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  1. Simone Hashimoto,
  2. Peter J Sterk,
  3. Elisabeth H Bel
  1. Department of Respiratory Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
  1. Correspondence to Dr Simone Hashimoto, Department of Respiratory Medicine, F5-260, Academic Medical Centre, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands; s.hashimoto{at}amc.nl

https://doi.org/10.1136/thoraxjnl-2011-200870

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    We thank Dr Konstantinou for his interesting letter1 in response to our paper on internet-based management of severe asthma.2 He raises a pertinent question about how pragmatic is a study in which the patients have to give their consent to participate? We agree that asking patients to sign for their participation takes the study a step away from …

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