Centre for Health Services Studies

Excellence in Health Research

profile image for Professor Chris Farmer MD FRCP

Professor Chris Farmer MD FRCP

CHSS Clinical Professor & Consultant Renal Physician    



I have been a Consultant in renal medicine at East Kent Hospitals University NHS Foundation Trust (EKHUFT) for thirteen years. In November 2015 I stepped down as Associate Medical Director - a post held for eight years - to take up a part-time CHSS Clinical Professorship. My research interests and expertise lie in renal research, specifically Acute Kidney Injury, Epidemiology of renal disease and Chronic Kidney disease.

Throughout my career I have had a keen interest and involvement in clinical trials, laboratory studies and large scale epidemiological research. Recently I have been involved in studies examining the use of informatics in healthcare. I have presented at over a hundred national and international conferences and my work has informed national policy in renal medicine.

Current research:
Epidemiology, Management and Outcomes of Acute Kidney Injury
Predictors of Hospital acquired acute kidney injury
Management of fluid balance in hospitals
Use of balanced salt solutions in the hospital setting
Clinical decision support systems in chronic kidney disease

MBBS Charing Cross and Westminster Medical School
MD Guy’s, King’s and St. Thomas’ School of Medicine and Biomedical Sciences

Fellow of The Royal College of Physicians
Member of the Renal Association

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Also view these in the Kent Academic Repository

