Evidence map›Paper›PMID 38937520›Full record

ReviewNPJ primary care respiratory medicine2024

Can we measure whether asthma guidelines lead to improved care?

Ronnie Tan, Anna Murphy, Chris Brightling, Dominick Shaw

Abstract readReview
In one paragraph

Review in NPJ primary care respiratory medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Ronnie TanDepartment of Respiratory Sciences, University of Leicester, Institute for Lung Health, NIHR Respiratory Biomedical Research Centre, Leicester, UK.ORCID 0000-0002-2874-9414
Anna MurphyDepartment of Respiratory Medicine, University Hospitals of Leicester NHS trust, Leicester, UK.
Chris BrightlingDepartment of Respiratory Sciences, University of Leicester, Institute for Lung Health, NIHR Respiratory Biomedical Research Centre, Leicester, UK.
Dominick ShawDepartment of Respiratory Sciences, University of Leicester, Institute for Lung Health, NIHR Respiratory Biomedical Research Centre, Leicester, UK. des21@leicester.ac.uk.ORCID 0000-0003-4106-8469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The British Thoracic Society (BTS) and Scottish Intercollege Guidelines Network (SIGN), as well as National Institute for Health and Care Excellence (NICE), have previously produced separate asthma guidance differing in some key aspects in diagnosis and management leading to confusion, potentially hampering guideline dissemination and uptake. While there are inherent challenges, the upcoming release of new joint BTS/SIGN/NICE asthma guidance presents an opportunity to assess guideline adoption and its impact on clinical practice. The use of prescription data via databases such as OpenPrescribing can be used as a surrogate for guideline adoption and potentially linked to clinical outcomes such as hospital episode statistics (HES). The potential recommendation for anti-inflammatory reliever therapy (AIR) and maintenance and reliever therapy (MART) with inhaled corticosteroid/formoterol combination therapy in the next iteration of UK asthma guidance will require the accurate coding for the respective therapeutic approaches on prescribing platforms in order to assess their impact in real-life clinical practice. This could then direct targeted measures to improve wider guidance adoption leading to better clinical care in asthma based on up to date evidence.

Indexed as

AsthmaPractice Guidelines as TopicAdrenal Cortex HormonesAnti-Asthmatic AgentsGuideline AdherenceHumansUnited KingdomAdrenal Cortex HormonesAnti-Asthmatic Agents

Identifiers

PMID38937520
PMCPMC11211455

What OpenQuestion holds

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Registered trials

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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.