Projects per year
Personal profile
Research interests
I am a health economist working in musculoskeletal and surgical cost-effectiveness research affecting millions of patients worldwide. I collaborate with national and international academic institutions and industry to design and deliver large programmes of research. Recent clinical areas I have worked on include orthopaedic surgery in trauma and elective hip, knee, and ankles surgery; rheumatology; medical devices; breast cancer; obstetrics; stroke; children with cronic conditions; and evaluation of NHS services delivery.
I am chief investigator an NIHR-funded Programme Grant for Applied Research of circa £3m in collaboration with Ashley Blom (co-CI, Sheffield), Mike Whitehouse (UoB, THS), Mike Reed (Northumbria, NJR) and David Sochart (SWLEOC) and numerous other researchers in Bristol and beyond. HIPPY (Hip Programme Prosthesis Study for the Younger THR patients) is a programme of studies in evidence synthesis, large linked RWE data analyses, and economic modelling to find out which implants are best for patients under 70 years of age. It includes the largest surgical trial in orthopaedics where we will randomise nearly 8,000 elective hip replacement patients under 70 years to receiving cemented, uncemented, or hybrid implants in circa 100 hospitals across England and Wales who we will follow-up for 10 years after surgery. My interests lie in using evidence synthesis methods and "big data" from national and international sources to inform cost-effectiveness models. I lead two completed NIHR grants using these methods to determine the cost-effectiveness of multiple types of hip and knee implants. I lead or co-lead the economic evaluation components in research infrastructure grants such as the contact for analyses of NJR data and the Bristol NICE Technology Asssesment Group and over 20 other NIHR funded studies based at Bristol, Oxford, and other organisations across the UK.
I serve in the NIHR Programme Grants for Applied Research sub-panel research committe after six years serving in the NIHR Research for Patient Benefit - Southwest regional advisory panel. I provide advice to NICE and INFARMED technology appraisal committee expert board (NICE equivalent in Portugal) appraising submissions of medicines for approval in the English and Portuguese NHS.
I supervise three PhD students in health economics-related topics, lead the Evidence-Based Practice in Medicine helical theme lead for the undergraduate medical programme MB21, co-lead of the Quantitative methods for economic evaluation and policy analysis module of MSc Health Economics and Policy Analysis, and contribute to teaching and organisations in many other MSc and CPD short courses delivered at Bristol and abroad.
I have a PhD in Economics, having studied economic theory and finance in post-graduate programmes in the USA and Portugal. My dissertation looked at economic growth models and tested the (endogenous) influence of population growth on economic growth in 202 countries.
External positions
Health economics expert, INFARMED
2021 → …
Regional Advisory Panel member, NIHR - RFPB
2017 → …
Structured keywords and research groupings
- PolicyBristolMethodologiesAndDataAnalysis
- Health Economics
- Economic evaluation alongside trials
- Trial methodology
- Evidence synthesis
- Cost-effectiveness modelling
- National Joint Registry
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Collaborations and top research areas from the last five years
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Bristol TAG
Whiting, P. F., Welton, N. J., Owen-Smith, A. L., Phillippo, D. M., Caldwell, D., Marques, E. M. R., Jones, H. E., Thom, H. H. Z., Pedder, H., Savovic, J., Higgins, J. P. T., Sadek, A. S., Lopez Manzano, C., Cooper, C., Tomlinson, E., Carroll, J. S., Walker, J. G., Ward, M. E. & James, R. M.
1/04/22 → 31/03/27
Project: Research, Parent
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Evaluating an online consultation system in GP practices
Horwood, J., Northstone, K., Farr, M. C., Banks, J. P., Edwards , H. B., Marques, E. M. R., Hollingworth, W. & Salisbury, C.
1/02/15 → 1/02/17
Project: Research
Research output
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Organisational factors associated with hospital costs and patient mortality in the 365 days following hip fracture in England and Wales (REDUCE): a record-linkage cohort study
Baji, P., Patel, R., Judge, A., Johansen, A., Griffin, J., Chesser, T., Griffin, X. L., Javaid, M. K., Barbosa, E. C., Ben-Shlomo, Y., Marques, E. M. R., Gregson, C. L., Gooberman-Hill, R., Drew, S., Whale, K. & Bradshaw, M., 1 Aug 2023, In: THE LANCET HEALTHY LONGEVITY. 4, 8, p. e386-e398Research output: Contribution to journal › Article (Academic Journal) › peer-review
Open Access1 Citation (Scopus) -
Patients’ recovery of mobility and return to original residence after hip fracture are associated with multiple modifiable components of hospital service organisation: the REDUCE record-linkage cohort study in England and Wales
Patel, R., Judge, A., Marques, E. M. R., Ben-Shlomo, Y., Gregson, C. L., Baji, P., Bradshaw, M. G. E. L., Drew, S., Gooberman-Hill, R. & Whale, K., 12 May 2023, (Accepted/In press) In: BMC Geriatrics.Research output: Contribution to journal › Article (Academic Journal) › peer-review
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Cost-Effectiveness of Group-Based Outpatient Physical Therapy After Total Knee Replacement: Results From the Economic Evaluation Alongside the ARENA Multicenter Randomized Controlled Trial
Barbosa, E. C., Wylde, V., Thorn, J., Sanderson, E., Lenguerrand, E., Artz, N., Blom, A. W., Marques, E. M. R. & et, A., 19 Dec 2022, In: Arthritis Care and Research. 74, 12, p. 1970-1977 8 p.Research output: Contribution to journal › Article (Academic Journal) › peer-review
Open AccessFile1 Citation (Scopus)53 Downloads (Pure)