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Spirometry and regular follow-up do not improve quality of life in children or adolescents with asthma: Cluster randomized controlled trials

Citation

Abramson, MJ and Schattner, RL and Holton, C and Simpson, P and Briggs, N and Beilby, J and Nelson, MR and Wood-Baker, R and Thien, F and Sulaiman, ND and del Colle, E and Wolfe, R and Crockett, AJ and Massie, RJ, Spirometry and regular follow-up do not improve quality of life in children or adolescents with asthma: Cluster randomized controlled trials, Pediatric Pulmonology, 50, (10) pp. 947-954. ISSN 1099-0496 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 Wiley Periodicals, Inc.

DOI: doi:10.1002/ppul.23096

Abstract

RATIONALE: To determine whether spirometry and regular medical review improved quality of life or other outcomes in children and adolescents with asthma.

METHODS: We conducted two cluster randomized controlled trials. We recruited 238 asthma patients aged between 7 and 17 years from 56 general practices in South Eastern Australia. Participants were randomized to receive an intervention that included spirometry or usual care. The main outcome measure was asthma related quality of life.

RESULTS: Baseline characteristics were well matched between the intervention and control groups. Neither trial found any difference in asthma related quality of life between groups. However because of measurement properties, a formal meta-analysis could not be performed. Nor were there any significant effects of the intervention upon asthma attacks, limitation to usual activities, nocturnal cough, bother during physical activity, worry about asthma, or written asthma action plans.

CONCLUSIONS: The findings do not support more widespread use of spirometry for the management of childhood asthma in general practice, unless it is integrated into a complete management model.

Item Details

Item Type:Refereed Article
Keywords:spirometry; asthma; family practice; child; adolescent; randomized controlled trials
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
Author:Nelson, MR (Professor Mark Nelson)
Author:Wood-Baker, R (Professor Richard Wood-Baker)
ID Code:97093
Year Published:2014
Web of Science® Times Cited:1
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-12-02
Last Modified:2017-11-03
Downloads:0

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