Evidence map›Paper›PMID 27486559›Full record

ArticlePreventive medicine reports2016

Electronic health record-based assessment of cardiovascular health: The stroke prevention in healthcare delivery environments (SPHERE) study.

Randi E Foraker, Abigail B Shoben, Marjorie M Kelley, Albert M Lai, Marcelo A Lopetegui, Rebecca D Jackson, Michael A Langan, Philip R O Payne

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03935282 (Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
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.

NCT03935282 nacompletednot on this mapstarted 2020, after this paper: background citation

Assessing Effectiveness and Implementation of an EHR Tool to Assess Heart Health Among Survivors (AH-HA)

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2025Enrolled645ConditionsBreast Neoplasm, Prostatic Neoplasm, Colorectal Neoplasms, Endometrial NeoplasmsArmsAH-HA Tool in the EPIC EHR
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

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  11. Nutri: A Behavioral Science-Based Clinical Decision Support for Chronic Disease Management.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
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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

8 authors at 1 institution in 2 countries.

Randi E ForakerThe Ohio State University College of Public Health, Columbus, OH 43210, United States; The Ohio State University College of Medicine, Columbus, OH 43210, United States.
Abigail B ShobenThe Ohio State University College of Public Health, Columbus, OH 43210, United States.
Marjorie M KelleyThe Ohio State University College of Medicine, Columbus, OH 43210, United States.
Albert M LaiThe Ohio State University College of Medicine, Columbus, OH 43210, United States.
Marcelo A LopeteguiThe Ohio State University College of Medicine, Columbus, OH 43210, United States; Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile.
Rebecca D JacksonThe Ohio State University College of Medicine, Columbus, OH 43210, United States.
Michael A LanganThe Ohio State University College of Medicine, Columbus, OH 43210, United States.
Philip R O PayneThe Ohio State University College of Public Health, Columbus, OH 43210, United States; The Ohio State University College of Medicine, Columbus, OH 43210, United States.
The Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

< 3% of Americans have ideal cardiovascular health (CVH). The primary care encounter provides a setting in which to conduct patient-provider discussions of CVH. We implemented a CVH risk assessment, visualization, and decision-making tool that automatically populates with electronic health record (EHR) data during the encounter in order to encourage patient-centered CVH discussions among at-risk, yet under-treated, populations. We quantified five of the seven CVH behaviors and factors that were available in The Ohio State University Wexner Medical Center's EHR at baseline (May-July 2013) and compared values to those ascertained at one-year (May-July 2014) among intervention (n = 109) and control (n = 42) patients. The CVH of women in the intervention clinic improved relative to the metrics of body mass index (16% to 21% ideal) and diabetes (62% to 68% ideal), but not for smoking, total cholesterol, or blood pressure. Meanwhile, the CVH of women in the control clinic either held constant or worsened slightly as measured using those same metrics. Providers need easy-to-use tools at the point-of-care to help patients improve CVH. We demonstrated that the EHR could deliver such a tool using an existing American Heart Association framework, and we noted small improvements in CVH in our patient population. Future work is needed to assess how to best harness the potential of such tools in order to have the greatest impact on the CVH of a larger patient population.

Indexed as

95% CI, 95% confidence intervalACC, American College of CardiologyAHA, American Heart AssociationCDS, clinical decision supportCVH, cardiovascular healthDisease managementEHR, electronic health recordGEE, generalized estimation equationHealth outcomesMedical informaticsOSUWMC, Ohio State University Wexner Medical CenterPreventionPrimary careSD, standard deviationSPHERE, stroke prevention in healthcare delivery environments

Identifiers

PMID27486559
PMCPMC4959947
OpenAlexW2471701895

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.