Mrs Diane Bunn
| Job Title | Contact | Location |
|---|---|---|
| Research Assistant |
D dot Bunn at uea dot ac dot uk
Tel: +44 (0)1603 59 1966 |
Medical School 2.06A |
Biography
In April 2012 I registered for a PhD at the UEA, entitled:
"Identifying and preventing dehydration in the elderly population living in residential Care Homes"
I am being supervised by Dr Lee Hooper (http://www.uea.ac.uk/med/People/Academic/Lee+Hooper) & Dr Fiona Poland (http://www.uea.ac.uk/ahp/People/Academic/Fiona+Poland).
Prior to joining the UEA, I worked with the Norfolk Arthritis Register, a longitudinal observational study of inflammatory polyarthritis (IP) aiming to establish the cause, incidence and outcome of IP. The study is based in Norfolk, but managed by the University of Manchester.
As Clinical Manager, I was responsible for a team of nurses and support staff involved in data collection. This involved recruitment from both primary and secondary care, as well as follow-up for the 3,500 participants recruited since 1990. This role also involved development and implementation of new protocols, including preparation of submissions to Ethics; liaising with collaborators locally and dissemination of results.
Career
1991-2003: Deputy Clinical Manager / Research Nurse, Norfolk Arthritis Register
1986-1991: Staff Midwife, Norfolk and Norwich Hospital
1984-1986: Student Midwife, St George’s Hospital, London
1983-1984: Staff Nurse, The Brompton Hospital, London
Professional Qualifications:-
1983: BSc (Hons) in Nursing Studies, Registered General Nurse1984: Registered Midwife
2002: MSc in Health Sciences
Key Research Interests
Factors influencing fluid uptake to prevent dehydration in elderly people living in care homes
Inflammatory polyarthritis
Selected Publications:-
1. Camacho, E., Verstappen, S., Lunt, M., Bunn, D. & Symmons, D (2011). Multiple adverse pregnancy outcomes before symptom onset are associated with a worse disease outcome in women with recent-onset inflammatory polyarthritis. Ann Rheum Dis, [Epub ahead of print], eScholarID:134292 | PMID:21998113 | DOI:10.1136/annrheumdis-2011-2002922. Mirjafari, H., Farragher, T., Verstappen, S., Yates, A., Bunn, D., Marshall, T., Lunt, M., Symmons, D. & Bruce, I (2011). Seropositivity is associated with insulin resistance in patients with early inflammatory polyarthritis: results from the Norfolk Arthritis Register (NOAR); an observational study. Arthritis Res Ther, 13(5), R159. eScholarID:138446 | PMID:21959060 | DOI:10.1186/ar3476
3. Franklin, J., Farragher, T., Lunt, M., Camacho, E., Bunn, D., Marshall, T. & Symmons, D (2010). Excess risk of hospital admission for cardiovascular disease within the first 7 years from onset of inflammatory polyarthritis. Ann Rheum Dis, 69(9), 1660-1664. eScholarID:82904 | PMID:20498206 | DOI:10.1136/ard.2009.121871
4. Bunn D, Shepstone L, Galpin L, Wiles N, Symmons D. (2004). The NOAR Damaged Joint Count (NOAR-DJC): a clinical measure for assessing articular damage in patients with early inflammatory polyarthritis including rheumatoid arthritis. Rheumatology (Oxford), 43, 12, 1519-1525. eScholarID:1d26141 | DOI:10.1093/rheumatology/keh372
5. Goodson NJ, Silman AJ, Pattison D, Lunt M, Bunn D, Luben R, Day N, Khaw K, Symmons D. (2004). Traditional cardiovascular risk factors measured prior to the onset of inflammatory polyarthritis. Rheumatology (Oxford), 43( 6), 731-6. eScholarID:1d8173 | DOI:10.1093/rheumatology/keh161
Teaching Activities
- I am a Recognised Teacher for the MB/BS Degree programme at the UEA.
