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  4. Professor Cindy Lo Kuen LAM

Professor Cindy Lo Kuen LAM, MH, JP

Danny D. B. Ho Professor in Family Medicine
  • MBBS, MD(HK), FRCGP, MCGP (Irel), FHKAM (Family Medicine), Specialist in Family Medicine
email clklam@hku.hk
email HKU Scholars Hub
email ORCiD Connecting Research and Researchers

Cindy graduated with the M.B.B.S. degree with distinctions in physiology and pharmacology from the University of Hong Kong in 1981. She was awarded the best female medical graduate prize by the HKU Alumni Association in 1981. She became a member of the Royal College of General Practitioners (RCGP) by examination with distinction in 1986. She was elected Fellow of the RCGP and Foundation Fellow of the Hong Kong Academy of Medicine in 1993. She obtained her M.D. from the University of Hong Kong in 2003. She is in active clinical practice as registered specialist in family medicine. She joined the University of Hong Kong as a lecturer in general practice in 1989 and was awarded the Li Ka Shing Faculty Teaching Medal 2006 for excellence in teaching. She was promoted to clinical professor in 2007, and appointed the Danny D. B. Ho Professor in Family Medicine in 2012. She is Chief Censor and Honorary Fellow of the Hong Kong College of Family Physicians. She was Asia-Pacific Co-chair of the WONCA Working Party for Mental Health from 2018-2022. She was co-chair of the Grant Review Board of the Health and Medical Research Fund from 2010 to 2019.

 

  

Key Research Areas
  • Assessment of health related quality of life & patient-reported outcomes
  • Evaluation of quality and outcomes of health and health services in primary care
  • Primary mental health care

