ArticleHealth services research2012
Cost-effectiveness of an electronic medical record based clinical decision support system.
Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 42 papers, 6 of them syntheses that pooled 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.
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.
Reducing Clinical Inertia in Diabetes Care
Prioritized Clinical Decision Support (CDS) to Reduce Cardiovascular Risk
A Technology-Driven Intervention to Improve Identification and Management of Chronic Kidney Disease in Primary Care
Who cites it
42 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Strengthening the delivery of integrated physical health care for adults experiencing serious mental illness: a scoping review of interventions in mental health settings.Frontiers in health services · 2025Pooled 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
- 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
- How Consistent is the Relationship between Improved Glucose Control and Modelled Health Outcomes for People with Type 2 Diabetes Mellitus? a Systematic Review.PharmacoEconomics · 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
- Exposure to clinical decision support and training increases primary care clinician confidence in managing cognitive impairment care but not confidence to diagnose.BMC primary care · 2025Trial
- Clinical Decision Support and Cardiometabolic Medication Adherence: A Randomized Clinical Trial.JAMA network open · 2025 · on this mapTrial
- Outcomes of the Dulce Digital-COVID Aware (DD-CA) discharge texting platform for US/Mexico border Hispanic individuals with diabetes.Diabetes research and clinical practice · 2024Trial
- Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system.BMC medical informatics and decision making · 2022Trial
- Effect of Clinical Decision Support at Community Health Centers on the Risk of Cardiovascular Disease: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Clinical Decision Support for Recognizing and Managing Hypertensive Blood Pressure in Youth: No Significant Impact on Medical Costs.Academic pediatrics · 2020Trial
- Clinical decision support directed to primary care patients and providers reduces cardiovascular risk: a randomized trial.Journal of the American Medical Informatics Association : JAMIA · 2018Trial
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.medRxiv : the preprint server for health sciences · 2025Article
- Facilitators, barriers, and insights using an HFA-PEFF-based clinical decision support system: A proof-of-concept study.ESC heart failure · 2025Article
- Economic Evaluation of the Next Generation Electronic Medical Records in Singapore: Cost-Utility Analysis.Journal of medical Internet research · 2025Article
- A CKD Clinical Decision Support System: A Cluster Randomized Clinical Trial in Primary Care Clinics.Kidney medicine · 2024Article
- Harnessing Electronic Medical Records in Cardiovascular Clinical Practice and Research.Journal of cardiovascular translational research · 2023Review
- Partner-developed electronic health record tools to facilitate social risk-informed care planning.Journal of the American Medical Informatics Association : JAMIA · 2023Article
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
Abstract
BACKGROUND AND
objectiveMedical groups have invested billions of dollars in electronic medical records (EMRs), but few studies have examined the cost-effectiveness of EMR-based clinical decision support (CDS). This study examined the cost-effectiveness of EMR-based CDS for adults with diabetes from the perspective of the health care system. DATA SOURCES/
settingClinical outcome and cost data from a randomized clinical trial of EMR-based CDS were used as inputs into a diabetes simulation model. The simulation cohort included 1,092 patients with diabetes with A1c above goal at baseline. STUDY
designThe United Kingdom Prospective Diabetes Study Outcomes Model, a validated simulation model of diabetes, was used to evaluate remaining life years, quality-adjusted life years (QALYs), and health care costs over patient lifetimes (40-year time horizon) from the health system perspective. PRINCIPAL
findingsPatients in the intervention group had significantly lowered A1c (0.26 percent, p = .014) relative to patients in the control arm. Intervention costs were $120 (SE = 45) per patient in the first year and $76 (SE = 45) per patient in the following years. In the base case analysis, EMR-based CDS increased lifetime QALYs by 0.04 (SE = 0.01) and increased lifetime costs by $112 (SE = 660), resulting in an incremental cost-effectiveness ratio of $3,017 per QALY. The cost-effectiveness of EMR-based CDS persisted in one-way, two-way, and probabilistic sensitivity analyses.
conclusionsWidespread adoption of sophisticated EMR-based CDS has the potential to modestly improve the quality of care for patients with chronic conditions without substantially increasing costs to the health care system.
Indexed as
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.