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Evid Based Nurs 6:107 doi:10.1136/ebn.6.4.107
  • Treatment

Review: regular medical review is not better than written self management plans for optimising asthma control

Peak expiratory flow self management (PFSM) v regular medical review (RMR) or symptom self management (SSM)*

Outcomes at ≥6 months Number of trials Comparison Standardised mean difference (95% CI)
Mean forced expiratory volume in 1 second (ml) 3 PFSM v RMR 0.01 (−0.14 to 0.15)†
Mean peak expiratory flow (ml) 3 PFSM v RMR 0.06 (−0.09 to 0.21)†
Weighted event rates RRI (CI) NNH
Hospital admissions (patients) 4 PFSM v SSM 4% v 3% 17% (−56 to 12) Not significant
RRR (CI) NNT
*Abbreviations defined in glossary; RRI, RRR, NNH, NNT and CI calculated from data in article.
†Not statistically significant
Emergency department visits (patients) 5 PFSM v SSM 15% v 16% 9% (−35 to 39) Not significant

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