Key Publications
  1. Chan KS, Wan EYF#, Chin WY, Yu EYT, Mak IL, Cheng WHG, Ho MK, Lam CLK. Association between team-based continuity of care and risk of cardiovascular disease among patients with diabetes mellitus: a retrospective cohort study. Diabetes Care 2022; 45(5): 1162-1169
  2. Weinan Dong, Eric YF Wan, Daniel YT Fong, Ruby LP Kwok, David VK Chao, Kathryn CB Tan, Eric MT Hui, Wendy WS Tsui, KH Chan, Colman SC Fung, Cindy LK Lam. Prediction Models and Nomograms of 10-year Risk of End-Stage Renal Disease in Chinese Type 2 Diabetes Mellitus Patients in Primary Care. Diabetes, Obesity and Metabolism. 2020 (Dec). https://doi.org/10.1111/dom.14292
  3. DONG, Weinan; TSE, Tsui Yee Emily#; MAK, Lynn Ivy; WONG, Carlos King Ho; WAN, Yuk Fai Eric; TANG, Ho Man Eric; CHIN, Weng Yee; BEDFORD, Laura Elizabeth; YU, Yee Tak Esther;  KO, Wai Kit; CHAO, Vai Kiong David; TAN, Choon Beng Kathryn; LAM, Lo Kuen Cindy "Non-laboratory-based Risk Assessment Model for Case Detection of Diabetes Mellitus and Pre-diabetes in Primary Care".  J Diabetes Investig 2022; 13: 1374–86. http://doi.org/10.1111/jdi.13790
  4. Wan EYF, Chin WY, Yu EYT, Wong ICK, Chan EWY, Li SX, Cheung NKL, Wang Y, Lam CLK. The Impact of Cardiovascular Disease and Chronic Kidney Disease on Life Expectancy and Direct Medical Cost in a 10-Year Diabetes Cohort Study. Diabetes Care. 2020 Aug;43(8):1750-1758.  http://doi:10.2337/dc19-2137.
  5. Chris Dowrick, Ryuki Kassai, Cindy LK Lam#, Raymond W Lam, Garth Manning, Jill Murphy, Chee H Ng#, Chandramani Thuraisingham. The APEC Digital Hub-WONCA Collaborative Framework on Integration of Mental Health into Primary Care in the Asia Pacific.  Journal of Multidisciplinary Healthcare 2020; 13:1693–1704.
  6. E.Y.F. Wan,  C.S.C. Fung, F.F. Jiao, E.Y.T. Yu,  W.Y.Chin, D.Y.T. Fong, C.K.H. Wong, A.K.C. Chan, K.H.Y. Chan, R.L.P. Kwok, C.L.K. Lam. 5-year effectiveness of the Multi-disciplinary Risk Assessment and Management Programme for primary care patients with Type 2 Diabetes Mellitus‎ (RAMP-DM) on DM-related complications and health service utilizations – A Population-based and Propensity-matched Cohort Study. Diabetes Care. 2018; 41:49-59. https://doi.org/10.2337/dc17-0426
  7. F.F. Jiao, C.S.C. Fung#, E.Y.F. Wan, A.K.C. Chan, S. M. McGhee, R.L.P. Kwok, C.L.K. Lam, Five-year cost-effectiveness of a primary care multidisciplinary Risk Assessment and Management Program for patients with Diabetes Mellitus (RAMP-DM). Diabetes Care 2018.  Doi: https://doi.org/10.2337/dc17-1149.
  8. Eric Y.F. Wan, Daniel Y.T. Fong, Colman S.C. Fung, Esther Y.T. Yu, Weng-Yee Chin, Anca K.C. Chan, Cindy L.K. Lam. Development of a Cardiovascular Diseases Risk Prediction Model and Tools for Chinese Patients with Type 2 Diabetes Mellitus – A Population-based Retrospective Cohort Study. Diabetes, Obesity and Metabolism 2018;20:309-318.
  9. Eric Y.F. Wan, Esther Y.T. Yu, Weng-Yee Chin, Colman S.C. Fung, Daniel Y.T. Fong, Edmond P.H. Choi, Anca KC Chan, Cindy LK Lam. Effect of Achieved Systolic Blood Pressure on Cardiovascular Outcomes in Patients with Type 2 Diabetes Mellitus - A Population-based Retrospective Cohort Study. Diabetes care. 2018;41(6):1134-41. DOI: https://doi.org/10.2337/dc17-2443
  10. Chin W.Y., Wan E.Y.F., Choi E.P.H., Chan K.T.Y., Lam CLK. The 12-month2015; 15:79 incidence and predictors of PHQ-9-screened depressive symptoms in Chinese primary care patients.  Ann Fam Med 2016; 14:47-53. Doi:10.1370/afm.1854. http://www.annfammed.org/content/14/1/47.full.pdf+html
  11. Wan E.Y.F, Fung C.S.C., Wong C.H.K., Chin W.Y, Lam C.L.K.. Association of HbA1c Levels with Cardiovascular Disease and Mortality in Chinese Patients with Type 2 Diabetes Mellitus - A Population-based Retrospective Cohort Study.  J Am Coll Cardiology 2016; 67: 456-58.
  12. Lam C.L. K., Yu E.Y., Lo Y.Y. Wong C. K. Fong D.Y.,  Lee A.,  Lam T.P.,  Leung G.M. Having a family doctor is associated with some better patient reported outcomes of primary care consultations. Front. Med. 2014; doi: 10.3389/fmed.2014.00029.
  13. Fung C.S.C., Wong C.K. H., Fong D.Y.T., Lee A., Lam C.L.K.  Having a Family Doctor was associated with lower utilization of hospital emergency services and hospital admission.   BMC Health Services Research 2015; 15:42. DOI: 10.1186/s12913-015-0705-7.
  14. Lam ETP, Lam CLK, Fong DYT., Huang WW. Is the SF-12_version 2 Health Survey a valid and equivalent substitute for the SF-36_version 2 Health Survey for the Chinese? Journal of Evaluation in Clinical Practice. 2013;19(1):200-8. DOI: 10.1111/j.1365-2753.2011.01800.x
  15. Lam C.L.K., Fong D.,Y.T Chin W.Y. Lee, P.W.H., Lam E.T.P., Lo Y.Y.C. Brief Problem-solving treatment in Primary Care (PST-PC) was not more effective than placebo for elderly patients screened - positive of psychological problems  Int J Geriatr Psychiatry 2010; 25:968-980.
  16. Lam C.L.K., Chin W.Y. Lee P.W.H., Lo Y.Y.C., Fong D.,Y.T. Lam T.P.  Unrecognized psychological problems impair quality of life and increase consultation rates in Chinese elderly patients.  Int J Geriatr Psychiatry 2009; 24 (Aug):979-989.
  17. Lam C.L.K., Brazier J., McGhee S.M. Valuation of the SF-6D health states is feasible, acceptable, reliable and valid in a Chinese population. Value in Health 2008; 11:295-303.
  18. Lam C.L.K, Tse E.Y.Y., Gandek B. Fong D. Y. T. The SF-36 Summary Scales is valid, reliable and equivalent in a Chinese Population. J Clinc Epidem 2005; 58 (8): 815-822.
  19. Lam C.L.K, Pan P.C., Chan A.W.T., Chan S.Y., Munro C. Can the Hospital Anxiety and Depression (HAD) Scale be used on Chinese in general practice? Family Practice 1995; 12: 149-154.
  20. Lam C.L.K, Van Weel C., Lauder I.J. Can the COOP/WONCA Charts be used to assess the functional status of Chinese patients? Family Practice 1994; 11:85-94.

