Evidence map›Paper›PMID 15249261›Full record

Trial reportJournal of medical Internet research2004

Providing a web-based online medical record with electronic communication capabilities to patients with congestive heart failure: randomized trial.

Stephen E Ross, Laurie A Moore, Mark A Earnest, Loretta Wittevrongel, Chen-Tan Lin

Abstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 25 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 25 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 25 syntheses or guidelines pooled it.

  1. Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021
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  3. mHealth education interventions in heart failure.The Cochrane database of systematic reviews · 2020
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  4. Improving Treatment Adherence in Heart Failure.Deutsches Arzteblatt international · 2016
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  11. Interventions for enhancing medication adherence.The Cochrane database of systematic reviews · 2014
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74 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Stephen E RossDivision of General Internal Medicine, University of Colorado Health Sciences Center, Aurora, Colorado, USA. Steve.Ross@uchsc.edu
Laurie A Moore
Mark A Earnest
Loretta Wittevrongel
Chen-Tan Lin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is possible to provide patients with secure access to their medical records using the Internet. Such access may assist patients in the self-management of chronic diseases such as heart failure.

objectiveTo assess how a patient-accessible online medical record affects patient care and clinic operations. The SPPARO (System Providing Access to Records Online) software consisted of a web-based electronic medical record, an educational guide, and a messaging system enabling electronic communication between the patient and staff.

methodsA randomized controlled trial was conducted in a specialty practice for patients with heart failure. Surveys assessing doctor-patient communication, adherence, and health status were conducted at baseline, 6 months, and 1 year. Use of the system, message volume, utilization of clinical services, and mortality were monitored.

resultsOne hundred and seven patients were enrolled (54 intervention and 53 controls). At 12 months, the intervention group was not found to be superior in self-efficacy (KCCQ self-efficacy score 91 vs. 85, p=0.08), but was superior in general adherence (MOS compliance score 85 vs. 78, p=0.01). A trend was observed for better satisfaction with doctor-patient communication. The intervention group had more emergency department visits (20 vs. 8, p=0.03), but these visits were not temporally related to use of the online medical record. There were no adverse effects from use of the system.

conclusionsProviding patients with congestive heart failure access to an online medical record was feasible and improved adherence. An effect on health status could not be demonstrated in this pilot study.

Indexed as

Heart FailureDelivery of Health CareFemaleHealth StatusHumansInternetMaleMedical Records Systems, ComputerizedMiddle AgedOnline SystemsPatient AdvocacyPatient CompliancePatient ParticipationPatient SatisfactionSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID15249261
PMCPMC1550594

What OpenQuestion holds

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Registered trials

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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.