SynthesisPloS one2012
The role of Decision Support System (DSS) in prevention of cardiovascular disease: a systematic review and meta-analysis.
Synthesis in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- The effect of computerized decision support systems on cardiovascular risk factors: a systematic review and meta-analysis.BMC medical informatics and decision making · 2019Pooled it
- Effectiveness of computerized clinical decision support systems for asthma and chronic obstructive pulmonary disease in primary care: a systematic review.BMC pulmonary medicine · 2014Pooled it
- Computerized clinical decision support system for diabetes in primary care does not improve quality of care: a cluster-randomized controlled trial.Implementation science : IS · 2020 · on this mapTrial
- Trial
- Improving care for hypertension and diabetes in india by addition of clinical decision support system and task shifting in the national NCD program: I-TREC model of care.BMC health services research · 2022Article
- Article
- World Heart Federation Roadmap for Hypertension - A 2021 Update.Global heart · 2021Review
- Opportunities for improving use of evidence-based therapy in patients with type 2 diabetes and cardiovascular disease.Clinical cardiology · 2019Review
- Unintended adverse consequences of a clinical decision support system: two cases.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Hypertension.Nature reviews. Disease primers · 2018Review
- Development of mWellcare: an mHealth intervention for integrated management of hypertension and diabetes in low-resource settings.Global health action · 2018Article
- Article
- Clinical decision support improves physician guideline adherence for laboratory monitoring of chronic kidney disease: a matched cohort study.BMC nephrology · 2015Article
- Intelligent Therapy Assistant (ITA) for cognitive rehabilitation in patients with acquired brain injury.BMC medical informatics and decision making · 2014Article
- Effects of Computerized Decision Support Systems on Management of Atrial Fibrillation: A Scoping Review.Journal of atrial fibrillationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundThe potential role of DSS in CVD prevention remains unclear as only a few studies report on patient outcomes for cardiovascular disease. METHODS AND
resultsA systematic review and meta-analysis of randomised controlled trials and observational studies was done using Medline, Embase, Cochrane Library, PubMed, Amed, CINAHL, Web of Science, Scopus databases; reference lists of relevant studies to 30 July 2011; and email contact with experts. The primary outcome was prevention of cardiovascular disorders (myocardial infarction, stroke, coronary heart disease, peripheral vascular disorders and heart failure) and management of hypertension owing to decision support systems, clinical decision supports systems, computerized decision support systems, clinical decision making tools and medical decision making (interventions). From 4116 references ten studies met our inclusion criteria (including 16,312 participants). Five papers reported outcomes on blood pressure management, one paper on heart failure, two papers each on stroke, and coronary heart disease. The pooled estimate for CDSS versus control group differences in SBP (mm of Hg) was - 0.99 (95% CI -3.02 to 1.04 mm of Hg; I(2) = 0; p = 0.851).
conclusionsDSS show an insignificant benefit in the management and control of hypertension (insignificant reduction of SBP). The paucity of well-designed studies on patient related outcomes is a major hindrance that restricts interpretation for evaluating the role of DSS in secondary prevention. Future studies on DSS should (1) evaluate both physician performance and patient outcome measures (2) integrate into the routine clinical workflow with a provision for decision support at the point of care.
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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.