TY - JOUR
T1 - Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study
AU - Comin, Eva
AU - Catalan-Ramos, Arantxa
AU - Iglesias-Rodal, Manuel
AU - Grau, Maria
AU - del Val, Jose Luis
AU - Consola, Alicia
AU - Amado, Ester
AU - Pons, Angels
AU - Mata-Cases, Manel
AU - Franzi, Alicia
AU - Ciurana, Ramon
AU - Frigola, Eva
AU - Cos, Xavier
AU - Davins, Josep
AU - Verdu-Rotellar, Jose M.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - © 2016 Elsevier España, S.L.U. Objective To evaluate the impact of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of the main cardiovascular risk factors: hypertension, hypercholesterolaemia, and type 2 diabetes mellitus. Design Pre-post controlled study. Setting Catalonia, autonomous community located in north-eastern Spain. Participants Individuals aged 35–74 years assigned to general practitioners of the Catalan Health Institute. Intervention The intervention group consisted of individuals whose general practitioners had accessed the computerized clinical practice guidelines at least twice a day, while the control group consisted of individuals whose general practitioner had never accessed the computerized clinical practice guidelines platform. Main outcomes The Chi-squared test was used to detect significant differences in the follow-up, control, and treatment variables for all three disorders (hypertension, hypercholesterolaemia, and type 2 diabetes mellitus) between individuals assigned to users and non-users of the computerized clinical practice guidelines, respectively. Results A total of 189,067 patients were included in this study, with a mean age of 56 years (standard deviation 12), and 55.5% of whom were women. Significant differences were observed in hypertension management, treatment and control; type 2 diabetes mellitus management, treatment and diagnoses, and the management and control of hypercholesterolaemia in both sexes. Conclusions Computerized clinical practice guidelines are an effective tool for the control and follow-up of patients diagnosed with hypertension, type 2 diabetes mellitus, and hypercholesterolaemia. The usefulness of computerized clinical practice guidelines to diagnose and adequately treat individuals with these disorders remains unclear.
AB - © 2016 Elsevier España, S.L.U. Objective To evaluate the impact of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of the main cardiovascular risk factors: hypertension, hypercholesterolaemia, and type 2 diabetes mellitus. Design Pre-post controlled study. Setting Catalonia, autonomous community located in north-eastern Spain. Participants Individuals aged 35–74 years assigned to general practitioners of the Catalan Health Institute. Intervention The intervention group consisted of individuals whose general practitioners had accessed the computerized clinical practice guidelines at least twice a day, while the control group consisted of individuals whose general practitioner had never accessed the computerized clinical practice guidelines platform. Main outcomes The Chi-squared test was used to detect significant differences in the follow-up, control, and treatment variables for all three disorders (hypertension, hypercholesterolaemia, and type 2 diabetes mellitus) between individuals assigned to users and non-users of the computerized clinical practice guidelines, respectively. Results A total of 189,067 patients were included in this study, with a mean age of 56 years (standard deviation 12), and 55.5% of whom were women. Significant differences were observed in hypertension management, treatment and control; type 2 diabetes mellitus management, treatment and diagnoses, and the management and control of hypercholesterolaemia in both sexes. Conclusions Computerized clinical practice guidelines are an effective tool for the control and follow-up of patients diagnosed with hypertension, type 2 diabetes mellitus, and hypercholesterolaemia. The usefulness of computerized clinical practice guidelines to diagnose and adequately treat individuals with these disorders remains unclear.
KW - Clinical practice guidelines
KW - Electronic health records
KW - Evidence-based practice
KW - Hypercholesterolemia
KW - Hypertension
KW - Type 2 diabetes mellitus
U2 - https://doi.org/10.1016/j.aprim.2016.11.007
DO - https://doi.org/10.1016/j.aprim.2016.11.007
M3 - Article
VL - 49
SP - 389
EP - 398
IS - 7
ER -