Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- The Empirical Foundations of Telemedicine Interventions in Primary Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016Pooled it
- Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Telehealthcare for asthma: a Cochrane review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Pooled it
- Telehealthcare for asthma.The Cochrane database of systematic reviews · 2010Pooled it
- Goal-setting intervention in patients with active asthma: protocol for a pilot cluster-randomised controlled trial.Trials · 2013Trial
- A cost-utility analysis of nursing intervention via telephone follow-up for injured road users.BMC health services research · 2009Trial
- Accessibility, clinical effectiveness, and practice costs of providing a telephone option for routine asthma reviews: phase IV controlled implementation study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Trial
- Characteristics associated with regular attendance and quality of asthma annual reviews in adults with asthma in England.NPJ primary care respiratory medicine · 2026Article
- Telemedicine and virtual respiratory care in the era of COVID-19.ERJ open research · 2022Review
- Virtual phone clinics in orthopaedics: evaluation of clinical application and sustainability.BMJ open quality · 2021Article
- Online medicine for pregnant women.International journal of telemedicine and applications · 2014Article
- Nurse led versus lay educators support for those with asthma in primary care: a costing study.BMC pulmonary medicine · 2012Article
- Providing cell phone numbers and e-mail addresses to patients: The patient's perspective, a cross sectional study.Israel journal of health policy research · 2012Article
- Telephonic monitoring and optimization of inhaler technique.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2011Article
- Providing cell phone numbers and email addresses to Patients: the physician's perspective.BMC research notes · 2011Article
- Comparison of face-to-face and telephone consultations in primary care: qualitative analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Telephone consulting in primary care: a triangulated qualitative study of patients and providers.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Delivery of cancer genetics services: The Royal Marsden telephone clinic model.Familial cancer · 2007Article
- Telephone reviews of chronic illnesses.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOnly about a third of people with asthma attend an annual review. Clinicians need to identify cost-effective ways to improve access and ensure regular review.
aimTo compare the cost-effectiveness of nurse-led telephone with face-to-face asthma reviews. DESIGN OF STUDY: Cost-effectiveness analysis based on a 3-month randomised controlled trial.
settingFour general practices in England.
methodAdults due an asthma review were randomised to telephone or face-to-face consultations. Trial nurses recorded proportion reviewed, duration of consultation, and abortive calls/missed appointments. Data on use of healthcare resources were extracted from GP records. Cost-effectiveness was assessed from the health service perspective; sensitivity analyses were based on proportion reviewed and duration of consultation.
resultsA total of 278 people with asthma were randomised to surgery (n = 141) or telephone (n = 137) review. Onehundred-and-one (74%) of those with asthma in the telephone group were reviewed versus 68 (48%) in the surgery group (P <0.001). Telephone consultations were significantly shorter (mean duration telephone = 11.19 minutes [standard deviation {SD} = 4.79] versus surgery = 21.87 minutes [SD = 6.85], P <0.001). Total respiratory healthcare costs per patient over 3 months were similar (telephone = pounds sterling 64.49 [SD = 73.33] versus surgery = pounds sterling 59.48 [SD = 66.02], P = 0.55). Total costs of providing 101 telephone versus 68 face-to-face asthma reviews were also similar (telephone = pounds sterling 725.84 versus surgery = pounds sterling 755.70), but mean cost per consultation achieved was lower in the telephone arm (telephone = pounds sterling 7.19 [SD = 2.49] versus surgery = pounds sterling 11.11 [SD = 3.50]; mean difference = - pounds sterling 3.92 [95% confidence interval = - pounds sterling 4.84 to pounds sterling 3.01], P <0.001).
conclusionsTelephone consultations enable a greater proportion of asthma patients to be reviewed at no additional cost to the health service. This mode of delivering care improves access and reduces cost per consultation achieved.
Indexed as
Identifiers
15720933PMC1463186What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.