Clinical Senior Research Associate
MA MB BChir MPhil PhD MRCGP
Tel: +44 01223 748693
Juliet Usher-Smith is a Clinical Senior Research Associate and Cancer Research UK/BUPA Foundation Cancer Prevention Fellow. She first joined the Primary Care Unit in 2009 as an Academic Clinical Fellow after graduating from the University of Cambridge in 2007 with a MA MB BChir and a PhD in skeletal muscle physiology. She has since completed four years as a Clinical Lecturer in General practice and continues to work as a General Practitioner in Cambridge.
Her main research interests relate to the development, validation and implementation of risk scores in Primary Care to promote prevention of cancer and cardiovascular disease. This includes systematic reviews of risk models for the development of individual cancers, validation of existing risk scores for colorectal cancer using UK Biobank data, a rapid evidence synthesis of NHS Health Checks, a trial of cardiovascular disease risk information on behaviour change (the Information and Risk Modification (INFORM) trial), the MelaTools programme, and the Evaluation of a Computer Aid for assessing Stomach Symptoms (ECASS) study.
She is currently funded by a Cancer Research UK/BUPA Foundation Fellowship on a project to develop a very brief intervention to promote behaviour change for cancer prevention in primary care. This focuses on whether providing information on future cancer risk to individuals can help encourage lifestyle change and how best to incorporate such information into NHS Health Checks and routine practice.
Within the Primary Care Unit she teaches several of the General Practice seminars for clinical medical students and is the contact for potential Academic Clinical Fellows. She is also a Bye-Fellow in Medicine at Murray Edwards College, University of Cambridge, where she teaches undergraduate medical students.
Usher-Smith J, Martin A, Harte E, MacLure C, Meads C, Saunders C, Griffin S, Walter F, Lawrence K, Robertson C, Mant J. NHS Health Check programme rapid evidence synthesis. www.healthcheck.nhs.uk/document.php?o=1251
Usher-Smith JA, Silarova B, Ward A, Youell J, Muir K, Campbell J, Warcaba J. (2017) Incorporating cancer risk information to promote behaviour change for cancer prevention into general practice: a qualitative study using focus groups with healthcare professionals. BJGP 67(656):e218-226 doi: 10.3399/bjgp17X689401
Shefer G, Silarova B, Usher-Smith JA, Griffin SJ. (2016) The response to receiving phenotypic and genetic coronary heart disease risk scores and lifestyle advice: a qualitative study. BMC Public Health 3;16(1):1221 doi:10.1186/s12889-016-3867-2
Usher-Smith JA, Kassianos A, Emery JD, Abel G, Teoh Z, Hall S, Neal R, Murchie P, Walter FM. (2016) Identifying people at higher risk of melanoma across the UK: a primary care based survey. British Journal of Dermatology doi: 10.1111/bjd.15181
Usher-Smith JA, Sharp SJ, Griffin SJ (2016). The spectrum effect in risk prediction, screening, and diagnostic tests. BMJ. 22;353:i3139. doi: 10.1136/bmj.i3139
Usher-Smith JA, Emery J, Win AK, Walter FM, Griffin SJ. (2016) Risk prediction models for colorectal cancer: a systematic review. Cancer Prevention Research. 9(1):13-26. doi: 10.1158/1940-6207.CAPR-15-0274
Usher-Smith JA, Emery J, Hamilton W, Griffin SJ, Walter FM. (2015) Risk Prediction Tools for Cancer in Primary Care. British Journal of Cancer. 113(12):1645-50. doi: 10.1038/bjc.2015.409
Usher-Smith JA, Silarova B, Schuit E, Moons K, Griffin SJ. (2015) Impact of provision of cardiovascular disease risk estimates to healthcare professionals and patients: a systematic review. BMJ Open. 5(10):e008717. doi: 10.1136/bmjopen-2015-008717
Usher-Smith JA, Pritchard J, Poole S, Griffin SJ. (2015) Offering statins to a population attending health checks with a 10-year cardiovascular disease risk between 10-20%. International journal of Clinical Practice. 69(12):1457-64 doi: 10.1111/ijcp.12742
Silarova B, Lucas J, Butterworth AS, Di Angelantonio E, Girling C, Lawrence K, Mackintosh S, Moore C, Payne RA, Sharp SJ, Shefer G, Tolkien Z, Usher-Smith JA, Walker M, Danesh J, Griffin S. (2015) Information and Risk Modification Trial (INFORM): design of a randomised controlled trial of communicating different types of information about coronary heart disease risk, alongside lifestyle advice, to achieve change in health-related behaviour. BMC Public Health. 15(1):868
Usher-Smith JA, Emery J, Kassianos A, Walter FM. (2014) Risk prediction models for melanoma: a systematic review. Cancer Epidemiology Biomarkers and Prevalence doi: 10.1158/1055-9965
Usher-Smith JA, Thompson M, Ercole A, Walter FM. (2012) Variation between countries in the frequency of diabetic ketoacidosis at first presentation of type 1 diabetes in children: a systematic review. Diabetologia 55: 2878-2894
Usher-Smith JA, Thompson M, Sharp SJ, Walter FM. (2011) Factors associated with the presence of diabetic ketoacidosis at diagnosis of diabetes in children and young adults: a systematic review. BMJ 343:d4092