Evidence map›Paper›PMID 32555169›Full record

ReviewNPJ primary care respiratory medicine2020

Improving primary care management of asthma: do we know what really works?

Monica J Fletcher, Ioanna Tsiligianni, Janwillem W H Kocks, Andrew Cave, Chi Chunhua, Jaime Correia de Sousa, Miguel Román-Rodríguez, Mike Thomas, Peter Kardos, Carol Stonham and 3 more

Abstract readReview
In one paragraph

Review in NPJ primary care respiratory medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

  1. Trial
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  6. Review
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  9. Article
  10. Review
  11. Elevating the Importance of Asthma Care in the United States.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Article
  12. Integrating asthma care guidelines into primary care electronic medical records: a review focused on Canadian knowledge translation tools.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Over-prescription of short-acting βBMC primary care · 2023
    Article
  19. 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

13 authors.

Monica J FletcherAsthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, EH8 9AG, UK. monica.fletcher@ed.ac.uk.
Ioanna TsiligianniDepartment of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.
Janwillem W H KocksGeneral Practitioners Research Institute, 59713 GH, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-2760-0693
Andrew CaveDepartment of Family Medicine, 6-10 University Terrace, University of Alberta, Edmonton, AB, T6G 2T4, Canada.
Chi ChunhuaPeking University First Hospital, Beijing, China.
Jaime Correia de SousaLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.ORCID http://orcid.org/0000-0001-6459-7908
Miguel Román-RodríguezPrimary Care Respiratory Research Unit, Instituto de Investigación Sanitaria de las Islas Baleares (IdISBa), Palma, Spain.
Mike ThomasDepartment of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, SO16 5ST, UK.ORCID http://orcid.org/0000-0001-5939-1155
Peter KardosRespiratory, Allergy and Sleep Unit at Red Cross Maingau Hospital, Friedberger Anlage 31-32, 60316, Frankfurt, Germany.ORCID http://orcid.org/0000-0002-4725-4820
Carol StonhamNHS Gloucestershire Clinical Commissioning Group, Brockworth, UK.
Ee Ming KhooDepartment of Primary Care Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.ORCID http://orcid.org/0000-0003-3191-1264
David LeatherGlobal Respiratory Franchise, GlaxoSmithKline plc., GSK House, 980 Great West Rd, Brentford, Middlesex, TW8 9GS, UK.
Thys van der MolenDepartment of General Practice, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asthma imposes a substantial burden on individuals and societies. Patients with asthma need high-quality primary care management; however, evidence suggests the quality of this care can be highly variable. Here we identify and report factors contributing to high-quality management. Twelve primary care global asthma experts, representing nine countries, identified key factors. A literature review (past 10 years) was performed to validate or refute the expert viewpoint. Key driving factors identified were: policy, clinical guidelines, rewards for performance, practice organisation and workforce. Further analysis established the relevant factor components. Review evidence supported the validity of each driver; however, impact on patient outcomes was uncertain. Single interventions (e.g. healthcare practitioner education) showed little effect; interventions driven by national policy (e.g. incentive schemes and teamworking) were more effective. The panel's opinion, supported by literature review, concluded that multiple primary care interventions offer greater benefit than any single intervention in asthma management.

Indexed as

Quality ImprovementAsthmaHealth PolicyHumansPractice Guidelines as TopicPrimary Health CareQuality of Health CareTreatment Outcome

Identifiers

PMID32555169
PMCPMC7300034

What OpenQuestion holds

Textmetadata
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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.