Trial reportBMJ (Clinical research ed.)1995
Do clinical guidelines introduced with practice based education improve care of asthmatic and diabetic patients? A randomised controlled trial in general practices in east London.
Trial report in BMJ (Clinical research ed.), 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 11 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025Pooled it
- A systematic review of the implementation and impact of asthma protocols.BMC medical informatics and decision making · 2014Pooled it
- Interventions to modify health care provider adherence to asthma guidelines: a systematic review.Pediatrics · 2013Pooled it
- Audit and feedback: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2012Pooled it
- Effectiveness of disease-management programs for improving diabetes care: a meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Pooled it
- Educational outreach visits: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2007Pooled it
- Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand.Quality in health care : QHC · 2001Pooled it
- Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings.The Cochrane database of systematic reviews · 2001Pooled it
- Recommendations for future studies: a systematic review of educational interventions in primary care settings.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Pooled it
- Canadian Asthma Consensus Report, 1999. Canadian Asthma Consensus Group.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1999Guideline
- General practitioners' continuing education: a review of policies, strategies and effectiveness, and their implications for the future.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Pooled it
- Diabetes Management by Ayurvedic Practitioners Using a Clinical Guideline Versus Usual Practice: A Feasibility Cluster Randomized Trial in Nepal.Journal of diabetes research · 2026Trial
- A cluster randomised controlled trial of a pharmacist-led collaborative intervention to improve statin prescribing and attainment of cholesterol targets in primary care.PloS one · 2014 · on this mapTrial
- Evaluation of an online interactive Diabetes Needs Assessment Tool (DNAT) versus online self-directed learning: a randomised controlled trial.BMC medical education · 2011Trial
- Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study.BMJ (Clinical research ed.) · 2006Trial
- Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA).BMJ (Clinical research ed.) · 2004Trial
- Multifaceted support to improve preventive cardiovascular care: a nationwide, controlled trial in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Trial
- Cluster randomised controlled trial of an educational outreach visit to improve influenza and pneumococcal immunisation rates in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Trial
- A pragmatic randomised controlled trial of a prompt and reminder card in the care of people with epilepsy.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Trial
- Randomised controlled trial of structured personal care of type 2 diabetes mellitus.BMJ (Clinical research ed.) · 2001Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether locally developed guidelines on asthma and diabetes disseminated through practice based education improve quality of care in non-training, inner city general practices.
designRandomised controlled trial with each practice receiving one set of guidelines but providing data on the management of both conditions. SUBJECTS: 24 inner city, non-training general practices.
settingEast London.
main outcome measuresRecording of key variables in patient records (asthma: peak flow rate, review of inhaler technique, review of asthma symptoms, prophylaxis, occupation, and smoking habit; diabetes: blood glucose concentration, glycaemic control, funduscopy, feet examination, weight, and smoking habit); size of practice disease registers; prescribing in asthma; and use of structured consultation "prompts."
resultsIn practices receiving diabetes guidelines, significant improvements in recording were seen for all seven diabetes variables. Both groups of practices showed improved recording of review of inhaler technique, smoking habit, and review of asthma symptoms. In practices receiving asthma guidelines, further improvement was seen only in recording of review of inhaler technique and quality of prescribing in asthma. Sizes of disease registers were unchanged. The use of structured prompts was associated with improved recording of four of seven variables on diabetes and all six variables on asthma.
conclusionsLocal guidelines disseminated via practice based education improve the management of diabetes and possibly of asthma in inner city, non-training practices. The use of simple prompts may enhance this improvement.
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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.