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Therapeutics
Attendance at an asthma clinic did not reduce asthma morbidity more than did standard medical treatment

https://doi.org/10.1136/ebm.5.2.45

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    (1999) Med J Aust 171, 68. Heard AR, Richards IJ, Alpers JH, et al.. Randomised controlled trial of general practice based asthma clinics.. Jul 19;. :. –71.
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 QUESTION: In patients with asthma, does attendance at a general practice asthma clinic reduce asthma morbidity more than does standard medical treatment?

    Design

    6 month randomised {allocation concealed*},† unblinded,* controlled trial.

    Setting

    8 general practices in South Australia.

    Patients

    195 patients who were 5 to 64 years of age (mean age 26 y, 55% women) and had asthma. Follow up was 98%.

    Intervention

    Patients were allocated to an asthma clinic group (n=98) or a standard treatment group (n=97). Asthma clinics operated once per week for a 3 hour session. Registered nurses with extensive respiratory care experience educated patients in asthma management strategies, including a written asthma management plan; spirometry; and use of peak flow meters, inhalers, and asthma diary …

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