Mr Jon P Evans
Senior Academic Clinical Lecturer in Trauma and Orthopaedics
j.p.evans2@exeter.ac.uk
Medical School Building F05
Medical School Building, St Luke's Campus, Magdalen Road, Exeter, EX1 2LU, UK
Overview
Having worked in the NHS for nearly 18 years, I have encountered the profound impact health services research has on my daily practice. Inspired by this, I have made clinical research an integrated part of my work as a Trauma and Orthopaedic surgeon.
Currently, I split my time between my medical practice as a Consultant Orthopaedic Surgeon at the Royal Devon University Healthcare NHS Foundation Trust, and as a Senior Academic Clinical Lecturer at the University of Exeter. In 2018 I completed my doctoral research assessing contemporary study designs in elbow tendinopathy.
I have a particular interest in the use of Patient-Reported Outcome Measures (PROMs) as a method to quantify and interpret how surgical management affects patients' lives. My research in this area is focused on the use of advanced Computer Adaptive Tests (CATs), whereby we are attempting to use a small number of patient-specific questions to accurately assess the impact of their medical problem.
I am also involved in a portfolio of studies assessing the survival of joints replacements. Our work on hip and knee, shoulder and elbow replacements has sought to evaluate how long a joint replacement can be expected to last. The results have been published as open access articles in The Lancet, The Lancet Rheumatology and Acta Orthopaedica.
Qualifications
BSc (Hons), MB ChB, MSc, MD (Res), FRCS (Tr & Orth)
Research group links
Research
Research interests
My research interests are focused around interventions in trauma and orthopaedic surgery and health and policy research
Ongoing research interests;
Patient-Reported Outcome Measures (PROMs)
Assessing the cross-cultural adaptation of the PROMIS system for use in UK populations.
The impact of joint arthroplasty on PROMs.
The patient focussed impact of medical and surgical interventions on shoulder and elbow pathology.
Arthroplasty Survival
Assessing the long-term survival of shoulder and elbow replacements through systematic review and meta-analysis of case series and glocal arthroplasty registry reports.
Shoulder Research
Research assessing the impact of suprascapular nerve block and ablation and the long-term survival of total shoulder replacements.
The use of the UK Biobank to identify phenotypic and genetic associations with frozen shoulder.
Elbow Research
DEfining Tennis Elbow CharacTeristics (DETECT): A pilot cross-sectional study assessing the prevalence of elbow pathology in an asymptomatic population using Ultrasound and Magnetic Resonance Imaging
Hemiarthroplasty Or Total elbow replacement for trauma (HOT trial): A feasibility trial assessing the utilisation of partial or full elbow replacement for unreconstructable elbow fractures.
Research networks
INTERSECT - Prof Sallie Lamb and Associate Prof David Keene
Health Services and Policy Research Groups - Prof Chema Valderas
Royal Devon University Healthcare NHS Foundation Trust - Prof Andrew Toms and Mr Chris Smith
Publications
Journal articles
Burden EG, Evans JP, Smith CD (2023). Lifting limitations following elbow arthroplasty: a survey of British Elbow. and Shoulder Society members. Shoulder & Elbow, 175857322311702-175857322311702. Abstract.
Paluch AJ, Burden EG, Batten TJ, Knight B, Anaspure R, Aboelmagd S, Evans JP, Smith CD (2022). Defining tennis elbow characteristics – the assessment of magnetic resonance imaging defined tendon pathology in an asymptomatic population. Shoulder & Elbow, 175857322211467-175857322211467. Abstract.
Bateman M, Evans JP, Vuvan V, Jones V, Watts AC, Phadnis J, Bisset LM, Vicenzino B, COS-LET Authorship Group (2022). Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process. Br J Sports Med, 56(12), 657-666. Abstract. Author URL.
Evans JP, Evans JT, Mohammad HR, Sayers A, Blom AW, Whitehouse MR, Rees JL (2022). How long does an elbow replacement last? a systematic review and meta-analysis of case-series and national registry reports with more than 10 years of follow-up. Acta Orthopaedica, 93, 495-502. Abstract.
Batten TJ, Gallacher S, Evans JP, Harding RJ, Kitson J, Smith CD, Thomas WJ (2022). Mid-term results of Eclipse total shoulder arthroplasty. Bone Joint J, 104-B(1), 83-90. Abstract. Author URL.
Evans JP, Gibbons C, Toms AD, Valderas JM (2022). Use of computerised adaptive testing to reduce the number of items in patient-reported hip and knee outcome scores: an analysis of the NHS England National Patient-Reported Outcome Measures programme. BMJ OPEN, 12(7). Author URL.
