Evidence map›Paper›PMID 25952471›Full record

Trial reportContemporary clinical trials2015

A centralized cardiovascular risk service to improve guideline adherence in private primary care offices.

Barry L Carter, Barcey T Levy, Brian Gryzlak, Elizabeth A Chrischilles, Mark W Vander Weg, Alan J Christensen, Paul A James, Carol A Moss, Christopher P Parker, Tyler Gums and 4 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01983813 (Improved Cardiovascular Risk Reduction to Enhance Rural Primary Care), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT01983813 nacompletednot on this map

Improved Cardiovascular Risk Reduction to Enhance Rural Primary Care

TypeinterventionalSponsorKorey KenneltyRan2014 to 2018Enrolled302ConditionsDiabetes Mellitus, Hypertension, Coronary Artery Disease, Atrial FibrillationArmsPHCVRS Intervention, Personal Health Record
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Barry L CarterDepartment of Pharmacy Practice and Science, College of Pharmacy, United States; Department of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United States. Electronic address: barry-carter@uiowa.edu.
Barcey T LevyDepartment of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United States.
Brian GryzlakDepartment of Pharmacy Practice and Science, College of Pharmacy, United States; Department of Epidemiology, College of Public Health, United States.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, United States.
Mark W Vander WegIowa City Veterans Administration, United States; Department of Internal Medicine, Carver College of Medicine, United States; Department of Psychology, College of Liberal Arts, United States.
Alan J ChristensenDepartment of Internal Medicine, Carver College of Medicine, United States; Department of Psychology, College of Liberal Arts, United States.
Paul A JamesDepartment of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United States.
Carol A MossDepartment of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United States.
Christopher P ParkerDepartment of Pharmacy Practice and Science, College of Pharmacy, United States.
Tyler GumsDepartment of Pharmacy Practice and Science, College of Pharmacy, United States.
Rachel J FinkelsteinDepartment of Pharmacy Practice and Science, College of Pharmacy, United States.
Yinghui XuDepartment of Family Medicine, Roy J. and Lucille A. Carver College of Medicine, United States.
Jeffrey D DawsonDepartment of Biostatistics, College of Public Health, The University of Iowa, United States.
Linnea A PolgreenDepartment of Pharmacy Practice and Science, College of Pharmacy, United States.

Funding

Improved Cardiovascular Risk Reduction to Enhance Rural Primary Care:I-CARER01HL116311 · NHLBI · UNIVERSITY OF IOWA · PI KENNELTY, KOREY A, LEVY, BARCEY THURSTON · 2013 to 2017
$3.6M
NHLBI NIH HHS R01 HL116311NHLBI NIH HHS R01HL116311
6 · The paper itself

Abstract

backgroundMany large health systems now employ clinical pharmacists in team-based care to assist patients and physicians with management of cardiovascular (CV) diseases. However, small private offices often lack the resources to hire a clinical pharmacist for their office. The purpose of this study is to evaluate whether a centralized, web-based CV risk service (CVRS) managed by clinical pharmacists will improve guideline adherence in primary care medical offices in rural and small communities.

methodsThis study is a cluster randomized prospective trial in 12 primary care offices. Medical offices were randomized to either the CVRS intervention or usual care. The intervention will last for 12 months and all subjects will have research visits at baseline and 12 months. Primary outcomes will include adherence to treatment guidelines and control of key CV risk factors. Data will also be abstracted from the medical record at 30 months to determine if the intervention effect is sustained after it is discontinued.

conclusionsThis study will enroll subjects through 2015 and results will be available in 2018. This study will provide information on whether a distant, centralized CV risk service can improve guideline adherence in medical offices that lack the resources to employ clinical pharmacists.

Indexed as

InternetPractice Guidelines as TopicAgedAge FactorsCardiovascular DiseasesCooperative BehaviorCounselingDiabetes MellitusDocumentationFemaleGuideline AdherenceHealth BehaviorHumansHypercholesterolemiaHypertensionLife StyleCardiovascular diseaseClinical trialDiabetesGuideline adherencePharmacist management

Identifiers

PMID25952471
PMCPMC4522340

What OpenQuestion holds

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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.