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 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.
She is currently funded by a Cancer Research UK 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.
She also has a particular interest in the potential for introducing risk stratification into bowel cancer screening programmes. Previous work in this area has included systematic reviews and external validation of risk models for the development of bowel cancer and she is currently leading a project funded by Bowel Cancer UK to model the potential impact of introducing risk stratification into the current English bowel screening programme.
Within the Primary Care Unit she teaches several of the General Practice seminars for clinical medical students and organises the MPhil in Primary Care Research. She is also co-lead for the research module within the Postgraduate Certificate in Clinical Research, Education and Leadership run by Cambridge University Health Partners and the University of Cambridge Institute of Continuing Education and a Bye-Fellow in Medicine at Murray Edwards College, University of Cambridge, where she teaches undergraduate medical students.
Usher-Smith JA, Masson G, Mills KM, Sharp SJ, Sutton S, Klein WM, Griffin SJ. (2018)A randomised controlled trial of the effect of providing online risk information and lifestyle advice for the most common preventable cancers: study protocol. BMC Public Health 18(1):796. doi: 10.1186/s12889-018-5712-2
Usher-Smith JA, Harshfield A, Saunders CL, Sharp SJ, Emery J, Walter FM, Muir K, Griffin SJ. (2018) External validation of risk prediction models for incident colorectal cancer using UK Biobank. British Journal of Cancer doi: 10.1038/bjc.2017.463
Usher-Smith JA, Silarova B, Sharp SJ, Mills KM, Griffin SJ. (2017) Effect of interventions incorporating personalised cancer risk information on intentions and behaviour: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 8(1):e017717. doi: 10.1136/bmjopen-2017-017717
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
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
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, 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