Fordyce W, Kennedy G, Allen JR, Abdelmonem M, Evans J, Evans JT, Guyver P (2022). Validation of the Radiographic Union Score for HUmeral fractures (RUSHU): <i>A retrospective study in an independent centre</i>. Shoulder & Elbow, 15(4), 390-397. Abstract.
Matthews AH, Marks T, Evans JT, Toms AD, Evans JP (2022). What is the patient experience following revision knee replacement: a systematic review and meta-analysis of the medium term patient reported outcomes. Knee, 35, 34-44. Abstract.
Evans JT, Whitehouse MR, Evans JP (2021). A review of registry research. Bone & Joint 360, 10(2), 57-59.
Parker P, Furness ND, Evans JP, Batten T, White WJ, Smith CD (2021). A systematic review of the complications of contemporary total elbow arthroplasty. Shoulder and Elbow, 13(5), 544-551. Abstract.
Evans JP, Maffulli N, Smith C, Watts A, Valderas J, Goodwin V (2021). Even experts cannot agree on the optimal use of platelet-rich plasma in lateral elbow tendinopathy: an international Delphi study. J Orthop Traumatol, 22(1). Abstract. Author URL.
Clarke MJH, Salar O, Evans JP, Bayley MGR, Waterson BH, Toms AD, Phillips JRA (2021). Prosthetic joint infection of the knee - arthroscopic biopsy identifies more and different organisms than aspiration alone. Knee, 32, 183-191. Abstract.
Bateman M, Evans JP, Vuvan V, Jones V, Watts AC, Phadnis J, Bisset L, Vicenzino B (2021). Protocol for the development of a core outcome set for lateral elbow tendinopathy (COS-LET). Trials, 22(1). Abstract.
Burden EG, Batten TJ, Smith CD, Evans JP (2021). Reverse total shoulder arthroplasty a SYSTEMATIC REVIEW AND META-ANALYSIS OF COMPLICATIONS AND PATIENT OUTCOMES DEPENDENT ON PROSTHESIS DESIGN. BONE & JOINT JOURNAL, 103B(5), 813-821. Author URL.
Gibbons C, Porter I, Gonçalves-Bradley DC, Stoilov S, Ricci-Cabello I, Tsangaris E, Gangannagaripalli J, Davey A, Gibbons EJ, Kotzeva A, et al (2021). Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice. Cochrane Database Syst Rev, 10(10). Abstract. Author URL.
Evans JP, Batten T, Bird J, Thomas WJ, Kitson JB, Smith CD (2021). Survival of the Aequalis total shoulder replacement at a minimum 20-year follow-up: a clinical and radiographic study. J Shoulder Elbow Surg, 30(10), 2355-2360. Abstract. Author URL.
Burden EG, Walker RW, Ferguson DJ, Goubran AMF, Howell JR, John JB, Khan F, McGrath JS, Evans JP (2021). The provision of a time-critical elective surgical service during the COVID-19 Crisis: a UK experience. ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, 103(3), 173-179. Author URL.
Green HD, Jones A, Evans JP, Wood AR, Beaumont RN, Tyrrell J, Frayling TM, Smith C, Weedon MN (2020). A genome wide association study of frozen shoulder identifies a common variant of <i>WNT7B</i> and diabetes as causal risk factors. Abstract.
Simoes JFF, Li E, Glasbey JC, Omar OM, Arnaud AP, Blanco-Colino R, Burke J, Chaudhry D, Cunha MF, Elhadi M, et al (2020). COVID-19-related absence among surgeons: development of an international surgical workforce prediction model. BJS Open, 5(2). Abstract.
Gaukroger AJ, Jones RJS, Evans JP, Dixon SM (2020). Does skin preparation alter suture strength characteristics? Assessing the effect of chlorhexidine and isopropyl alcohol on common skin closure suture material. International Wound Journal, 17(6), 1857-1862. Abstract.
Evans JP, Evans JT, Craig RS, Mohammad HR, Sayers A, Blom AW, Whitehouse MR, Rees JL (2020). How long does a shoulder replacement last? a systematic review and meta-analysis of case series and national registry reports with more than 10 years of follow-up. The Lancet Rheumatology, 2(9), e539-e548. Abstract.
Arias-de la Torre J, Smith K, Dregan A, Valderas JM, Evans JP, Prieto-Alhambra D, Lozano L, Molina AJ, MartĂn V, Domingo L, et al (2020). Impact of comorbidity on the short- and medium-term risk of revision in total hip and knee arthroplasty. BMC Musculoskeletal Disorders, 21(1). Abstract.
