderly: cohort study. British Journal of General Practice
Norris M, Poltawski L, Calitri RA, Shepherd A, Dean S (In Press). The acceptability and experience of a functional training programme (ReTrain) in community dwelling stroke survivors in South West England: a qualitative study. BMJ Open
McNally RJ, Dunkerley J, Holland M, Eatough R, Lacy P, McManus RJ, Chapman N, Chowienczyk PJ, Lewis P, Clark CE, et al (2024). 'Legacy publication of a 2009 validation of the Riester Big Ben Square Desk aneroid device for blood pressure measurement according to the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults (2002)'. Blood Press Monit Abstract.  Author URL.
Taylor RS, Bentley A, Metcalfe K, Lobo MD, Kirtane AJ, Azizi M, Clark C, Murphy K, Boer JH, van Keep M, et al (2024). Cost Effectiveness of Endovascular Ultrasound Renal Denervation in Patients with Resistant Hypertension. Pharmacoecon Open Abstract.  Author URL.
Shantsila E, Clark C (2024). How to measure blood pressure: focus on general practice. British Journal of General Practice, 74(740), 140-142.
Konya J, McDonagh ST, Hayes P, Debus S, Aboyans V, Clark CE, EuroPAD investigators (2024). Peripheral artery disease recognition, diagnosis and management in general practice in the Republic of Ireland and England: an online survey. BJGP Open Abstract.  Author URL.
Cross R, McDonagh ST, Cockcroft E, Turner M, Isom M, Lambourn R, Campbell JL, Clark CE (2024). Recruitment and retention of staff in rural dispensing primary care practice: a qualitative inquiry. BJGP Open Abstract.  Author URL.
Shaver N, Beck A, Bennett A, Wilson BJ, Garritty C, Subnath M, Grad R, Persaud N, Thériault G, Flemming J, et al (2024). Screening for hypertension in adults: protocol for evidence reviews to inform a Canadian Task Force on Preventive Health Care guideline update. Syst Rev, 13(1). Abstract.  Author URL.
Khan N, Pitchforth E, Winder R, Abel G, Clark CE, Cockcroft E, Campbell J (2024). What helps patients access web-based services in primary care? Free-text analysis of patient responses to the Di-Facto questionnaire. BMC Prim Care, 25(1). Abstract.  Author URL.
Samarasekera EJ, Clark CE, Kaur S, Patel RS, Mills J, Guideline Committee (2023). Cardiovascular disease risk assessment and reduction: summary of updated NICE guidance. BMJ, 381  Author URL.
McDonagh STJ, Dalal H, Moore S, Clark CE, Taylor RS (2023). Cochrane corner: centre versus telemedicine approaches to cardiac rehabilitation. Heart, 110(1), 7-10.
McDonagh ST, Dalal H, Moore S, Clark CE, Dean SG, Jolly K, Cowie A, Afzal J, Taylor RS (2023). Home-based versus centre-based cardiac rehabilitation. Cochrane Database Syst Rev, 10(10). Abstract.  Author URL.
Clark CE (2023). Hypertension and hypotension: getting the balance right. Br J Gen Pract, 73(726), 6-7.  Author URL.
Cross R, McDonagh S, Cockcroft E, Turner M, Isom M, Lambourn R, Campbell J, Clark CE (2023). Recruitment and retention of staff in rural dispensing practice. Rural Remote Health, 23(1). Abstract.  Author URL.
McDonagh S, Cross R, Masoli J, Konya J, Abel G, Sheppard J, Jakubowski B, Bhanu C, Fordham J, Turner K, et al (2023). UNDERSTANDING MEASUREMENT OF POSTURAL HYPOTENSION: a NATIONWIDE SURVEY OF PRIMARY CARE PRACTICE IN ENGLAND. Journal of Hypertension, 41(Suppl 3).
Clark C, McDonagh S, Cross R, Masoli J, Konya J, Abel G, Sheppard J, Jakubowski B, Bhanu C, Fordham J, et al (2023). Understanding Measurement of postural hypotension: a nationwide survey of primary care practice in England. Br J Gen Pract, 73(suppl 1). Abstract.  Author URL.
