PMID: 20642418Jul 21, 2010Paper

Do spirometry and regular follow-up improve health outcomes in general practice patients with asthma or COPD? A cluster randomised controlled trial

The Medical Journal of Australia
Michael J AbramsonFrancis C K Thien

Abstract

To determine whether spirometry with regular medical review improves the quality of life or other health outcomes among patients with asthma or chronic obstructive pulmonary disease (COPD) managed in general practice. Cluster randomised controlled trial conducted in 31 general practices in Melbourne during 2007-2008. Practices recruited 305 adult patients who had been prescribed inhaled medication in the preceding 6 months. Practices were randomly assigned to one of three groups: Group A patients received 3-monthly spirometry performed by a respiratory scientist with results returned to the practice and regular medical review; Group B patients received spirometry only before and after the trial; and Group C patients received usual care. Quality of life, assessed with the 36-item Short Form (SF-36) Australian (English) Version 2 questionnaire at baseline and 3, 6, 9 and 12 months. Secondary outcomes were assessed with the European Community Respiratory Health Survey at baseline and 12 months. The trial was completed by 253 participants: 79 in Group A, 104 in Group B, and 70 in Group C. Median age was 58 years (range, 18-70 years), and 167 participants (66%) were women. There were no significant changes in SF-36 Physical and Ment...Continue Reading

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Citations

Jul 8, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Christine HoltonJustin Beilby
May 28, 2013·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Guy B Marks
Nov 26, 2013·Respirology : Official Journal of the Asian Pacific Society of Respirology·Alysha M De LiveraJulie A Simpson
Jan 12, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Michael J AbramsonFrancis Thien
Mar 16, 2011·Respirology : Official Journal of the Asian Pacific Society of Respirology·Siao Ming OeiMichael J Abramson
Jul 9, 2020·Journal of Asthma and Allergy·Prithwijit RoychowdhuryTara Lagu
Oct 8, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Andrew KouriChung-Wai Chow

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