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  • Review: regular medical review is equivalent to written self management plans for optimising asthma control in adults

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Therapeutics
Review: regular medical review is equivalent to written self management plans for optimising asthma control in adults

https://doi.org/10.1136/ebm.8.4.115

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    (2003) Cochrane Database Syst Rev 1, CD004107. Powell H, Gibson PG.. Options for self-management education for adults with asthma.. ;(. ):. (latest version 12 Mar 2002).

    
 
 QUESTIONS: In adult asthmatic patients using inhaled corticosteroids: (i) is regular medical review (RMR) equivalent to written self management plans for optimising asthma control? (ii) are written self management plans based on peak expiratory flow self management (PFSM) equivalent to those based on symptom self monitoring (SSM)?

    Data sources

    Studies were identified by searching the Cochrane Airways Group's Special Register of Controlled Trials derived from Medline, EMBASE/Excerpta Medica, and CINAHL and by reviewing bibliographies of relevant articles.

    Study selection

    Studies were selected if they were randomised controlled trials (RCTs) of ≥2 self management asthma education interventions in patients with asthma who were >16 years of age and which reported relevant health outcomes.

    Data extraction

    2 reviewers independently extracted data on sample size, demographic characteristics of the patients, details of the intervention, study setting, study quality, and outcomes. Outcomes included forced expiratory volume in 1 second (FEV1), peak expiratory flow, hospital admissions, emergency room visits, unscheduled doctor visits, days lost from work or school, and use of “rescue” medications.

    Main results

    15 RCTs (2460 patients) met the selection criteria. Meta-analyses were done using a fixed effects model. Primary …

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