McDonagh S, Sheppard J, Warren F, Boddy K, Farmer L, Shore H, Williams P, Lewis P, Fordham AJ, Martin U, et al (2022). ARM BASED ON LEG BLOOD PRESSURES (ABLE-BP): CAN SYSTOLIC LEG BLOOD PRESSURE MEASUREMENTS PREDICT BRACHIAL BLOOD PRESSURE? AN INDIVIDUAL PARTICIPANT DATA META-ANALYSIS. Journal of Hypertension, 40(Suppl 1), e8-e9.
Konya J, Neal RD, Clark C, Bearman D, Campbell J (2022). Can early cancer detection be improved in deprived areas by involving community pharmacists?. Br J Gen Pract, 72(717), 153-154.  Author URL.
Wander GS, McDonagh STJ, Rao MS, Alagesan R, Mohan JC, Bhagwat A, Pancholia AK, Viswanathan M, Chopda MB, Purnanand A, et al (2022). Clinical relevance of double-arm blood pressure measurement and prevalence of clinically important inter-arm blood pressure differences in Indian Primary Care. J Clin Hypertens (Greenwich) Abstract.  Author URL.
Wander GS, McDonagh STJ, Rao MS, Alagesan R, Mohan JC, Bhagwat A, Pancholia AK, Viswanathan M, Chopda MB, Purnanand A, et al (2022). Clinical relevance of doubleâ€arm blood pressure measurement and prevalence of clinically important interâ€arm blood pressure differences in Indian primary care. The Journal of Clinical Hypertension, 24(8), 993-1002. Abstract.
Jordan AN, Anning C, Wilkes L, Ball C, Pamphilon N, Clark CE, Bellenger NG, Shore AC, Sharp ASP, Valderas JM, et al (2022). Cross-cultural adaptation of the Spanish MINICHAL instrument into English for use in the United Kingdom. Health and Quality of Life Outcomes, 20(1).
Leach B, Parkinson S, Gkousis E, Abel G, Atherton H, Campbell J, Clark C, Cockcroft E, Marriott C, Pitchforth E, et al (2022). Digital Facilitation to Support Patient Access to Web-Based Primary Care Services: Scoping Literature Review. Journal of Medical Internet Research, 24(7), e33911-e33911. Abstract.
Clark CE, Warren FC, Boddy K, McDonagh STJ, Moore SF, Teresa Alzamora M, Ramos Blanes R, Chuang S-Y, Criqui MH, Dahl M, et al (2022). Higher Arm Versus Lower Arm Systolic Blood Pressure and Cardiovascular Outcomes: a Meta-Analysis of Individual Participant Data from the INTERPRESS-IPD Collaboration. Hypertension, 79(10), 2328-2335. Abstract.  Author URL.
McDonagh STJ, Norris B, Fordham AJ, Greenwood MR, Richards SH, Campbell JL, Clark CE (2022). Inter-arm blood pressure difference and cardiovascular risk estimation in primary care: a pilot study. BJGP Open, 6(3). Abstract.  Author URL.
McDonagh STJ, Rhodes S, Warren FC, Keenan S, Pentecost C, Keeling P, James M, Taylor RS, Clark CE (2022). Performance of the imPulse device for the detection of atrial fibrillation in hospital settings. Cardiovascular Digital Health Journal, 3(4), 171-178.
McDonagh STJ, Sheppard JP, Warren FC, Boddy K, Farmer L, Shore H, Williams P, Lewis PS, Baumber R, Fordham J, et al (2021). Arm Based on LEg blood pressures (ABLE-BP): can systolic leg blood pressure measurements predict systolic brachial blood pressure? Protocol for an individual participant data meta-analysis from the INTERPRESS-IPD Collaboration. BMJ Open, 11(3), e040481-e040481. Abstract.
