Evidence map›Paper›PMID 42639026›Full record

ArticleERJ open research2026

Nurse-led care for children with asthma in primary care: results of a randomised controlled trial.

Sara Bousema, Arthur M Bohnen, Dimitris Rizopoulos, Mariëlle W Pijnenburg, Patrick J E Bindels, Gijs Elshout

Abstract read
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Sara BousemaDepartment of General Practice, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Arthur M BohnenDepartment of General Practice, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Dimitris RizopoulosDepartment of Biostatistics, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Mariëlle W PijnenburgDepartment of Pediatrics/Pediatric Respiratory Medicine and Allergology, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Patrick J E BindelsDepartment of General Practice, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.
Gijs ElshoutDepartment of General Practice, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Asthma is the most common chronic illness among children in primary care, causing a significant burden. While nurse-led care has proven effective in secondary and tertiary care, its impact in primary care remains unclear. The aim of the present study was to evaluate the effectiveness of protocolled nurse-led care (PC) Methods: This was a cluster randomised controlled trial with 18 months' follow-up including children aged 6-12 years with asthma in primary care. Children prescribed inhaled corticosteroids (ICS) at least once, or at least two short-acting β-agonist (SABA) prescriptions, or had at least one SABA prescription combined with an International Classification of Primary Care code for asthma or bronchial spasm within the past year were eligible for inclusion. Clusters were randomised to PC or UC. The primary outcome was change in Childhood Asthma Control Test (C-ACT) scores. Secondary outcomes included uncontrolled asthma rates, quality of life, exacerbations, spirometry and care satisfaction. Results: 49 practices enrolled 90 patients (63.3% male, mean age 9.6 years, median C-ACT 23 (interquartile range 5.0)). 51 children received PC and 39 UC. C-ACT scores were consistently higher in the PC group, with significant differences at 6 (p=0.044), 12 (p=0.031) and 18 months (p=0.045). Median nurse review visits were 2 (range 0-6) per child. Conclusion: PC significantly improves asthma control in children aged 6-12 years in primary care, with a feasible number of nurse visits.

Identifiers

PMID42639026
PMCPMC13501438

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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.