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Family Practice Vol. 18, No. 2, 223-229
© Oxford University Press 2001

Guidelines

Evidence-based guideline on the primary care management of asthma

Martin Eccles, Nikki Rousseau, Bernard Higgins, Lois Thomas and for the North of England Asthma Guideline Development Group,a

Centre for Health Services Research, University of Newcastle Upon Tyne, 21 Claremont Place, Newcastle Upon Tyne NE2 4AA and
a Freeman Hospital, Newcastle Upon Tyne, UK.

Correspondence to Professor Martin Eccles.

Eccles M, Rousseau N, Higgins B and Thomas L for the North of England Asthma Guideline Development Group. Evidence-based guideline on the primary care management of asthma. Family Practice 2001; 18: 223–229.

Keywords. Asthma, clinical guideline.


   Introduction
 
This is an updated version of the first North of England Asthma Guideline1,2 and summarizes the full guideline.3 This paper presents all the recommendations within the guideline and, where these are new or substantially altered from the original version, it also presents a summary of the supporting evidence.

The aims and methods of development (summarized in Box 1Go) of this guideline are unchanged from the original version, to which readers are directed for more detail. The research questions raised during the development of this guideline are shown in Box 2Go.


BOX1 The search strategy, categories of evidence and strength of recommendations

The search strategy and synthesizing the literature

We searched the electronic databases MEDLINE, EMBASE and the Cochrane Database of Reviews (1994–1997) using a combination of subject heading and free text terms aimed at locating systematic reviews, meta-analyses and randomized trials. The search was backed up . . . [Full Text of this Article]

 

   Drugs used in the treatment of asthma
 
Compliance
Inhaled short-acting beta2 agonists
Inhaled long-acting beta2 agonists
Inhaled anti-inflammatory agents
Other inhaled anti-inflammatory agents
Leukotriene antagonists
Drug delivery devices
Inhaler technique
Oral bronchodilators
Drug sequencing

   Non-drug treatment
 
Acupuncture, homeopathy and yoga

   Exacerbations of asthma
 

   Precipitants
 
Allergen avoidance and allergen-specific immunotherapy
Smoking and smoking cessation

   Patient education and self-management
 

   Referral
 
Referral to a chest physician

   Acknowledgments
 

   References
 

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