You are here

  • Home
  • Archive
  • Volume 12, Issue 2
  • Addition of peak flow monitoring to symptom monitoring did not improve healthcare visits, quality of life, or lung function in older adults with moderate-to-severe asthma

Article Text

Article menu
Download PDFPDF
Treatment
Addition of peak flow monitoring to symptom monitoring did not improve healthcare visits, quality of life, or lung function in older adults with moderate-to-severe asthma

http://dx.doi.org/10.1136/ebm.12.2.49

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Buist AS, Vollmer WM, Wilson SR, et al. A randomized clinical trial of peak flow versus symptom monitoring in older adults with asthma. Am J Respir Crit Care Med 2006;174:1077–87.
    OpenUrlPubMed

    
 
 Q In older adults with moderate-to-severe asthma, is symptom monitoring plus peak flow monitoring (PFM) (used as part of a comprehensive management plan) better than symptom monitoring alone for healthcare use, quality of life, and lung function?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}*.†

    Embedded ImageBlinding:

    blinded (data collectors and {healthcare providers}*).†

    Embedded ImageFollow up period:

    up to 2 years.

    Embedded ImageSetting:

    a large managed care organisation in Oregon, USA.

    Embedded ImagePatients:

    296 adults 50–92 years of age (mean age 66 y, 52% women) who had physician diagnosed asthma, medication use suggestive of moderate-to-severe asthma, bronchodilator reversibility (>8% of baseline FEV1), and demonstrated ability to keep a daily symptom diary.

    Embedded ImageIntervention:

    symptom monitoring plus PFM (n = 149) or symptom monitoring only (n = 147). All patients attended four 90 minute small group sessions that included development of personalised action plans and review of asthma diaries. Patients were instructed in …

    View Full Text

    Footnotes

    • ↵* Information provided by author.

    • ↵† See glossary.

    • For correspondence: Dr A S Buist, Oregon Health and Science University, Portland, OR, USA. buists{at}ohsu.edu

    • Source of funding: National Heart, Lung, and Blood Institute.

    Linked Articles

    • Other articles noted
      Other articles noted
      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2007; 12 63-64 Published Online First: 30 Mar 2007. doi: 10.1136/ebm.12.2.63
    • Glossary
      Glossary
      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2007; 12 63-63 Published Online First: 30 Mar 2007. doi: 10.1136/ebm.12.2.63-a