Clark CE, McDonagh STJ, McManus RJ, Martin U (2021). COVID-19 and hypertension: risks and management. A scientific statement on behalf of the British and Irish Hypertension Society. J Hum Hypertens, 35(4), 304-307.  Author URL.
Jordan A, Anning C, Wilkes L, Ball C, Pamphilon N, Clark CE, Bellenger NG, Shore AC, Sharp ASP, Valderas JM, et al (2021). Cross-Cultural Adaptation of the Spanish MINICHAL Instrument into English for Use in the United Kingdom. Abstract.
Burnier M, Prejbisz A, Weber T, Azizi M, Cunha V, Versmissen J, Gupta P, Vaclavik J, Januszewicz A, Persu A, et al (2021). Hypertension healthcare professional beliefs and behaviour regarding patient medication adherence: a survey conducted among European Society of Hypertension Centres of Excellence. Blood Pressure, 30(5), 282-290.
Clark CE (2021). Inter-arm blood pressure difference, when is it a useful risk marker for cardiovascular events?. Journal of Human Hypertension, 36(2), 117-119.
Bauersachs R, Brodmann M, Clark C, Debus S, De Carlo M, Gomez-Cerezo JF, Madaric J, Mazzolai L, Ricco J-B, Sillesen H, et al (2021). International public awareness of peripheral artery. disease. Vasa, 50(4), 294-300. Abstract.
Gomez-Cano M, Wiering B, Abel G, Campbell JL, Clark CE (2021). Medication adherence and clinical outcomes in dispensing and non-dispensing practices: a cross-sectional analysis. Br J Gen Pract, 71(702), e55-e61. Abstract.  Author URL.
Jordan AN, Fulford J, Gooding K, Anning C, Wilkes L, Ball C, Pamphilon N, Mawson D, Clark CE, Shore AC, et al (2021). Morphological and functional cardiac consequences of rapid hypertension treatment: a cohort study. Journal of Cardiovascular Magnetic Resonance, 23(1), 122-122.
McDonagh STJ, Mejzner N, Clark CE (2021). Prevalence of postural hypotension in primary, community and institutional care: a systematic review and meta-analysis. BMC Family Practice, 22(1). Abstract.
Masoli JAH, Todd OM, Clark CE (2021). Systolic blood pressure and outcomes in frail older adults. British Journal of Hospital Medicine, 82(5), 1-4. Abstract.
Clark C, Warren F, Boddy K, McDonagh S, Moore S, Goddard J, Reed N, Turner M, Alzamora MT, Ramos Blanes R, et al (2020). Associations Between Systolic Interarm Differences in Blood Pressure and Cardiovascular Disease Outcomes and Mortality: Individual Participant Data Meta-Analysis, Development and Validation of a Prognostic Algorithm: the INTERPRESS-IPD Collaboration. Hypertension, n/a, 1-12.
Lewis PS, Chapman N, Chowienczyk P, Clark C, Denver E, Lacy P, Martin U, McManus R, Neary A, Sheppard J, et al (2020). Correction: Oscillometric measurement of blood pressure: a simplified explanation. A technical note on behalf of the British and Irish Hypertension Society (Journal of Human Hypertension, (2019), 33, 5, (349-351), 10.1038/s41371-019-0196-9). Journal of Human Hypertension, 34(3). Abstract.
Clark CE, McDonagh STJ, McManus RJ (2020). Measurement of blood pressure in people with atrial fibrillation (vol 33, pg 763, 2019). JOURNAL OF HUMAN HYPERTENSION, 34(6), 476-476.  Author URL.
Sheppard JP, Lacy P, Lewis PS, Martin U (2020). Measurement of blood pressure in the leg—a statement on behalf of the British and Irish Hypertension Society. Journal of Human Hypertension, 34(6), 418-419.
Gomez-Cano M, Wiering B, Abel G, Campbell J, Clark C (2020). Medication adherence and clinical outcomes in dispensing and non-dispensing practices: a cross-sectional analysis. British Journal of General Practice
McDonagh STJ, Mejzner N, Clark CE (2020). Prevalence of Postural Hypotension in Primary, Community and Institutional Care: a Systematic Review and Meta-Analysis. Abstract.