Bhangu A, Nepogodiev D, Glasbey JC, Li E, Omar OM, Gujjuri RR, Morton DG, Tsoulfas G, Keller DS, Smart NJ, et al (2020). Mortality and pulmonary complications in patients undergoing surgery with perioperative sars-cov-2 infection: an international cohort study. The Lancet, 396(10243), 27-38. Abstract.
Dunkerley S, King A, Batten TJ, Evans JP, Metz J, Gallacher S, Davies KE, Smith C, Kitson J (2020). Pain Mapping and Neuropathic Features of Common Shoulder Pathologies. Hong Kong Journal of Orthopaedic Research, 3(2), 41-45. Abstract.
Evans JP, Porter I, Gangannagaripalli JB, Bramwell C, Davey A, Smith CD, Fine N, Goodwin VA, Valderas JM (2019). Assessing Patient-Centred Outcomes in Lateral Elbow Tendinopathy: a Systematic Review and Standardised Comparison of English Language Clinical Rating Systems. Sports Medicine - Open, 5 Abstract.
Arias-de la Torre J, Puigdomenech E, Valderas JM, Evans JP, MartĂn V, Molina AJ, RodrĂguez N, Espallargues M (2019). Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment. PLoS One, 14(4). Abstract. Author URL.
Arias-de la Torre J, Valderas JM, Evans JP, MartĂn V, Molina AJ, Muñoz L, Pons-Cabrafiga M, Espallargues M, Catalan Arthroplasty Register Steering Committee (RACat) (2019). Differences in Risk of Revision and Mortality Between Total and Unicompartmental Knee Arthroplasty. The Influence of Hospital Volume. J Arthroplasty, 34(5), 865-871. Abstract. Author URL.
King A, Evans JP, Booker SJ, Beazley JCS, Jones RJS, Thomas WJC, Smith C (2019). Does the triceps-on approach affect alignment in total elbow arthroplasty? a cadaveric study. Shoulder and Elbow, 11(5), 372-377. Abstract.
Evans JT, Evans JP, Walker RW, Blom AW, Whitehouse MR, Sayers A (2019). How long does a hip replacement last? a systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. LANCET, 393(10172), 647-654. Author URL.
Evans JT, Walker RW, Evans JP, Blom AW, Sayers A, Whitehouse MR (2019). How long does a knee replacement last? a systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. LANCET, 393(10172), 655-663. Author URL.
Arias-de la Torre J, Pons-Cabrafiga M, Valderas JM, Evans JP, MartĂn V, Molina AJ, PallisĂł F, Smith K, Martinez O, Espallargues M, et al (2019). Influence of Hospital Volume of Procedures by Year on the Risk of Revision of Total Hip and Knee Arthroplasties: a Propensity Score-Matched Cohort Study. J Clin Med, 8(5). Abstract. Author URL.
Williams HLM, Evans JP, Furness ND, Smith CD (2019). It’s Not all About Redislocation: a Systematic Review of Complications After Anterior Shoulder Stabilization Surgery. American Journal of Sports Medicine, 47(13), 3277-3283. Abstract.
Parker P, Furness ND, Evans JP, White WJ, Smith CD (2019). RETRACTED: a systematic review of the complications of contemporary total elbow arthroplasty (The Journal of Bone & Joint Surgery, (1998), 80, 9, (1327-1335), 10.2106/00004623-199809000-00012). Shoulder and Elbow, 11(6), NP2-NP9. Abstract.
Arias-de la Torre J, Garcia X, Smith K, Romero-Tamarit A, Puigdomenech E, Muñoz-Ortiz L, Evans JP, MartĂn V, Molina AJ, Torrens C, et al (2019). Safety and Effectiveness of Shoulder Arthroplasties in Spain: a Systematic Review. J Clin Med, 8(12). Abstract. Author URL.
Evans JP, Guyver P (2019). Surgical management of shoulder arthritis. Surgery (United Kingdom), 37(5), 246-252. Abstract.
Gallacher S, Beazley JC, Evans J, Anaspure R, Silver D, Redfern A, Thomas W, Kitson J, Smith C (2018). A randomized controlled trial of arthroscopic capsular release versus hydrodilatation in the treatment of primary frozen shoulder. J Shoulder Elbow Surg, 27(8), 1401-1406. Abstract. Author URL.
Evans JP, Smith CD, Fine NF, Porter I, Gangannagaripalli J, Goodwin VA, Valderas JM (2018). Clinical rating systems in elbow research—a systematic review exploring trends and distributions of use. Journal of Shoulder and Elbow Surgery, 27, e98-e106. Abstract.
