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Primary care based clinics for asthma.

J K Fay1, A Jones, F S Ram

  • 1St Bartholomew's Medical Centre, Manzil Way, Cowley Road, Oxford, UK, OX4 1XB. jeanne.fay@gp-K84013.nhs.uk

The Cochrane Database of Systematic Reviews
|March 1, 2002
PubMed
Summary
This summary is machine-generated.

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Primary care asthma clinics show limited benefits, with one study indicating more patients used peak flow meters and fewer experienced nighttime awakenings. Further high-quality trials are needed to confirm effectiveness.

Area of Science:

  • Pulmonary Medicine
  • Primary Care Research
  • Clinical Effectiveness Studies

Background:

  • Primary care asthma clinics are increasingly common, particularly in the UK.
  • Organized asthma care models are being implemented in various healthcare settings.

Purpose of the Study:

  • To evaluate the effectiveness of organized asthma care delivered through primary care-based asthma clinics.
  • To synthesize evidence on the impact of primary care asthma clinics on patient outcomes.

Main Methods:

  • Systematic search of major databases (Cochrane, MEDLINE, CINAHL, EMBASE) for relevant trials.
  • Inclusion criteria: trials in primary care, asthma patients, care by doctor or nurse.
  • Independent review of studies for relevance, data extraction, and analysis by two reviewers.

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Main Results:

  • Only one trial met the inclusion criteria.
  • The intervention showed a significant increase in peak flow meter usage (RR 1.30; 95%CI 1.05,1.61).
  • A significant reduction in nighttime awakenings due to asthma was observed (RR 0.30; 95%CI 0.16,0.81).

Conclusions:

  • Limited evidence suggests potential benefits of primary care asthma clinics.
  • Firm conclusions regarding effectiveness require more high-quality research.
  • Further investigation is warranted to establish the role of these clinics in asthma management.