Cochrane · systematic review · CD011859

Personalised asthma action plans for adults with asthma

Gatheral, TL, Rushton, A, Evans, DJW, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
11
No studies
3
Included studies
NR
No studies 3 · 21.4%Ungraded 0 · 0%Very low 4 · 28.6%Low 7 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

PAAP compared with no PAAP for adults with asthma

Population: adults with asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbation requiring ED or hospitalisation.
PAAP vs no PAAP
OR 0.75 [0.45, 1.24]5 studies · 1385 participantsLow
Downgraded: risk of bias, imprecision
Asthma control, change from baseline in ACQ.
PAAP vs no PAAP
no estimate extracted1 study · 141 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Serious adverse events (including deaths).
PAAP vs no PAAP
OR 3.26 [0.33, 32.21]1 study · 125 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Quality of life, change from baseline in AQLQ.
PAAP vs no PAAP
no estimate extracted3 studies · 441 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Exacerbation requiring OCS.
PAAP vs no PAAP
OR 1.45 [0.84, 2.48]3 studies · 1136 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Lung function, change from baseline in FEV1 (L).
PAAP vs no PAAP
no estimate extracted3 studies · 392 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Days lost from work or study.
PAAP vs no PAAP
no estimate extracted1 study · 74 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

PAAP plus education compared with education alone for adults with asthma

Population: adults with asthma
7 questions
OutcomeEffectEvidenceStatus / GRADE
Exacerbation requiring ED or hospitalisation.
PAAP plus education vs education alone
OR 1.08 [0.27, 4.32]1 study · 70 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Asthma control, change from baseline in ACQ score.
PAAP plus education vs education alone
no estimate extracted1 study · 70 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Serious adverse events (including death).
PAAP plus education vs education alone
no estimate extractedNRNo studies
Quality of life, change from baseline in AQLQ score.
PAAP plus education vs education alone
no estimate extracted1 study · 174 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Exacerbation requiring OCS.
PAAP plus education vs education alone
OR 0.28 [0.07, 1.12]1 study · 70 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Lung function.
PAAP plus education vs education alone
no estimate extractedNRNo studies
Days lost from work or study.
PAAP plus education vs education alone
no estimate extractedNRNo studies