• J French, D Bilton, and F Campbell.
• Papworth Hospital, Papworth Everard, Cambridge, UK, CB3 8RE.
• Cochrane Db Syst Rev. 2003 Jan 1 (3): CD004359CD004359.

BackgroundNurses have expanded and developed their roles to meet the needs of patients. This review evaluates the safety, effectiveness and health outcomes of nurses practising in autonomous roles, using advanced practice skills, within the context of a dedicated bronchiectasis clinic.ObjectivesTo determine the effectiveness of nurse-led care in the management of bronchiectasis.Search StrategyThe Cochrane Airways Group specialised register was searched on 12/06/02.Selection CriteriaRandomised controlled trials were eligible for inclusion in the review.Data Collection And AnalysisTwo reviewers extracted and entered data from included studies.Main ResultsOne study was included in the review. No statistically significant changes were observed in infective exacerbations, lung function, exercise capacity, quality of life and hospital admissions. More healthcare resources were utilised by nurse-treated participants during the first arm of the study.Reviewer's ConclusionsThis review has found one trial that does not demonstrate significant differences in clinical outcomes between nurse led care and doctor led care within the setting of a specialist clinic is, but there may be increased cost implications. Further research is required to review whether nurse led care provides the same outcomes in the community or secondary care setting.

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