Beazley JCS, Evans JP, Furness ND, Smith CD (2018). Comparative learning curves for early complications in anatomical and reverse shoulder arthroplasty. Annals of the Royal College of Surgeons of England, 100(6), 491-496. Abstract.
Goodwin V, Evans J, Smith C, Gangannagaripalli J, Porter I, Valderas J (2018). Patient-Centred Outcomes in Lateral Elbow Tendinopathy: a systematic review of available evidence in UK populations. Shoulder and Elbow
Evans J, Dattani R, Ramasamy V, Patel V (2018). Responsiveness of the EQ-5D-3L in elective shoulder surgery: Does it adequately represent patient experience?. Journal of Orthopaedic Surgery, 26(2), 230949901877492-230949901877492. Abstract.
Evans JP, Smith A, Gibbons C, Alonso J, Valderas JM (2018). The National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS): a view from the UK. Patient Relat Outcome Meas, 9, 345-352. Abstract. Author URL.
Evans JP, Metz J, Anaspure R, Thomas WJ, King A, Goodwin VA, Smith CD (2018). The spread of Injectate after ultrasound-guided lateral elbow injection - a cadaveric study. J Exp Orthop, 5(1). Abstract. Author URL.
Furness ND, Phillips A, Gallacher S, Beazley JCS, Evans JP, Toms AD, Thomas W, Smith CD (2018). Vibration therapy versus standard treatment for tennis elbow: a randomized controlled study. Journal of Orthopaedic Surgery, 26(3). Abstract.
Gaukroger A, Evans J, Dixon S (2017). Does Skin Prep Alter Suture Strength Characteristics? Assessing the Effect of Chlorhexidine and Isopropyl Alcohol on Common Skin Closure Suture Material. International Journal of Surgery, 47, S15-S15.
Booker SJ, Boyd M, Gallacher S, Evans JP, Auckland C, Kitson J, Thomas W, Smith CD (2017). The colonisation of the glenohumeral joint by <i>Propionibacterium acnes</i> is not associated with frozen shoulder but is more likely to occur after an injection into the joint. BONE & JOINT JOURNAL, 99B(8), 1067-1072. Author URL.
Booker SJ, Boyd M, Gallacher S, Evans JP, Auckland C, Kitson J, Thomas W, Smith CD (2017). The colonisation of the glenohumeral joint by Propionibacterium acnes is not associated with frozen shoulder but is more likely to occur after an injection into the joint. Bone and Joint Journal, 99B(8), 1067-1072. Abstract.
Porter I, Gangannagaripalli J, Bramwell C, Valderas JM (2016). Integrating Patient Reported Outcome Measures (PROMs) into routine primary care for patients with multimorbidity: a feasibility study. HEALTH AND QUALITY OF LIFE OUTCOMES, 14 Author URL.
Evans JP, Guyver PM, Smith CD (2015). Frozen shoulder after simple arthroscopic shoulder procedures WHAT IS THE RISK?. BONE & JOINT JOURNAL, 97B(7), 963-966. Author URL.
Uppal HS, Evans JP, Smith C (2015). Frozen shoulder: a systematic review of therapeutic options. World J Orthop, 6(2), 263-268. Abstract. Author URL.
Wiltsher M, Evans J, Standley D (2014). A simple technique to ensure distal locking screws are bicortical. The Annals of the Royal College of Surgeons of England, 96(6), 489-489.
Evans J, William D (2014). Non-Union of a Tibial Stress Fracture in a Young Female Taking Bisphosphonate Medication. Journal of Osteoporosis and Physical Activity, 02(02).
(2013). Biomechanical Evaluation of a Hybrid Barbed Suture in the Repair of Flexor Tendons. The Internet Journal of Hand Surgery, 4(1).
Sanders DL, Evans JP, Finlay I (2012). A simple manoeuvre to minimise bladder injury during laparoscopic incisional hernia repair. The Annals of the Royal College of Surgeons of England, 94(5), 369-369.
Evans J (2009). Osteoporosis. BRITISH JOURNAL OF GENERAL PRACTICE, 59(569), 946-946. Author URL.
Chapters
Evans JP, Bain G (2024). Why Do Total Shoulder Replacements Fail?. In (Ed) Revision Shoulder Arthroplasty, Springer Nature, 3-17.
Conferences
Arias-de la Torre J, Espallargues M, Evans JP, Puigdomenech E, Rodriguez N, Valderas JM (2018). AVAILABILITY OF TOOLS TO ASSESS PROMS IN HIP ARTHROPLASTY IN SPAIN. A SYSTEMATIC REVIEW. Author URL.