Research Funding
Principal Investigator
2021-2026 Food and Health Bureau commissioned COVID studies (COVID19F08, HK$9,334,600) on “The Long Term Spill-over Impact of COVID-19 on Health and Healthcare of Patients with Non-communicable Diseases: an in-depth outcome and health economic evaluation.” (P.I. Cindy L. K. Lam, Co-chief investigators: Dr. Eric Y. F. Wan and Dr. Chao Quan).
2021-2023 Health and Medical Research Fund (#18191581, HK$440,650)  on “What are the family barriers and facilitators of healthy eating habits among adolescents?”
2020-2023 Health and Medical Research Fund (#17181641, HK$1,499,908) on “ The Development and Validation of a DM and Pre-DM Risk Predication Function for Case Finding in Primary Care in Hong Kong”.
2019-2022 HKCFP Commissioned grant for study on “HKCFP-HKU Primary Care Morbidity Survey in Hong Kong.  (HK$400,000).  (P.I. Cindy L.K. Lam, Co-P.I. Julie Y Chen).
2020-2023 UGC-General Research Fund (GRF)(#17100119, $1,069,198), “Effectiveness of Routine Measurement of Health-related Quality of Life in Improving the Outcomes of Patients with Musculoskeletal Problems- A Randomized Controlled Trial”.
2019-2024 Health and Health Services Research Fund Commissioned Research to Support Local Cohorts and Follow-up Studies(CFS-HKU4, HK$5,999,020,) on “ Cohort study to investigate the outcomes of patients with hypertension and/or diabetes mellitus and the effectiveness and cost-effectiveness of structured multi-disciplinary intervention programmes”.
2017-2019 Health and Medical Research Fund (#14151181, HKD1,200,000). “10-year Risk Prediction Models of Complications and Mortality of Diabetes Mellitus in Chinese Patients in Primary Care in Hong Kong.”
2013-2023 Kerry Group and Kuok Foundation Endowed Research Fund (Annual funding: HK$ 2.3 to 2.9 million) . Primary Care & Health Services Research Initiatives for Families: Health Assessment and Health Empowerment Programmes for Trekkers Families.
2011-2016 Health and Health Services Research Fund Commissioned Study on Enhanced Primary Care (EPC-HKU-2, HK$5,685,000, 27 July, 2011) on “ Extended evaluation of quality of care of chronic disease management and public-private partnership programmes of the Hospital Authority”.

 

Co-investigator
2021-2024 ITF (#ITB/FBL/4018/21/P, HKD2,873,330). Development and Applications of Daily-use Fall Risk Assessment Device to Prevent Elderly People from Falling.  (1 July 2022 to 30 June 2024), (P.I. Professor Ning XI, Department of Engineer, Faculty of Engineering)
2021-2025 RGC Theme Based Research Scheme (10th Round #.T42-717/20-R, HKD 43,333,000)  “Intelligent Robotics for Elderly Assistance in Hong Kong” (Project Coordinator: Professor Xi Ning, Department of Engineer, Faculty of Engineering, the University of Hong Kong).
2021-2024 Health and Medical Research Fund (#18191751, HKD1,500,000,).” Improving T2DM detection among at-Risk individuals – Effectiveness of Active Opportunistic Screening using spot Capillary-HbA1c test – a cluster randomized controlled trial (DM-REACH)  (P.I. Dr. Esther Yu Yee-tak, Department of Family Medicine and Primary Care, the University of Hong Kong.)
2019-2020 UGC-General Research Fund (GRF)(#17119518, $968,347), “Elicitation of health state utilities for paediatric populations from the general public. (P.I. Dr. Carlos K.H. Wong, Department of Family Medicine & Primary Care, the University of Hong Kong)
2017-2019 Health Care Promotion Fund (# 01170498, HKD1,199,740) “A community-based lifestyle intervention program for diabetes prevention in people with pre-diabetes”. (P.I. Dr. Mandy M Ho, School of Nursing, the University of Hong Kong).
2017-2019 Health and Medical Research Fund ( #0451956, HKD1,169,416, 01/04/2017). “Identification and Evaluation of a Reliable, Non-invasive Diagnostic Method Using blood microRNA expression to diagnose High-Risk Colorectal Cancer Candidates.” (P.I.: Professor WL Law, Department of Surgery, the University of Hong Kong).
2017-2019 Health and Medical Research Fund (#14151571, HKD1,183,868). “In-depth exploration of a bidirectional parent-child health relationship and its mediating and moderating factors among low-income families in Hong Kong.” (P.I. Dr. Esther Yu Yee-tak, Department of Family Medicine and Primary Care, the University of Hong Kong.)
2017-2019 Health and Medical Research Fund (#14151971, HKD967,100). “How Can We Allocate the Screening Interval for Diabetic Retinopathy in Hong Kong?: towards a Personalized Approach.” (P.I. Dr. Tina LIAN Jin-Xiao, the Polytechnic University of Hong Kong.)
2017-2020 Research Grant Council General Research Fund, (# 17156416, HKD831,585, 1 Jan, 2017). Defining Indications for Managing Scoliosis Using Comparative Outcomes and Cost Analysis. (P.I. Dr. Jason Pui-Yin CHEUNG, Department of Orthopedics and Traumatology. The University of Hong Kong)

