SynthesisBMC medical informatics and decision making2014
A systematic review of the implementation and impact of asthma protocols.
Synthesis in BMC medical informatics and decision making, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03239431 (A 3 Year Longitudinal Study of the Level of Asthma Control and Treatment of Asthma Patients in Hong Kong), which is not on this map. Cited by 17 papers, 3 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.
A 3 Year Longitudinal Study of the Level of Asthma Control and Treatment of Asthma Patients in Hong Kong
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews.Health research policy and systems · 2022Pooled it
- Identifying clinical practice guidelines for the supportive care of children with cancer: A report from the Children's Oncology Group.Pediatric blood & cancer · 2019Pooled it
- Effectiveness of implementation strategies for clinical guidelines to community pharmacy: a systematic review.Implementation science : IS · 2015Pooled it
- A computerized decision support tool to implement asthma guidelines for children and adolescents.The Journal of allergy and clinical immunology · 2019Trial
- Use of point-of-care resources for management of paediatric asthma: frequency, types and temporal trends in early-career general practitioners.Family medicine and community health · 2026Article
- Improving the management of acute asthma in children through an integrated care pathway: an implementation study protocol.Frontiers in pediatrics · 2025Article
- Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation.Archives of disease in childhood · 2023Article
- Implementation Strategies for Knowledge Products in Primary Health Care: Systematic Review of Systematic Reviews.Interactive journal of medical research · 2022Review
- Implementing PrEP Services in Diverse Health Care Settings.Journal of acquired immune deficiency syndromes (1999) · 2022Article
- Harmonizing allergy care-integrated care pathways and multidisciplinary approaches.The World Allergy Organization journal · 2021Review
- ERS/EAACI statement on adherence to international adult asthma guidelines.European respiratory review : an official journal of the European Respiratory Society · 2021Article
- Implementation of national childbirth guidelines in Brazil: barriers and strategies.Revista panamericana de salud publica = Pan American journal of public health · 2020Article
- [Implementation of the National Childbirth Guidelines in Brazil: barriers and trategiesObstáculos y estrategias para la aplicación de las Directrices Nacionales para el Parto Normal en el Brasil].Revista panamericana de salud publica = Pan American journal of public health · 2020Article
- Analysis of the barriers and enablers to implementing lifestyle management practices for women with PCOS in Singapore.BMC research notes · 2016Article
- Asthma-related emergency department use: current perspectives.Open access emergency medicine : OAEM · 2016Review
- The assessment of new drugs for asthma and COPD: a Delphi study examining the perspectives of Italian payers and clinicians.Multidisciplinary respiratory medicine · 2015Article
- Effectiveness of Pediatric Asthma Pathways in Community Hospitals: A Multisite Quality Improvement Study.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundAsthma is one of the most common childhood illnesses. Guideline-driven clinical care positively affects patient outcomes for care. There are several asthma guidelines and reminder methods for implementation to help integrate them into clinical workflow. Our goal is to determine the most prevalent method of guideline implementation; establish which methods significantly improved clinical care; and identify the factors most commonly associated with a successful and sustainable implementation.
methodsPUBMED (MEDLINE), OVID CINAHL, ISI Web of Science, and EMBASE. STUDY SELECTION: Studies were included if they evaluated an asthma protocol or prompt, evaluated an intervention, a clinical trial of a protocol implementation, and qualitative studies as part of a protocol intervention. Studies were excluded if they had non-human subjects, were studies on efficacy and effectiveness of drugs, did not include an evaluation component, studied an educational intervention only, or were a case report, survey, editorial, letter to the editor.
resultsFrom 14,478 abstracts, we included 101 full-text articles in the analysis. The most frequent study design was pre-post, followed by prospective, population based case series or consecutive case series, and randomized trials. Paper-based reminders were the most frequent with fully computerized, then computer generated, and other modalities. No study reported a decrease in health care practitioner performance or declining patient outcomes. The most common primary outcome measure was compliance with provided or prescribing guidelines, key clinical indicators such as patient outcomes or quality of life, and length of stay.
conclusionsPaper-based implementations are by far the most popular approach to implement a guideline or protocol. The number of publications on asthma protocol reminder systems is increasing. The number of computerized and computer-generated studies is also increasing. Asthma guidelines generally improved patient care and practitioner performance regardless of the implementation method.
Indexed as
Identifiers
What 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.