McDonagh STJ, Mejzner N, Clark CE (2020). Prevalence of postural hypotension in primary, community and institutional care: a systematic review and meta-analysis. Abstract.
Jordan AN, Anning C, Wilkes L, Ball C, Pamphilon N, Clark CE, Bellenger NG, Shore AC, Sharp ASP (2020). Rapid treatment of moderate to severe hypertension using a novel protocol in a single-centre, before and after interventional study. J Hum Hypertens, 34(2), 165-175. Abstract.  Author URL.
Sheppard JP, Lacy P, Chapman N, Clark C, McManus RJ (2020). Reporting of the Meditech ABPM-06 ambulatory blood pressure device validation study. Blood Pressure Monitoring, 25(1), 59-60.
Clark CE, Masoli J, Warren FC, Soothill J, Campbell JL (2020). Vitamin D and COVID-19 in older age: evidence versus expectations. British Journal of General Practice, 71(702), 10-11.
Clark CE, McDonagh STJ, McManus RJ (2019). Accuracy of automated blood pressure measurements in the presence of atrial fibrillation: systematic review and meta-analysis. J Hum Hypertens, 33(5), 352-364. Abstract.  Author URL.
McDonagh S, Clark C (2019). CVD risk factors: new evidence, new approaches?. Primary Care Cardiovascular Journal
Clark CE, McDonagh STJ, McManus RJ, Blood Pressure Measurement Working Party of the British and Irish Hypertension Society (2019). Measurement of blood pressure in people with atrial fibrillation. J Hum Hypertens, 33(11), 763-765.  Author URL.
Lewis PS, Chapman N, Chowienczyk P, Clark C, Denver E, Lacy P, Martin U, McManus R, Neary A, Sheppard J, et al (2019). Oscillometric measurement of blood pressure: a simplified explanation. A technical note on behalf of the British and Irish Hypertension Society. Journal of Human Hypertension, 33(5), 349-351.
Clark CE, Thomas D, Warren F, Llewellyn D, Ferrucci L, Campbell J (2018). Detecting Risks of Postural Hypotension (DROP): derivation and validation of a prediction score for primary care. BMJ Open
Clark CE, Sims L (2018). Hypertension care: sharing the burden with pharmacists. Br J Gen Pract, 68(675), 458-459.  Author URL.
Clark C, Boddy K, Warren F, McDonagh S, Taylor R, Aboyans V, Cloutier L, McManus R, Shore A, Campbell J, et al (2018). INTER-ARM DIFFERENCES IN BLOOD PRESSURE AND MORTALITY: INDIVIDUAL PATIENT DATA META-ANALYSIS AND DEVELOPMENT OF a PROGNOSTIC ALGORITHM (INTERPRESS-IPD COLLABORATION). Canadian Journal of Cardiology, 34(10).
Clark C, Smith L, Cloutier L, Konya J, Todkar S, McDonagh S, Clark O, Glynn L, Taylor R, Campbell J, et al (2018). INTERVENTIONS TO IMPROVE CONTROL OF HYPERTENSION; WHAT WORKS (AND WHAT DOESN’T): SYSTEMATIC REVIEW AND META-REGRESSION. Canadian Journal of Cardiology, 34(10), s130-s131.
McManus R, Lacy P, Clark C, Chapman N, Lewis P (2018). Reporting of blood pressure monitor validation studies. Blood Pressure Monitoring, 23(4), 214-215.
Clark CE, Boddy K, Warren FC, Taylor RS, Aboyans V, Cloutier L, McManus RJ, Shore AC, Campbell JL (2017). Associations between interarm differences in blood pressure and cardiovascular disease outcomes: protocol for an individual patient data meta-analysis and development of a prognostic algorithm. BMJ Open, 7(6). Abstract.  Author URL.
