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Q In children with asthma, does the addition of routine peak expiratory flow (PEF) monitoring to symptom-based self management improve outcome over symptom-based self management alone?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Paediatrics ★★★★★★☆ Respirology ★★★★★☆☆
METHODS
Design:
randomised controlled trial.
Allocation:
{concealed*}†.
Blinding:
{unblinded}†.*
Follow up period:
12 weeks.
Setting:
children were recruited from primary care practices and a children’s hospital in Leicester, UK.
Patients:
90 children aged 7–14 years (median age 11 y) who had moderate asthma, were taking regular inhaled corticosteroids, had had stable treatment for 1 month, were competent at spirometry, and had no other respiratory problem.
Intervention:
PEF monitoring plus symptom-based management (n = 44) or symptom-based management alone (n = 46) were given after a 4 …