Trial reportPharmacotherapy2014
Physician-pharmacist collaborative management of asthma in primary care.
Trial report in Pharmacotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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
25 citing papers in PubMed.
- Evaluation of Pharmacists' Work in a Physician-Pharmacist Collaborative Model for the Management of Hypertension.Pharmacotherapy · 2016Trial
- Cluster-randomized trial of a physician/pharmacist collaborative model to improve blood pressure control.Circulation. Cardiovascular quality and outcomes · 2015Trial
- Bolstering Primary Care and Pharmacy Collaboration as a Solution to Health Care Workforce, Access and Affordability Issues.North Carolina medical journal · 2025Article
- General practitioners' attitudes towards and frequency of collaboration with pharmacists in China: a cross-sectional study.BMC health services research · 2023Article
- Emerging Roles of Malaysian Pharmacists in Asthma Management Amidst the COVID-19 Pandemic: A Narrative Review.The Malaysian journal of medical sciences : MJMS · 2023Review
- General practitioners' views of pharmacist services in general practice: a qualitative evidence synthesis.Family practice · 2022Article
- Perspectives of primary care providers on multidisciplinary collaboration to prevent medication-related falls.Exploratory research in clinical and social pharmacy · 2022Article
- Impact of Collaborative Inpatient Pairing Between Pharmacy Students and Family Medicine Residents on Perceptions of Interprofessional Care.PRiMER (Leawood, Kan.) · 2022Article
- Patients' experiences of pharmacists in general practice: an exploratory qualitative study.BMC family practice · 2021Article
- Improving primary care management of asthma: do we know what really works?NPJ primary care respiratory medicine · 2020Review
- Community pharmacy teams' experiences of general practice-based pharmacists: an exploratory qualitative study.BMC health services research · 2020Article
- Perspectives of primary care physicians and pharmacists on interprofessional collaboration in Kuwait: A quantitative study.PloS one · 2020Article
- A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management.Journal of asthma and allergy · 2019Article
- Article
- The Role of Pharmacists in General Practice in Asthma Management: A Pilot Study.Pharmacy (Basel, Switzerland) · 2018Article
- Collaborative practice agreement in solid organ transplantation.International journal of clinical pharmacy · 2018Article
- Physician agreement regarding the expansion of pharmacist professional activities in the management of patients with asthma.The International journal of pharmacy practice · 2017Article
- Racial and ethnic disparities in meeting MTM eligibility criteria among patients with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2017Article
- Avoiding Pitfalls With Implementation of Randomized Controlled Multicenter Trials: Strategies to Achieve Milestones.Journal of the American Heart Association · 2016Review
- Implementation of 'matrix support' (collaborative care) to reduce asthma and COPD referrals and improve primary care management in Brazil: a pilot observational study.NPJ primary care respiratory medicine · 2016Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
objectiveTo determine if asthma control improves in patients who receive physician-pharmacist collaborative management (PPCM) during visits to primary care medical offices.
designProspective pre-post study of patients who received the intervention in primary care offices for 9 months. The primary outcome was the sum of asthma-related emergency department (ED) visits and hospitalizations at 9 months before, 9 months during, and 9 months after the intervention. Events were analyzed using linear mixed-effects regression. Secondary analysis was conducted for patients with uncontrolled asthma (Asthma Control Test [ACT] less than 20). Additional secondary outcomes included the ACT, the Asthma Quality of Life Questionnaire by Marks (AQLQ-M) scores, and medication changes.
interventionPharmacists provided patients with an asthma self-management plan and education and made pharmacotherapy recommendations to physicians when appropriate.
resultsOf 126 patients, the number of emergency department (ED) visits and/or hospitalizations decreased 30% during the intervention (p=0.052) and then returned to preenrollment levels after the intervention was discontinued (p=0.83). Secondary analysis of patients with uncontrolled asthma at baseline (ACT less than 20), showed 37 ED visits and hospitalizations before the intervention, 21 during the intervention, and 33 after the intervention was discontinued (p=0.019). ACT and AQLQ-M scores improved during the intervention (ACT mean absolute increase of 2.11, AQLQ-M mean absolute decrease of 4.86, p<0.0001) and sustained a stable effect after discontinuation of the intervention. Inhaled corticosteroid use increased during the intervention (p=0.024).
conclusionsThe PPCM care model reduced asthma-related ED visits and hospitalizations and improved asthma control and quality of life. However, the primary outcome was not statistically significant for all patients. There was a significant reduction in ED visits and hospitalizations during the intervention for patients with uncontrolled asthma at baseline. Our findings support the need for further studies to investigate asthma outcomes achievable with the PPCM model.
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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.