Schwartz CL, Clark C, Koshiaris C, Gill PS, Greenfield SM, Haque SM, Heer G, Johal A, Kaur R, Mant J, et al (2017). Interarm Difference in Systolic Blood Pressure in Different Ethnic Groups and Relationship to the “White Coat Effect”: a Cross-Sectional Study. American Journal of Hypertension, 30(9), 884-891. Abstract.
Clark CE (2017). The interarm blood pressure difference: Do we know enough yet?. J Clin Hypertens (Greenwich), 19(5), 462-465.  Author URL.
Mejzner N, Clark CE, Smith LF, Campbell JL (2017). Trends in the diagnosis and management of hypertension: repeated primary care survey in South West England. Br J Gen Pract, 67(658), e306-e313. Abstract.  Author URL.
Clark CE, Taylor RS, Butcher I, Stewart MC, Price J, Fowkes FGR, Shore AC, Campbell JL (2016). Inter-arm blood pressure difference and mortality: a cohort study in an asymptomatic primary care population at elevated cardiovascular risk. Br J Gen Pract, 66(646), e297-e308. Abstract.  Author URL.
Clark CE, Taylor RS, Shore AC, Campbell JL (2016). Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis. Br J Gen Pract, 66(652), e838-e847. Abstract.  Author URL.
Clark C, Thomas D, Warren F, Llewellyn D, Ferrucci L, Campbell J (2016). [OP.3C.04] PREDICTING POSTURAL HYPOTENSION, FALLS, AND COGNITIVE IMPAIRMENT: THE INCHIANTI STUDY. J Hypertens, 34 Suppl 2 Abstract.  Author URL.
Clark C, Shore A, Taylor R, Campbell J (2015). 1C.08: THE INTER-ARM DIFFERENCE IN BLOOD PRESSURE AND MORTALITY: SYSTEMATIC REVIEW AND META-ANALYSIS. J Hypertens, 33 Suppl 1 Abstract.  Author URL.
Clark CE (2015). Difference in blood pressure measurements between arms: methodological and clinical implications. Curr Pharm Des, 21(6), 737-743. Abstract.  Author URL.
Clark CE, Aboyans V (2015). Interarm blood pressure difference: more than an epiphenomenon. Nephrol Dial Transplant, 30(5), 695-697.  Author URL.
Clark C, Smith L, Cloutier L, Glynn L, Clark O, Taylor R, Campbell J (2015). LB01.01: ALLIED HEALTH PROFESSIONAL-LED INTERVENTIONS FOR IMPROVING CONTROL OF BLOOD PRESSURE IN PATIENTS WITH HYPERTENSION: a COCHRANE SYSTEMATIC REVIEW AND META-ANALYSIS. J Hypertens, 33 Suppl 1 Abstract.  Author URL.
Clark C, Smith L, Glynn L, Cloutier L, Clark O, Taylor R, Campbell J (2015). LB02.01: CHANGES IN BLOOD PRESSURE IN PATIENTS WITH HYPERTENSION RECEIVING USUAL CARE IN RANDOMISED CONTROLLED TRIALS. FINDINGS FROM a SYSTEMATIC REVIEW AND META-ANALYSIS. J Hypertens, 33 Suppl 1 Abstract.  Author URL.
Clark C, Thomas D, Ferrucci L, Campbell J (2015). LB02.09: DETECTING RISK OF POSTURAL HYPOTENSION IN THE ELDERLY (DROP-HE): THE INCHIANTI STUDY. J Hypertens, 33 Suppl 1, e87-e88. Abstract.  Author URL.
Jenkinson CE, Asprey A, Clark CE, Richards SH (2015). Patients' willingness to attend the NHS cardiovascular health checks in primary care: a qualitative interview study. BMC Family Practice, 16(1). Abstract.
Clark CE, Horvath IA, Taylor RS, Campbell JL (2014). Doctors record higher blood pressures than nurses: systematic review and meta-analysis. Br J Gen Pract, 64(621), e223-e232. Abstract.  Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2014). Interarm Blood Pressure Difference in People with Diabetes: Measurement and Vascular and Mortality Implications a Cohort Study. DIABETES CARE, 37(6), 1613-1620.  Author URL.