Article
Camacho, EM, Verstappen, SMM, Lunt, M, Bunn, D and Symmons, DPM (2011) Influence of age and sex on functional outcome over time in a cohort of patients with recent-onset inflammatory polyarthritis: Results from the Norfolk arthritis register. Arthritis Care & Research, 63 (12). pp. 1745-1752. ISSN 2151464X
Camacho, EM, Lunt, M, Farragher, TM, Verstappen, SMM, Bunn, D and Symmons, DPM (2011) The relationship between oral contraceptive use and functional outcome in women with recent-onset inflammatory polyarthritis: Results from the Norfolk Arthritis Register. Arthritis & Rheumatism, 63 (8). pp. 2183-2191. ISSN 00043591
Scirè, CA, Verstappen, SMM, Mirjafari, H, Bunn, D, Lunt, M, Montecucco, C, Bruce, IN and Symmons, DPM (2011) Reduction of long-term disability in inflammatory polyarthritis by early and persistent suppression of joint inflammation: Results from the Norfolk Arthritis Register. Arthritis Care & Research, 63 (7). pp. 945-952. ISSN 2151464X
Camacho, E, Verstappen, S, Lunt, M, Bunn, D and Symmons, D (2011) Multiple adverse pregnancy outcomes before symptom onset are associated with a worse disease outcome in women with recent-onset inflammatory polyarthritis. Annals of the Rheumatic Diseases, 71 (4). pp. 528-533. ISSN 0003-4967
Camacho, EM, Harrison, M, Farragher, TM, Lunt, M, Bunn, D, Verstappen, SMM and Symmons, DPM. (2011) Parity, time since last live birth and long-term functional outcome: a study of women participating in the Norfolk Arthritis Register. Annals of the Rheumatic Diseases, 70 (4). pp. 642-645. ISSN 0003-4967
Mirjafari, H, Farragher, TM, Verstappen, SMM, Yates, A, Bunn, D, Marshall, T, Lunt, M, Symmons, DPM and Bruce, IN (2011) Seropositivity is associated with insulin resistance in patients with early inflammatory polyarthritis: results from the Norfolk Arthritis Register (NOAR): an observational study. Arthritis Research & Therapy, 13 (5). R159. ISSN 1478-6354
Plant, D, Thomson, W, Lunt, M, Flynn, E, Martin, P, Eyre, S, Farragher, T, Bunn, D, Worthington, J, Symmons, D and Barton, A (2011) The role of rheumatoid arthritis genetic susceptibility markers in the prediction of erosive disease in patients with early inflammatory polyarthritis: results from the Norfolk Arthritis Register. Rheumatology, 50 (1). pp. 78-84. ISSN 1462-0324
Verstappen, SMM, Lunt, M, Bunn, D, Scott, DGI and Symmons, DPM (2011) In patients with early inflammatory polyarthritis, ACPA positivity, younger age and inefficacy of the first non-biological DMARD are predictors for receiving biological therapy: results from the Norfolk Arthritis Register. Annals of the Rheumatic Diseases, 70 (8). pp. 1428-1432. ISSN 0003-4967
Plant, D, Farragher, T, Flynn, E, Martin, P, Eyre, S, Bunn, D, Worthington, J, Symmons, D, Barton, A and Thomson, W (2010) A genetic marker at the OLIG3/TNFAIP3 locus associates with methotrexate continuation in early inflammatory polyarthritis: results from the Norfolk Arthritis Register. The Pharmacogenomics Journal (Epub ahead of print). ISSN 1470-269X
Farragher, TM, Lunt, M, Plant, D, Bunn, D, Barton, A and Symmons, DPM (2010) Benefit of early treatment in inflammatory polyarthritis patients with anti-cyclic citrullinated peptide antibodies versus those without antibodies. Arthritis Care & Research, 62 (5). pp. 664-675. ISSN 2151464X
Farragher, TM, Plant, D, Flynn, E, Eyre, S, Bunn, D, Thomson, W, Symmons, D and Barton, A (2010) Association of a rheumatoid arthritis susceptibility variant at the CCL21 locus with premature mortality in inflammatory polyarthritis patients. Arthritis Care & Research, 62 (5). pp. 676-682. ISSN 2151464X
Camacho, EM, Farragher, TM, Lunt, M, Verstappen, SMM, Bunn, D and Symmons, DPM (2010) The relationship between post-onset pregnancy and functional outcome in women with recent onset inflammatory polyarthritis: results from the Norfolk Arthritis Register. Annals of the Rheumatic Diseases, 69 (10). pp. 1834-1837. ISSN 0003-4967
