ArticleJournal of the American Medical Informatics Association : JAMIA
Cost-effectiveness of a shared computerized decision support system for diabetes linked to electronic medical records.
Article 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 19 papers, 5 of them syntheses that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Design, effectiveness, and economic outcomes of contemporary chronic disease clinical decision support systems: a systematic review and meta-analysis.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- Economic Evaluation of Quality Improvement Interventions Designed to Improve Glycemic Control in Diabetes: A Systematic Review and Weighted Regression Analysis.Diabetes care · 2018Pooled 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
- Cost and economic benefit of clinical decision support systems for cardiovascular disease prevention: a community guide systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Effectiveness of computerized decision support systems linked to electronic health records: a systematic review and meta-analysis.American journal of public health · 2014Pooled it
- A machine learning-based prediction of diabetic retinopathy using the Korea national health and nutrition examination survey (2008-2012, 2017-2021).Frontiers in medicine · 2025Article
- Benefits of Clinical Decision Support Systems for the Management of Noncommunicable Chronic Diseases: Targeted Literature Review.Interactive journal of medical research · 2024Review
- Clinical Decision Support Systems.Visceral medicine · 2021Review
- Comparison of Two Electronic Systems for Obtaining Diabetes Care Indicators in Clinical Practice.Clinical diabetes : a publication of the American Diabetes Association · 2021Article
- Valuing Citizen Access to Digital Health Services: Applied Value-Based Outcomes in the Canadian Context and Tools for Modernizing Health Systems.Journal of medical Internet research · 2019Article
- Modelling the cost-effectiveness of pay-for-performance in primary care in the UK.BMC medicine · 2018Article
- A dashboard-based system for supporting diabetes care.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Cost-effectiveness of an electronic clinical decision support system for improving quality of antenatal and childbirth care in rural Tanzania: an intervention study.BMC health services research · 2017Article
- Article
- Managing diabetes mellitus using information technology: a systematic review.Journal of diabetes and metabolic disorders · 2015Article
- Recent trends in biomedical informatics: a study based on JAMIA articles.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- The impact of a decision support tool linked to an electronic medical record on glycemic control in people with type 2 diabetes.Journal of diabetes science and technology · 2013Article
- Measuring value for money: a scoping review on economic evaluation of health information systems.Journal of the American Medical Informatics Association : JAMIAArticle
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComputerized decision support systems (CDSSs) are believed to enhance patient care and reduce healthcare costs; however the current evidence is limited and the cost-effectiveness remains unknown.
objectiveTo estimate the long-term cost-effectiveness of a CDSS linked to evidence-based treatment recommendations for type 2 diabetes.
methodsUsing the Ontario Diabetes Economic Model, changes in factors (eg, HbA1c) from a randomized controlled trial were used to estimate cost-effectiveness. The cost of implementation, development, and maintenance of the core dataset, and projected diabetes-related complications were included. The base case assumed a 1-year treatment effect, 5% discount rate, and 40-year time horizon. Univariate, one-way sensitivity analyses were carried out by altering different parameter values. The perspective was the Ontario Ministry of Health and costs were in 2010 Canadian dollars.
resultsThe cost of implementing the intervention was $483,699. The one-year intervention reduced HbA1c by 0.2 and systolic blood pressure by 3.95 mm Hg, but increased body mass index by 0.02 kg/m², resulting in a relative risk reduction of 14% in the occurrence of amputation. The model estimated that the intervention resulted in an additional 0.0117 quality-adjusted life year; the incremental cost-effectiveness ratio was $160,845 per quality-adjusted life-year.
conclusionThe web-based prototype decision support system slightly improved short-term risk factors. The model predicted moderate improvements in long-term health outcomes. This disease management program will need to develop considerable efficiencies in terms of costs and processes or improved effectiveness to be considered a cost-effective intervention for treating patients with type 2 diabetes.
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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.