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Updated: Aug 7, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Randomised comparison of guided self management and traditional treatment of asthma over one year
A Lahdensuo1, T Haahtela, J Herrala
1Department of Pulmonary Diseases, Tampere University Hospital, Pikonlinna, Finland.
Objective:
To compare the efficacy of self management of asthma with traditional treatment.
Design:
12 month prospective randomised trial.
Setting:
Outpatient clinics in Finland.
Subjects:
115 patients with mild to moderately severe asthma.
Interventions:
Patient education and adjustment of anti-inflammatory therapy guided by peak flow measurements.
Main Outcome Measures:
Unscheduled admissions to hospital and outpatient visits, days off work, courses of antibiotics and prednisolone, lung function, and quality of life.
Results:
The mean number of unscheduled visits to ambulatory care facilities (0.5 v 1.0), days off work (2.8 v 4.8), and courses of antibiotics (0.4 v 0.9) and prednisolone (0.4 v 1.0) per patient were lower and the quality of life score (16.6 v 8.4 at 12 months) higher in the self management group than in the traditionally treated group. In both groups admissions for asthma were rare.
Conclusions:
Self management reduces incidents caused by asthma and improves quality of life.
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