Farragher, TM, Lunt, M., Fu, B, Bunn, D and Symmons, DPM (2010) Early treatment with, and time receiving, first disease-modifying antirheumatic drug predicts long-term function in patients with inflammatory polyarthritis. Annals of the Rheumatic Diseases, 69 (4). pp. 689-695. ISSN 0003-4967
Franklin, J, Farragher, TM, Lunt, M., Camacho, EM, Bunn, D, Marshall, T and Symmons, DPM (2010) Excess risk of hospital admission for cardiovascular disease within the first 7 years from onset of inflammatory polyarthritis. Annals of the Rheumatic Diseases, 69 (9). pp. 1660-1664. ISSN 0003-4967
Pye, SR, Adams, JE, Ward, KA, Bunn, D, Symmons, DPM and O'Neill, TW (2010) Disease activity and severity in early inflammatory arthritis predict hand cortical bone loss. Rheumatology, 49 (10). pp. 1943-1948. ISSN 1462-0324
Harrison, MJ, Farragher, TM, Clarke, AM, Manning, SC, Bunn, D and Symmons, DPM (2009) Association of functional outcome with both personal- and area-level socioeconomic inequalities in patients with inflammatory polyarthritis. Arthritis & Rheumatism, 61 (10). pp. 1297-1304. ISSN 00043591
Naz, SM, Farragher, TM, Bunn, D, Symmons, DPM and Bruce, IN (2008) The influence of age at symptom onset and length of followup on mortality in patients with recent-onset inflammatory polyarthritis. Arthritis & Rheumatism, 58 (4). pp. 985-989. ISSN 00043591
Hider, SL, Silman, AJ, Thomson, W, Lunt, M, Bunn, D and Symmons, DPM (2008) Can clinical factors at presentation be used to predict outcome of treatment with methotrexate in patients with early inflammatory polyarthritis? Annals of the Rheumatic Diseases, 68 (1). pp. 57-62. ISSN 0003-4967
Morgan, C, Lunt, M, Bunn, D, Scott, DGI and Symmons, DPM (2007) Five-year outcome of a primary-care-based inception cohort of patients with inflammatory polyarthritis plus psoriasis. Rheumatology, 46 (12). pp. 1819-1823. ISSN 1462-0324
Patel, S, Farragher, T, Berry, J, Bunn, D, Silman, A and Symmons, D (2007) Association between serum vitamin D metabolite levels and disease activity in patients with early inflammatory polyarthritis. Arthritis & Rheumatism, 56 (7). pp. 2143-2149. ISSN 00043591
Bukhari, M, Lunt, M, Barton, A, Bunn, D, Silman, A and Symmons, D (2007) Increasing age at symptom onset is associated with worse radiological damage at presentation in patients with early inflammatory polyarthritis. Annals of the Rheumatic Diseases, 66 (3). pp. 389-393. ISSN 0003-4967
Franklin, J, Lunt, M, Bunn, D, Symmons, D and Silman, A (2007) Risk and predictors of infection leading to hospitalisation in a large primary-care-derived cohort of patients with inflammatory polyarthritis. Annals of the Rheumatic Diseases, 66 (3). pp. 308-312. ISSN 0003-4967
Franklin, Jarrod, Lunt, Mark, Bunn, D, Symmons, Deborah and Silman, Alan (2007) Influence of inflammatory polyarthritis on cancer incidence and survival: Results from a community-based prospective study. Arthritis & Rheumatism, 56 (3). pp. 790-798. ISSN 00043591
Hider, SL, Silman, A, Bunn, D, Manning, S, Symmons, D and Lunt, M (2006) Comparing the long-term clinical outcome of treatment with methotrexate or sulfasalazine prescribed as the first disease-modifying antirheumatic drug in patients with inflammatory polyarthritis. Annals of the Rheumatic Diseases, 65 (11). pp. 1449-1455. ISSN 0003-4967
Franklin, J, Lunt, M, Bunn, D, Symmons, D and Silman, AJ (2006) Incidence of lymphoma in a large primary care derived cohort of cases of inflammatory polyarthritis. Annals of the Rheumatic Diseases, 65 (5). pp. 617-622. ISSN 0003-4967
Farragher, TM, Lunt, M, Bunn, D, Silman, AJ and Symmons, DPM (2006) Early functional disability predicts both all-cause and cardiovascular mortality in people with inflammatory polyarthritis: results from the Norfolk Arthritis Register. Annals of the Rheumatic Diseases, 66 (4). pp. 486-492. ISSN 0003-4967
Oswald, AE, Pye, SR, O'Neill, TW, Bunn, D, Gaffney, K, Marshall, T, Silman, AJ and Symmons, D (2006) Prevalence and associated factors for falls in women with established inflammatory polyarthritis. Journal of Rheumatology, 33 (4). pp. 690-694.