Clark CE, Smith LFP, Glynn LG, Taylor RS, Campbell JL, Cloutier L (2013). Allied health professional-led interventions for improving control of blood pressure in patients with hypertension: systematic review and meta-analysis. JOURNAL OF HUMAN HYPERTENSION, 27(10), 641-641.  Author URL.
Clark CE (2013). Four-Limb Blood Pressure Measurement a Research Tool Looking for Clinical Use. HYPERTENSION, 61(6), 1146-1147.  Author URL.
Clark CE, Steele AM, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2013). The inter-arm blood pressure difference in people with diabetes: measurement, vascular, and mortality implications. JOURNAL OF HUMAN HYPERTENSION, 27(10), 645-645.  Author URL.
Campbell J, Clark CE, Taylor RS, Shore AC, Ukoumunne OC (2012). Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta analysis. Lancet
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2012). Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis (vol 379, pg 905, 2012). LANCET, 380(9838), 218-218.  Author URL.
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2012). Erratum: Association of a diff erence in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis (The Lancet (2012) 379 (905-914). The Lancet, 380(9838).
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2012). Interarm blood pressure difference and vascular disease - Authors reply. The Lancet, 380(9836), 24-25.
Clark CE, Taylor RS, Shore AC, Ukoumunne OC, Campbell JL (2012). Interarm blood pressure difference and vascular disease Reply. LANCET, 380(9836), 24-25.  Author URL.
Clark C, Smith L, Taylor R, Campbell J (2012). Response to Carey and Courtenay. Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta-analysis. Diabet Med, 29(1), 155-156.
Clark CE, Taylor RS, Shore AC, Campbell JL (2012). The difference in blood pressure readings between arms and survival: primary care cohort study. BMJ, 344 Abstract.  Author URL.
Clark CE, McManus R (2012). The use of highly structured care to achieve blood pressure targets. BMJ-BRITISH MEDICAL JOURNAL, 345  Author URL.
Clark CE (2011). Inter-arm blood pressure measurement needs to be practical and accurate. Am J Hypertens, 24(11), 1189-1190.  Author URL.
Clark CE, Smith LFP, Harding G, Taylor RS, Campbell JL (2011). Nurse led hypertension clinics: evolving ahead of the evidence?. JOURNAL OF HUMAN HYPERTENSION, 25(10), 630-630.  Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2011). Nurse-led interventions used to improve control of high blood pressure in people with diabetes: a systematic review and meta-analysis. Diabet Med, 28(3), 250-261. Abstract.  Author URL.
Clark CE, Taylor RS, Shore AC, Campbell JL (2011). Systolic inter-arm blood pressure difference is associated with increased cardiovascular and all-cause mortality in hypertension: meta-analysis. JOURNAL OF HUMAN HYPERTENSION, 25(10), 633-633.  Author URL.
Clark CE, Arnold E, Lasserson TJ, Wu T (2010). Herbal interventions for chronic asthma in adults and children: a systematic review and meta-analysis. Prim Care Respir J, 19(4), 307-314. Abstract.  Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse led interventions to improve control of blood pressure in people with hypertension: Systematic review and meta-analysis. BMJ (Online), 341(7771). Abstract.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. BMJ, 341 Abstract.  Author URL.
Clark CE, Smith LFP, Taylor RS, Campbell JL (2010). Nurse-led management of hypertension. Br J Gen Pract, 60(572).  Author URL.
Clark CE, Campbell JL (2009). Hypertension guidelines. BRITISH JOURNAL OF GENERAL PRACTICE, 59(563), 448-449.  Author URL.
Clark CE, Greaves CJ, Evans PH, Dickens A, Campbell JL (2009). Inter-arm blood pressure difference in type 2 diabetes: a barrier to effective management?. Br J Gen Pract, 59(563), 428-432. Abstract.  Author URL.
