Guided self management of asthma

doi:10.1136/bmj.320.7229.249

BMJ 2000;320:249 ( 22 January )

Letters

Guided self management of asthma

More information is needed on what patients think about such management

Author's reply

More information is needed on what patients think about such management

The first 150 words of the full text of this article appear below.

EDITOR $---$ Lahdensuo writes in favour of guided self management plans in patients with asthma and indicates what skills patientsmight acquire and who may be suitable.¹ However, the evidencecited from a recent Cochrane review showing a reduction in morbiditywith the use of such plans² does not convince us of their widespreadapplication to generalpractice.

The trials in the review were heterogeneous, recruiting patients from hospital clinics after inpatient or emergency room attendance,from general practice, and from advertisements in newspapers andon radio seeking participants. Selection biases may be present $---$ forexample, three British trials sought patients from collectionsof practices (14, 14, and 24 practices in total) and managed torecruit only small numbers of asthma patients (126, 127, and 339respectively). Many trials had extensive exclusion criteria, atleast five trials excluding smokers. Loss to follow up in theoriginal papers varies up to 60.3% and was over 40% . . . [Full text of this article]

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Articles

Guided self management of asthma $---$ how to do it: Aarne Lahdensuo
BMJ 1999 319: 759-760. [Extract] [Full Text] [PDF]

Randomised comparison of guided self management and traditional treatment of asthma over one year: Aarne Lahdensuo, Tari Haahtela, Jaakko Herrala, Tuomo Kava, Kirsti Kiviranta, Paula Kuusisto, Erkki Peramaki, Tuija Poussa, Seppo Saarelainen, and Thore Svahn
BMJ 1996 312: 748-752. [Abstract] [Full Text]

This article has been cited by other articles:

de Lorgeril, M., Salen, P., Paillard, F., Laporte, F., Boucher, F., de Leiris, J. (2002). Mediterranean diet and the French paradox: Two distinct biogeographic concepts for one consolidated scientific theory on the role of nutrition in coronary heart disease. Cardiovasc Res 54: 503-515 [Full text]
Marrugat, J, Gil, M, Masia, R, Sala, J, Elosua, R, Anto, J M, the REGICOR Investigators, (2001). Role of age and sex in short-term and long term mortality after a first Q wave myocardial infarction. J. Epidemiol. Community Health 55: 487-493 [Abstract] [Full text]
Gall, N (2001). Is wine good for your heart? A critical review. Postgrad. Med. J. 77: 172-176 [Full text]
Yarnell, J.W.G., Evans, A.E. (2000). The Mediterranean diet revisited--towards resolving the (French) paradox. QJM 93: 783-785 [Full text]