Goodson, NJ, Symmons, DP, Scott, DGI, Bunn, D, Lunt, M and Silman, AJ (2005) Baseline levels of C-reactive protein and prediction of death from cardiovascular disease in patients with inflammatory polyarthritis: a ten-year followup study of a primary care-based inception cohort. Arthritis and Rheumatism, 52 (8). pp. 2293-2299.
Bunn, D, Shepstone, L, Galpin, LM, Wiles, NJ and Symmons, DP (2004) The NOAR Damaged Joint Count (NOAR-DJC): a clinical measure for assessing articular damage in patients with early inflammatory polyarthritis including rheumatoid arthritis. Rheumatology (Oxford), 43 (12). pp. 1519-1525.
Goodson, NJ, Silman, AJ, Pattison, DJ, Lunt, M, Bunn, D, Luben, R, Day, N, Khaw, K-T and Symmons, DPM (2004) Traditional cardiovascular risk factors measured prior to the onset of inflammatory polyarthritis. Rheumatology, 43 (6). pp. 731-736. ISSN 1462-0324
Pattison, DJ, Silman, AJ, Goodson, NJ, Lunt, M, Bunn, D, Luben, R, Welch, AA, Bingham, S, Khaw, KT, Day, N and Symmons, DP (2004) Vitamin C and the risk of developing inflammatory polyarthritis: prospective nested case-control study. Annals of Rheumatic Diseases, 63 (7). pp. 843-847.
Ramjeet, J, Koutantji, M, Pearce, S, Barrett, EM and Bunn, D (2001) The relationship between gender, depression, disability and pain in a prospective community sample of patients with recently diagnosed inflammatory polyarthritis. Rheumatology, 4 (Suppl 1). p. 26.
Book Section
MacGregor, AJ, Haque Hussain, SS, Bunn, D, Reavley, CM, Millsted, J, Tilston, J and Symmons, DPM (2001) The genetic epidemiology of pain. In: Biobehavioural approached to pain. New York: Springer.
Conference or Workshop Item
Lapraik, C, Bunn, D, Scott, DGI, Tilston, J, Brooksby, A, Donell, Simon, Manning, S, Farragher, T, Silman, AJ, Symmons, DP and Macgregor, Alex J (2006) 10 year risk of major joint replacement in subjects with early inflammatory polyarthritis: Results from an inception cohort. In: 70th Annual Scientific Meeting of the American-College-of-Rheumatology/41st Annual Scientific Meeting of the Association-of-Rheumatology-Health-Professionals, NOV 10-15, 2006, Washington, DC.
Marshall, AT, Bunn, DK, Symmons, DPM, Harvey, I, Shepstone, L and Oakes, S (2005) Prevalence of self reported angina in a community based inception cohort of patients with inflammatory arthritis. In: 69th Annual Scientific Meeting of the American-College-of-Rheumatology/40th Annual Scientific Meeting of the Association-of-Rheumatology-Health-Professionals, NOV 12-17, 2005, San Diego, CA.
