Trial reportBMJ (Clinical research ed.)2002
Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03066596 (Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination), which is not on this map. Cited by 138 papers, 30 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination
Who cites it
138 citing papers in PubMed, 30 syntheses or guidelines pooled it.
- Pooled it
- A systematic review on the effectiveness and impact of clinical decision support systems for breathlessness.NPJ primary care respiratory medicine · 2022Pooled it
- Computerised clinical decision support systems and absolute improvements in care: meta-analysis of controlled clinical trials.BMJ (Clinical research ed.) · 2020Pooled it
- What maximizes the effectiveness and implementation of technology-based interventions to support healthcare professional practice? A systematic literature review.BMC medical informatics and decision making · 2018Pooled it
- The use of electronic alerts in primary care computer systems to identify the excessive prescription of short-acting betaNPJ primary care respiratory medicine · 2018Pooled it
- Tools developed and disseminated by guideline producers to promote the uptake of their guidelines.The Cochrane database of systematic reviews · 2016Pooled it
- Internet-based interventions for the secondary prevention of coronary heart disease.The Cochrane database of systematic reviews · 2015Pooled it
- Computer-Based Clinical Decision Support Systems and Patient-Reported Outcomes: A Systematic Review.The patient · 2015Pooled it
- A systematic review of the implementation and impact of asthma protocols.BMC medical informatics and decision making · 2014Pooled it
- Computer decision support systems for asthma: a systematic review.NPJ primary care respiratory medicine · 2014Pooled it
- Pooled it
- Risks to patient safety associated with implementation of electronic applications for medication management in ambulatory care--a systematic review.BMC medical informatics and decision making · 2013Pooled it
- Strategies to improve retention in randomised trials.The Cochrane database of systematic reviews · 2013Pooled it
- Interventions to modify health care provider adherence to asthma guidelines: a systematic review.Pediatrics · 2013Pooled it
- Changing clinical practice through patient specific reminders available at the time of the clinical encounter: systematic review and meta-analysis.Journal of general internal medicine · 2012Pooled it
- Computerized clinical decision support systems for chronic disease management: a decision-maker-researcher partnership systematic review.Implementation science : IS · 2011Pooled it
- Can computerized clinical decision support systems improve practitioners' diagnostic test ordering behavior? A decision-maker-researcher partnership systematic review.Implementation science : IS · 2011Pooled it
- Computerized clinical decision support systems for drug prescribing and management: a decision-maker-researcher partnership systematic review.Implementation science : IS · 2011Pooled it
- Facilitators and barriers to implementing quality measurement in primary mental health care: Systematic review.Canadian family physician Medecin de famille canadien · 2010Pooled it
- Effect of point-of-care computer reminders on physician behaviour: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Pooled it
78 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the use of a computerised support system for decision making for implementing evidence based clinical guidelines for the management of asthma and angina in adults in primary care.
designA before and after pragmatic cluster randomised controlled trial utilising a two by two incomplete block design.
setting60 general practices in north east England.
participantsGeneral practitioners and practice nurses in the study practices and their patients aged 18 or over with angina or asthma.
main outcome measuresAdherence to the guidelines, based on review of case notes and patient reported generic and condition specific outcome measures.
resultsThe computerised decision support system had no significant effect on consultation rates, process of care measures (including prescribing), or any patient reported outcomes for either condition. Levels of use of the software were low.
conclusionsNo effect was found of computerised evidence based guidelines on the management of asthma or angina in adults in primary care. This was probably due to low levels of use of the software, despite the system being optimised as far as was technically possible. Even if the technical problems of producing a system that fully supports the management of chronic disease were solved, there remains the challenge of integrating the systems into clinical encounters where busy practitioners manage patients with complex, multiple conditions.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.