Arnold E, Clark CE, Lasserson TJ, Wu T (2008). Herbal interventions for chronic asthma in adults and children. Cochrane Database of Systematic Reviews(1). Abstract.
Clark CE, Campbell JL (2008). The interarm blood pressure difference. HYPERTENSION, 52(2), E15-E15.  Author URL.
Clark CE (2007). Screening for peripheral vascular disease [5]. British Journal of General Practice, 57(541).
Clark CE, Campbell JL, Powell RJ, Thompson JF (2007). The inter-arm blood pressure difference and peripheral vascular disease: cross-sectional study. Fam Pract, 24(5), 420-426. Abstract.  Author URL.
Clark CE, Campbell JL, Powell RJ (2007). The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study. J Hum Hypertens, 21(8), 633-638. Abstract.  Author URL.
Clark CE, Campbell JL, Evans PH, Millward A (2006). Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review. J Hum Hypertens, 20(12), 923-931. Abstract.  Author URL.
Clark CE (2003). Use of salmeterol/fluticasone combination (Seretide) in an asthma clinic: a pragmatic open study from primary care. Primary Care Respiratory Journal, 12(3), 86-89. Abstract.
Clark CE, Smith LFP (2002). Clinical governance and education: the views of clinical governance leads in the South West of England. British Journal of Clinical Governance, 7(4), 261-266. Abstract.
Clark CE, Powell RJ (2002). The differential blood pressure sign in general practice: prevalence and prognostic value. FAMILY PRACTICE, 19(5), 439-441.  Author URL.
Clark CE (2001). Difference in blood pressure between arms might reflect peripheral vascular disease [7]. British Medical Journal, 323(7309), 399-400.
Clark C (2000). Are β-blockers ever safe in asthma? Practice audit and literature search triggered by the use of a significant event audit. Asthma in General Practice, 8(1), 7-8. Abstract.
Furness J, Fearby S, Clough JB, Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia. BMJ, 321(7271).
Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia - Reply. BRITISH MEDICAL JOURNAL, 321(7271), 1290-1290.  Author URL.
Furness J, Fearby S, Clough JB, Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia [7] (multiple letters). British Medical Journal, 321(7271), 1289-1290.
Clark CE, Coote JM, Silver DAT, Halpin DMG (2000). Asthma after childhood pneumonia: six year follow up study. BRITISH MEDICAL JOURNAL, 320(7248), 1514-1516.  Author URL.
Clark CE, Bourne S (1999). Practice information on audiotape for visually-impaired patients. BRITISH JOURNAL OF GENERAL PRACTICE, 49(438), 67-68.  Author URL.
Clark CE (1999). Time to go public on performance? [2]. British Journal of General Practice, 49(449).
Clark CE, Ferguson AD, Siddorn JA (1993). Respiratory arrests in young asthmatics on salmeterol. Respir Med, 87(3), 227-228.  Author URL.

Chapters

Cox J, Clark CE, Sanders T (2023). Introduction. In  (Ed) Rural Healthcare: Second Edition, 1-5. Abstract.
Clark CE (2023). Research. In  (Ed) Rural Healthcare: Second Edition, 230-246. Abstract.
Clark CE, Howe A (2023). Role of the Generalist. In  (Ed) Rural Healthcare: Second Edition, 48-60. Abstract.
Clark CE, Cross R, McDonagh STJ (2023). Rural Pharmacy and Dispensing. In  (Ed) Rural Healthcare, Taylor & Francis, 138-150.
Clark CE (2018). Nurse led interventions in Hypertension. In Burnier M (Ed) Drug Adherence in Hypertension and Cardiovascular Protection, Springer. Abstract.

Conferences

Jordan AN, Aizawa K, Gooding KM, Llewellyn D, Casanova F, Mawson DM, Gates PE, Adingupu DD, Elyas S, Hope S, et al (2022). Arterial haemodynamic parameters linked to arterial pulsatility, excess wave propagation and cognitive function. European Society of Hypertension. 17th - 20th Jun 2022. Abstract.
