Abstract
The aim of this study was to assess the ability of nurse-run asthma clinics based in general practice compared with usual medical care to produce at least a moderate improvement in the quality of life of adults with asthma. A randomized controlled trial involving 80 asthma clinic and 90 usual medical care asthma participants, aged 18 years and older was conducted in 11 general practices in Adelaide. The main outcome measure was the St George's respiratory questionnaire (SGRQ), from which quality-of-life scores were used to assess therapeutic benefit. Lung function measurements and health services utilization data were also collected. One hundred and fifty-three participants (90%) were reviewed at follow up after 6-9 months. There was little difference between groups in baseline measures or for the 6-month follow-up outcomes, including the mean difference in total SGRQ scores (-0.5, 95% confidence interval (CI) -4.0, 2.9) and the mean difference in percentage predicted FEV(1) (2.3%, 95% CI -0.7, 5.3 pre-bronchodilator; 0.4%, 95% CI -5.1, 5.9 post-bronchodilator). Trends in health services utilization were noted. Nurse-run asthma clinics based in general practice and usual medical care were similar in their effects on quality of ...Continue Reading
References
Jun 1, 1992·The American Review of Respiratory Disease·P W JonesP Littlejohns
Jan 1, 1991·Neuroscience·S Kyuhou, R Matsuzaki
Sep 1, 1991·Respiratory Medicine·P W JonesC M Baveystock
Sep 1, 1995·American Journal of Respiratory and Critical Care Medicine
May 1, 1995·Chest·P W Jones
Dec 24, 1997·Chest·M WakefieldK McCaul
Mar 2, 1999·American Journal of Respiratory and Critical Care Medicine·F GallefossP K Rsgaard
Sep 4, 1999·The Medical Journal of Australia·A R HeardJ A Black
Citations
Sep 7, 2012·Australian Journal of Primary Health·Kelsey HegartyLena Sanci
Nov 14, 2008·Current Opinion in Pediatrics·Smita ShahSusan M Sawyer
Feb 4, 2009·International Journal of Nursing Practice·Helen KeleherKaren Francis
Nov 4, 2011·BMC Family Practice·Angelina S LimJohnson George
Jun 20, 2008·BMC Family Practice·Siw Carlfjord, Malou Lindberg
Jun 28, 2008·BMC Public Health·Gillian E CaugheyElizabeth E Roughead
May 9, 2014·Mayo Clinic Proceedings·Matthew A RankBarbara P Yawn
Jul 10, 2008·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Andre Pascal KengneJean Claude Mbanya
Jan 22, 2009·Respiratory Medicine·Karin M M LemmensRobbert Huijsman
Mar 2, 2013·The Cochrane Database of Systematic Reviews·Maarten C KuetheWim M C Van Aalderen
May 28, 2015·The Cochrane Database of Systematic Reviews·Isabelle Peytremann-BridevauxBernard Burnand
Aug 31, 2017·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Dane A SnyderElizabeth D Allen
Apr 20, 2012·The Cochrane Database of Systematic Reviews·Elora Baishnab, Charlotta Karner
Mar 18, 2017·BMC Medicine·Hilary PinnockUNKNOWN PRISMS and RECURSIVE groups
Jul 5, 2005·The Medical Journal of Australia·Amanda BarnardTimothy P Usherwood
Jun 17, 2008·The Medical Journal of Australia·Josephine M CranstonNigel P Stocks
Sep 17, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Alexander G MathioudakisChrister Janson