Trial reportJournal of the American Medical Informatics Association : JAMIA
Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study.
Trial report in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Computer-generated reminders delivered on paper to healthcare professionals: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2017Pooled it
- Pooled it
- The effects of on-screen, point of care computer reminders on processes and outcomes of care.The Cochrane database of systematic reviews · 2009Pooled it
- Trial
- Computer-generated reminders and quality of pediatric HIV care in a resource-limited setting.Pediatrics · 2013Trial
- Patient tracking and retention with Malawi's electronic medical records system in antiretroviral treatment clinics.BMC digital health · 2026Article
- "Following the data": perceptions of and willingness to use clinical decision support tools to inform HIV care among Haitian clinicians.Health policy and technology · 2024Article
- Integrative diagnostics: the time is now-a report from the International Society for Strategic Studies in Radiology.Insights into imaging · 2023Article
- An EMR-Based Alert with Brief Provider-Led ART Adherence Counseling: Promising Results of the InfoPlus Adherence Pilot Study Among Haitian Adults with HIV Initiating ART.AIDS and behavior · 2020Article
- Translation of evidence into kidney transplant clinical practice: managing drug-lab interactions by a context-aware clinical decision support system.BMC medical informatics and decision making · 2020Article
- Better adherence to pre-antiretroviral therapy guidelines after implementing an electronic medical record system in rural Kenyan HIV clinics: a multicenter pre-post study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2015Article
- Prevalence and Predictors of Immunological Failure among HIV Patients on HAART in Southern Ethiopia.PloS one · 2015Article
- A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach.PloS one · 2014Article
- Development of an electronic medical record based alert for risk of HIV treatment failure in a low-resource setting.PloS one · 2014Article
- Electronic health records-driven phenotyping: challenges, recent advances, and perspectives.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- Adaptation of a web-based, open source electronic medical record system platform to support a large study of tuberculosis epidemiology.BMC medical informatics and decision making · 2012Article
- Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here?Bulletin of the World Health Organization · 2012Review
- Sensitivity analysis for causal inference using inverse probability weighting.Biometrical journal. Biometrische Zeitschrift · 2011Article
- Electronic medical record systems are associated with appropriate placement of HIV patients on antiretroviral therapy in rural health facilities in Kenya: a retrospective pre-post study.Journal of the American Medical Informatics Association : JAMIAArticle
- Nurse management of hypertension in rural western Kenya: implementation research to optimize delivery.Annals of global healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveLittle evidence exists on effective interventions to integrate HIV-care guidelines into practices within developing countries. This study tested the hypothesis that clinical summaries with computer-generated reminders could improve clinicians' compliance with CD4 testing guidelines in the resource-limited setting of sub-Saharan Africa.
designA prospective comparative study of two randomly selected outpatient adult HIV clinics in western Kenya. Printed summaries with reminders for overdue CD4 tests were made available to clinicians in the intervention clinic but not in the control clinic. MEASUREMENTS: Changes in order rates for overdue CD4 tests were compared between and within the two clinics.
resultsThe computerized reminder system identified 717 encounters (21%) with overdue CD4 tests. Analysis by study assignment (regardless of summaries being printed or not) revealed that with computer-generated reminders, CD4 order rates were significantly higher in the intervention clinic compared to the control clinic (53% vs 38%, OR = 1.80, CI 1.34 to 2.42, p < 0.0001). When comparison was restricted to encounters where summaries with reminders were printed, order rates in intervention clinic were even higher (63%). The intervention clinic increased CD4 ordering from 42% before reminders to 63% with reminders (50% increase, OR = 2.32, CI 1.67 to 3.22, p < 0.0001), compared to control clinic with only 8% increase from prestudy baseline (CI 0.83 to 1.46, p = 0.51). Limitations Evaluation was conducted at two clinics in a single institution.
conclusionsClinical summaries with computer-generated reminders significantly improved clinician compliance with CD4 testing guidelines in the resource-limited setting of sub-Saharan Africa. This technology can have broad applicability to improve quality of HIV care in these settings.
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