Evidence map›Paper›PMID 28314542›Full record

ArticleAtencion primaria

Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study.

Eva Comin, Arantxa Catalan-Ramos, Manuel Iglesias-Rodal, Maria Grau, Jose Luis Del Val, Alicia Consola, Ester Amado, Angels Pons, Manel Mata-Cases, Alicia Franzi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Atencion primaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
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

15 authors at 8 institutions in 1 country.

Eva CominInstitut Català de la Salut, Barcelona, Spain.
Arantxa Catalan-RamosAgència de Qualitat i Avaluació Sanitàries de Catalunya, Barcelona, Spain.
Manuel Iglesias-RodalInstitut Català de la Salut, Barcelona, Spain.
Maria GrauInstitut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain; Universitat de Barcelona, Spain. Electronic address: mgrau@imim.es.
Jose Luis Del ValInstitut Català de la Salut, Barcelona, Spain; Institut d'Investigació en Atenció Primària Jordi Gol, Barcelona, Spain.
Alicia ConsolaAplicaciones en Informática Avanzada (AIA), Barcelona, Spain.
Ester AmadoInstitut Català de la Salut, Barcelona, Spain.
Angels PonsInstitut Català de la Salut, Barcelona, Spain.
Manel Mata-CasesInstitut Català de la Salut, Barcelona, Spain.
Alicia FranziInstitut Català de la Salut, Barcelona, Spain.
Ramon CiuranaInstitut Català de la Salut, Barcelona, Spain.
Eva FrigolaAvedis Donabedian University Institute, Barcelona, Spain; Universitat Autònoma de Barcelona, Spain; CIBER Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
Xavier CosInstitut Català de la Salut, Barcelona, Spain.
Josep DavinsSubdirecció General de Serveis Sanitaris, Departament de Salut, Barcelona, Spain.
Jose M Verdu-RotellarInstitut Català de la Salut, Barcelona, Spain; Universitat Autònoma de Barcelona, Spain.
Institut Català de la Salut · ESAgència de Qualitat i Avaluació Sanitàries de Catalunya · ESAIA (Spain) · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESDepartament de Salut · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESUniversitat Autònoma de Barcelona · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of the main cardiovascular risk factors: hypertension, hypercholesterolaemia, and type 2 diabetes mellitus.

designPre-post controlled study.

settingCatalonia, autonomous community located in north-eastern Spain.

participantsIndividuals aged 35-74 years assigned to general practitioners of the Catalan Health Institute.

interventionThe intervention group consisted of individuals whose general practitioners had accessed the computerized clinical practice guidelines at least twice a day, while the control group consisted of individuals whose general practitioner had never accessed the computerized clinical practice guidelines platform. MAIN OUTCOMES: The Chi-squared test was used to detect significant differences in the follow-up, control, and treatment variables for all three disorders (hypertension, hypercholesterolaemia, and type 2 diabetes mellitus) between individuals assigned to users and non-users of the computerized clinical practice guidelines, respectively.

resultsA total of 189,067 patients were included in this study, with a mean age of 56 years (standard deviation 12), and 55.5% of whom were women. Significant differences were observed in hypertension management, treatment and control; type 2 diabetes mellitus management, treatment and diagnoses, and the management and control of hypercholesterolaemia in both sexes.

conclusionsComputerized clinical practice guidelines are an effective tool for the control and follow-up of patients diagnosed with hypertension, type 2 diabetes mellitus, and hypercholesterolaemia. The usefulness of computerized clinical practice guidelines to diagnose and adequately treat individuals with these disorders remains unclear.

Indexed as

Clinical practice guidelinesDiabetes mellitus tipo 2Electronic health recordsEvidence-based practiceGuías de práctica clínicaHipercolesterolemiaHipertensiónHistoria clínica electrónicaHypercholesterolemiaHypertensionPráctica basada en la evidenciaType 2 diabetes mellitus

Identifiers

PMID28314542
PMCPMC6875959
OpenAlexW2601503101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.