Evidence map›Paper›PMID 29854140›Full record

Trial reportAMIA ... Annual Symposium proceedings. AMIA Symposium2017

Effectiveness of a Cloud-Based EHR Clinical Decision Support Program for Body Mass Index (BMI) Screening and Follow-up.

Shruti Gangadhar, Nam Nguyen, James W Pesuit, Alina N Bogdanov, Lee Kallenbach, Jessica Ken, Joe Vasey, Richard M Loomis

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

  1. Review
  2. Article
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  8. Review
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.

Shruti GangadharPractice Fusion, San Francisco, CA.
Nam NguyenPractice Fusion, San Francisco, CA.
James W PesuitPractice Fusion, San Francisco, CA.
Alina N BogdanovPractice Fusion, San Francisco, CA.
Lee KallenbachPractice Fusion, San Francisco, CA.
Jessica KenPractice Fusion, San Francisco, CA.
Joe VaseyPractice Fusion, San Francisco, CA.
Richard M LoomisPractice Fusion, San Francisco, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effectiveness of a clinical decision support (CDS) program encouraging clinicians to record patient's Body Mass Index (BMI) and document appropriate follow-up plans is evaluated. Test (4,987 practices, 33,445 clinicians) and control groups (881 practices, 6,316 clinicians) were selected using stratified random sampling. Three CDS alerts for BMI screening and follow-up based on evidence based clinical quality guidelines were displayed at the point of care in a cloud-based EHR. The effectiveness of the CDS program was measured over 4 months by tracking recorded BMI and documented follow-up plans. Over the program, BMI recording increased minimally and documentation of follow-up plans increased 5-fold (p=0.05) compared to the control group. The overweight test group patients (18- 64yo) gained less weight (p=0.06) than the control group and underweight patients gained more weight (p<0.01) during the program period. Outcome studies with longer follow-up periods are needed to further confirm positive outcomes.

Indexed as

AftercareBody Mass IndexCloud ComputingDecision Support Systems, ClinicalElectronic Health RecordsAdolescentAdultAgedFemaleGuideline AdherenceHumansMaleMass ScreeningMiddle AgedOverweightPractice Guidelines as Topic

Identifiers

PMID29854140
PMCPMC5977575

What OpenQuestion holds

Textmetadata
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.