Mcdonagh S, Sheppard J, Warren F, Boddy K, Fordham J, Farmer L, Lewis P, Baumber R, Martin U, Clark C, et al (2021). ARM BASED ON LEG BLOOD PRESSURES (ABLE-BP): CAN LEG BLOOD PRESSURE MEASUREMENTS PREDICT BRACHIAL BLOOD PRESSURE? INDIVIDUAL PARTICIPANT DATA META-ANALYSIS FROM THE INTERPRESS-IPD.  Author URL.
Clark C, Boddy K, Warren F, Mcdonagh S, Moore S, Aboyans V, Cloutier L, McManus R, Shore A, Taylor R, et al (2021). SYSTOLIC INTER-ARM BLOOD PRESSURE DIFFERENCE AND COGNITIVE DECLINE: FINDINGS FROM THE INTERPRESS-IPD COLLABORATION.  Author URL.
Mcdonagh S, Norris B, Fordham AJ, Greenwood M, Richards SH, Campbell JL, Clark CE (2019). IMPACT OF INTER-ARM BLOOD PRESSURE DIFFERENCE ON CARDIOVASCULAR RISK ESTIMATION IN PRIMARY CARE.  Author URL.
Clark C, Warren F, Boddy K, McDonagh S, Moore S, Cloutier L, Taylor R, Shore A, McManus R, Aboyans V, et al (2019). INTER-ARM BLOOD PRESSURE DIFFERENCE: INSIGHTS INTO AETIOLOGY FROM THE INTERPRESS-IPD COLLABORATION.  Author URL.
Clark C, Boddy K, Warren F, Mcdonagh S, Taylor R, Aboyans V, Cloutier L, McManus R, Shore A, Campbell J, et al (2018). INTER-ARM DIFFERENCES IN BLOOD PRESSURE AND MORTALITY: INDIVIDUAL PATIENT DATA META-ANALYSIS AND DEVELOPMENT OF a PROGNOSTIC ALGORITHM (INTERPRESSIPD COLLABORATION).  Author URL.
Clark C, Smith L, Cloutier L, Konya J, Todkar S, Mcdonagh S, Clark O, Glynn L, Taylor R, Campbell J, et al (2018). INTERVENTIONS TO IMPROVE CONTROL OF HYPERTENSION; WHAT WORKS (AND WHAT DOESN'T)?.  Author URL.
Jordan A, Anning C, Ball C, Wilkes L, Pamphilon N, Clark C, Shore A, Sharp A (2017). RAPID TREATMENT OF NEWLY-DIAGNOSED MODERATE-SEVERE HYPERTENSION IS SAFE AND EFFECTIVE.  Author URL.
Thomas D, Clark C, Llewellyn D, Ferrucci L, Campbell J (2016). INTER-ARM BLOOD PRESSURE DIFFERENCE AND RISKS OF COGNITIVE DECLINE. A 9-YEAR PROSPECTIVE COHORT STUDY OF OLDER ADULTS.  Author URL.
Clark C, Warren F, Boddy K, Taylor R, Shore A, Aboyans V, Cloutier L, McManus R, Campbell J (2016). INTERPRESS-IPD: THE INTER-ARM BLOOD PRESSURE DIFFERENCE INDIVIDUAL PATIENT DATA COLLABORATION.  Author URL.
Joshi S, Clark C, Campbell J (2016). WHAT IS THE NORMAL INTER-ARM DIFFERENCE? IT DEPENDS ON LEFT OR RIGHT HANDEDNESS: SYSTEMATIC REVIEW AND META-ANALYSIS.  Author URL.
Schwartz C, Koshiaris C, Clark C, Haque MS, Gill P, Mant J, Martin U, McManus R (2015). DOES THE RIGHT ARM KNOW WHAT THE LEFT ARM IS DOING? ETHNIC VARIATIONS IN CLINICAL INTERARM DIFFERENCE AND RELATIONSHIP TO WHITE COAT EFFECTS.  Author URL.

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