Farmer, C. K., Santer, E., West, A., Darby, J., Rees-Roberts, M., Doulton, T., MacInnes, D., O'Driscoll, J., Borthwick, R., Pellatt-Higgins, T. and others. (2023) 'Delivering clinical studies of exercise in the COVID-19 pandemic: challenges and adaptations using a feasibility trial of isometric exercise to treat hypertension as an exemplar', BMJ Open. BMJ Publishing Group. doi: 10.1136/bmjopen-2022-068204.
Wiles, J., Rees-Roberts, M., O'Driscoll, J. M., Doulton, T., MacInnes, D., Short, V., Pellatt-Higgins, T., Saxby, K., Gousia, K., West, A. and others. (2021) 'Feasibility study to assess the delivery of a novel isometric exercise intervention for people with stage 1 hypertension in the NHS: protocol for the IsoFIT-BP study including amendments to mitigate the risk of COVID-19', Pilot and Feasibility Studies. doi: 10.1186/s40814-021-00925-w.
Bell, S., James, M. T., Farmer, C. K., Tan, Z., de Souza, N. and Witham, M. D. (2020) 'Development and external validation of an acute kidney injury risk score for use in the general population', Clinical Kidney Journal. Oxford University Press, pp. 402-412. doi: 10.1093/ckj/sfaa072.
Patel, L., Kilbride, H. S., Stevens, P. E., Eaglestone, G., Knight, S., Carter, J. L., Delaney, M. P., Farmer, C. K., Dalton, N. and Lamb, E. J. (2019) 'Symmetric dimethylarginine (SDMA) is a stronger predictor of mortality risk than asymmetric dimethylarginine (ADMA) amongst older people with kidney disease', Annals of Clinical Biochemistry. SAGE, pp. 367-374. doi: 10.1177/0004563218822655.
Christakoudi, S., Runglall, M., Mobillo, P., Tsui, T.-L., Duff, C., Domingo-Vila, C., Kamra, Y., Delaney, F., Montero, R., Spiridou, A. and others. (2019) 'Development of a multivariable gene-expression signature targeting T-cell-mediated rejection in peripheral blood of kidney transplant recipinets validated in cross sectional and longitudinal samples', EBioMedicine. Elsevier, pp. 571-583. doi: 10.1016/j.ebiom.2019.01.060.
Blackburn, A., Gunda, S., Lopez, B., Edwards, J., Spittle, N., Preston, R., Baines, R., Little, J., Falayajo, A., Mahmoud, H. and others. (2018) 'Risk Prediction for Acute Kidney Injury in Acute Medical Admissions in the UK', QJM: An International Journal of Medicine. Oxford University Press, pp. 197-205. doi: 10.1093/qjmed/hcy277.
Fawzy, M., Wong-Morrow, W. S., Beaumont, A. and Farmer, C. K. (2017) 'Acute kidney injury and critical limb ischaemia associated with the use of the so called "legal high" 3-Fluorophenmetrazine', CEN Case Reports. Springer, pp. 152-155. doi: 10.1007%2Fs13730-017-0263-4.
Morrissey, Y., Bedford, M., Irving, J. and Farmer, C. K. (2016) 'Older people remain on blood pressure agents despite being hypotensive resulting in increased mortality and hospital admission', Age and Ageing. Oxford University Press, pp. 783-788. doi: 10.1093/ageing/afw120.
Witham, M. D., Hobbs, H., Farmer, C. K., Lui G, F. and Lewington, A. J. P. (2016) 'Acute kidney injury: the business of risk', British Journal of Renal Medicine, pp. 81-85. Available at: http://www.bjrm.co.uk/journal_search_results.aspx?JournalID=2&sw=0&yrFrom=0&yrTo=0&sa=Witham&ef=False¬w=0&alw=False.
Carter, J. L., Parker, C., Stevens, P. E., Eaglestone, G., Knight, S., Farmer, C. K. and Lamb, E. J. (2016) 'Biological Variation of Plasma and Urinary Markers of Acute Kidney Injury in Patients with Chronic Kidney Disease', Clinical Chemistry. American Association for Clinical Chemistry, pp. 876-883. doi: 10.1373/clinchem.2015.250993.
Kalli, M., Billings, J. R., Coulton, S., Farmer, C. K., Bedford, M., Farr, M., Wheeler, T., Stevens, P. and Mottishaw, T. (2016) 'Development of risk models for the prediction of new or worsening acute kidney injury on or during hospital admission: a cohort and nested study', Health Services and Delivery Research. NHS National Institute for Health Research. doi: 10.3310/hsdr04060.
Bedford, M., Stevens, P., Coulton, S., Billings, J., Farr, M., Wheeler, T., Kalli, M., Mottishaw, T. and Farmer, C. K. (2016) 'Development of risk models for the prediction of new or worsening acute kidney injury on or during hospital admission: a cohort and nested study', Health Services and Delivery Research. National Institute for Health Research, pp. 1-159. doi: 10.3310/hsdr04060.
Bedford, M., Farmer, C. K., Irving, J. and Stevens, P. E. (2015) 'Acute kidney injury: an acceptable risk of treatment with renin-angiotensin system blockade in primary care?', Canadian Journal of Kidney Health and Disease. BioMed Central. doi: 10.1186/s40697-015-0044-y.
Farmer, C. K., Wheeler, T., Bedford, M., Webb, M., Farr, M. and Morris, S. (2015) 'Directing specialist care through email admission alerting', Future Hospital Journal. Royal College of Physicians, pp. 34-37. doi: 10.7861/futurehosp.15.011.
Siddique, N., Farmer, C. K. and Muller, A. (2015) 'Do gastroenterologists monitor their patients taking 5-amino-salicylates following initiation of treatment?', Frontline Gastroenterology. BMJ, pp. 27-31. doi: 10.1136/flgastro-2014-100452.
Bedford, M., Stevens, P. E., Wheeler, T. W. and Farmer, C. K. (2014) 'What is the real impact of acute kidney injury?', BMC Nephrology. Biomed Central. doi: 10.1186/1471-2369-15-95.
Alshaer, I. M., Kilbride, H. S., Stevens, P. E., Eaglestone, G., Knight, S., Carter, J. L., Delaney, M. P., Farmer, C. K., Irving, J., O'Riordan, S. E. and others. (2014) 'External validation of the Berlin equations for estimation of GFR in the elderly', American Journal of Kidney Diseases. Elsevier, pp. 862-865. doi: 10.1053/j.ajkd.2014.01.013.
Hobbs, H., Bassett, P., Wheeler, T., Bedford, M., Irving, J., Stevens, P. E. and Farmer, C. K. (2014) 'Do acute elevations of serum creatinine in primary care engender an increased mortality risk?', BMC Nephrology. Biomed Central. doi: 10.1186/1471-2369-15-206.
Kelly, M., Crawford, C., Loo, R. L., Delaney, M. P., Farmer, C. K., Wildman, S. S. and Peppiatt-Wildman, C. M. (2013) 'Live kidney slices present a novel method for delineating the mechanisms of calcineurin inhibitor-mediated nephrotoxicity', The FASEB journal. Joint Annual Meeting of the ASPET/BPS at Experimental Biology (EB), Federation of American Societies for Experimental Biology. doi: 10.1096/fasebj.27.1_supplement.646.8.
Total publications in KAR: 19 [See all in KAR]
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Last Updated: 21/12/2018