Evidence map›Paper›PMID 30201679›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Effectiveness of Clinical Decision Support Based Intervention in the Improvement of Care for Adult Sickle Cell Disease Patients in Primary Care.

Arch G Mainous, Peter J Carek, Kim Lynch, Rebecca J Tanner, Mary M Hulihan, Jacquelyn Baskin, Thomas D Coates

Abstract readControlled Clinical Trial
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Integration of physical abuse clinical decision support at 2 general emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2019
    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

7 authors.

Arch G MainousFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC). arch.mainous@phhp.ufl.edu.
Peter J CarekFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC).
Kim LynchFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC).
Rebecca J TannerFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC).
Mary M HulihanFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC).
Jacquelyn BaskinFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC).
Thomas D CoatesFrom the Department of Health Services Research, Management, and Policy (AGM, RJT) and Department of Community Health and Family Medicine, (AGM, PJC, KL), University of Florida, Gainesville, FL; Division of Blood Disorders, Centers for Disease Control and Prevention, Atlanta, GA (MMH); Department of Pediatrics and Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA (JB, TDC).

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionAlthough most patients with rare diseases like sickle cell disease (SCD) are treated in the primary care setting, primary care physicians may find it challenging to keep abreast of medication improvements and complications associated with treatment for rare and complex diseases. The purpose of this study was to evaluate the effectiveness of a clinical decision support (CDS) -based intervention system for transfusional iron overload in adults with SCD to improve management in primary care.

methodsAn electronic medical record based clinical decision support system for potential transfusional iron overload in SCD patients in primary care was evaluated. The intervention was implemented in 3 family medicine clinics with a control group of 3 general internal medicine clinics. Data were collected in the 6 months before the intervention and 6 months after the intervention. There were 47 patients in the family medicine group and 24 in the general internal medicine group.

resultsThere was no management change in the control group while the intervention group improved primary care management from 0% to 44% (

conclusionA CDS tool can improve management of SCD patients in primary care.

Indexed as

Decision Support Systems, ClinicalAdolescentAdultAnemia, Sickle CellBlood TransfusionFemaleHumansIron OverloadMaleMiddle AgedYoung AdultClinical Decision Support SystemsControl GroupsElectronic Health RecordsIron OverloadPrimary Care PhysiciansRare DiseasesSickle Cell Anemia

Identifiers

PMID30201679
PMCPMC6153439

What OpenQuestion holds

Textmetadata
LicenceTDM
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.