Evidence map›Paper›PMID 16378560›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005

Targeted routine asthma care in general practice using telephone triage.

Kevin Gruffydd-Jones, Sandra Hollinghurst, Sabbi Ward, Gordon Taylor

Abstract readRandomized Controlled Trial
In one paragraph

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 22 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 8 pooled it
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 8 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Delivery of supported self-management in remote asthma reviews: A systematic rapid realist review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  6. Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  7. Telehealthcare for asthma: a Cochrane review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011
    Pooled it
  8. Telehealthcare for asthma.The Cochrane database of systematic reviews · 2010
    Pooled it
  9. Preference for and impact of telehealth vs in-person asthma visits among Black and Latinx adults.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023
    Trial
  10. 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 · 2007
    Trial
  11. Review
  12. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  13. Review
  14. Review of Systematic Reviews in the Field of Telemedicine.Medical journal of the Islamic Republic of Iran · 2021
    Article
  15. Article
  16. Article
  17. Clinical implications of the Royal College of Physicians three questions in routine asthma care: a real-life validation study.Primary care respiratory journal : journal of the General Practice Airways Group · 2012
    Article
  18. Article
  19. How usual is usual care in pragmatic intervention studies in primary care? An overview of recent trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kevin Gruffydd-JonesUniversity of Aberdeen. Kevin.Gruffydd-Jones@gp-J83013.nhs.uk
Sandra Hollinghurst
Sabbi Ward
Gordon Taylor
University of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a high non-attendance rate for traditional clinic-based routine asthma care in general practice. Alternative methods of providing routine asthma care need to be examined.

aimTo examine the cost and effectiveness of targeted routine asthma care in general practice using telephone triage, compared to usual clinic care. DESIGN OF STUDY: An open randomised controlled trial.

settingA single semi-rural practice in the southwest of England.

methodAdult patients with asthma were randomised to receive either their routine asthma care in the surgery or care by telephone triage. Asthma control parameters, health status and NHS resource utilisation were measured over the 12-month study period.

resultsOne hundred and ninety-four patients were randomised and 35% per cent more patients (n = 84 versus n = 62) received more than one consultation in the telephone group. Asthma control as measured by the asthma control questionnaire (ACQ) was similar in the clinic and telephone groups: mean change in ACQ = -0.11 (95% CI = -0.32 to 0.11) versus -0.18 (95% CI = -0.38 to 0.02). Mean NHS costs were 210 pounds sterling per patient per year in the telephone group compared to 334 pounds sterling in the clinic group (P-value of bootstrapped difference = 0.071).

conclusionTargeted routine asthma care by telephone triage of adult asthmatics can lead to more asthma patients being reviewed, at less cost per patient and without loss of asthma control compared to usual routine care in the surgery.

Indexed as

TelephoneAdolescentAdultAgedAsthmaCost SavingsEnglandFamily PracticeFemaleHumansMaleMiddle AgedRemote ConsultationRural HealthTriage

Identifiers

PMID16378560
PMCPMC1570530
OpenAlexW2108747781

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.