 


Professional Services
Grant Committee
2019-2022 Member, Grant Review Board, Health and Medical Research Fund,  Food and Health Bureau, the Government of the HKSAR
2018-2022 Member, Expert Advisory Panel in Primary Healthcare and Non-communicable Disease. Research Council, Food and Health Bureau, the Government of the HKSAR.
2019-2020 Member, Health Sciences Panel, Research Assessment Exercise (RAE) 2020, University Grants Committee, the Government of the HKSAR.
2010-2019 Co-Chair and Executive member, Grant Review Board, Health and Medical Research Fund, Food and Health Bureau, the Government of the HKSAR.
2010-2019 Executive Member, Grant Review Board for the Health and Health Services Research Fund and the Research Fund for the Control of Infectious Diseases in Hong Kong. Health, Welfare and Food Bureau, the Government of the HKSAR.

 

Editorship & Editorial Boards
2015-2020 Section Editor, BMC Family Practice
2018-2022 Associate Editor, Family Practice-an international Journal.
2013-present International Advisor, Malaysian Family Physician Journal, Academy of Family Physicians of Malaysia
Member, Editorial Board, Chronic Illness, Sage Publications, UK
2001-2010 Member, International Editorial Board, Biomed Central (BMC) Medical Education
2008-present Member, Editorial Board, the H.K. Practitioner Journal, the Hong Kong College of Family Physicians
1996-2001 Member, International Editorial Board, British Medical Journal, U.K.

 

Professional Committees
2008-2023 Chief Censor, The Hong Kong College of Family Physicians.
2017-2023 Member, Steering Committee on Primary Healthcare Development, Food and Health Bureau, Government of the HKSAR.
2021-2024 Convener, Advisory Committee on Primary Care Directory, Health Bureau, Government of the HKSAR.
2018-2023 Member, Cancer Coordinating Committee, Food and Health Bureau, Government of the HKSAR
2021-2022 Non-official Member, Kowloon and New Territories South District Health Center Governing Committee, Health Bureau, Government of HKSAR
2019-2020 Member, Management Committee of Kwai Tsing District Health Center, Food & Health Bureau, Government of HKSAR.
2018-2021 Member, Cancer Coordinating Committee, Food and Health Bureau, Government of the HKSAR.
2014-2020 Member, Colorectal Cancer Screening Pilot Programme Task Force, Department of Health, Government of the HKSAR.
2017-2020 Asia-Pacific Regional Vice-Chairman, WONCA Working Party on Mental Health, World Organization of Family Doctors.
2018-2019 Master Faculty, Improving Family Physicians Management of Patients with Depression and Anxiety/Asia Pacific Training Programme. California Academy of Family Physicians and WONCA Working Party for Mental Health.

 


Other Information
Honours & Community Services
1 July, 2018 The Medal of Honour (MH), the Government of the Hong Kong SAR.
2011 Honorary Fellow, Hong Kong College of Family Physicians.
16 July, 2010 Justice of the Peace (JP), the Government of the Hong Kong SAR.
2018-2023 Academic Lead, Asia Pacific Academic Primary Care Group to build primary care research capacity in the region.
2012-2017 Member, Corruption Prevention Advisory Committee, ICAC, Government of the HKSAR.