Evidence map›Paper›PMID 8930856›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA

A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting.

S Shea, W DuMouchel, L Bahamonde

Registry-linked trialOpen access · bronzeAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00256386 (LabAlert), which is not on this map. Cited by 175 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 14 pooled it
9.8field-weighted citation impact, top 1% 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.

NCT00256386 nacompletednot on this map

LabAlert: Enhancing Medication Safety Through Electronic Interventions to Improve Medication Safety

TypeinterventionalSponsorKaiser PermanenteRan2004 to 2005Enrolled800ConditionsSafetyArmsElectronic Medical Record (EMR) to clinician's in-basket, Automated Voice Message (AVM) reminder to patient's phone, Pharmacy Team phone call-letter followup
3 · Its place in the literature

Who cites it

175 citing papers in PubMed, 14 syntheses or guidelines pooled it, 546 citations in OpenAlex.

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  8. Patient reminder and patient recall systems to improve immunization rates.The Cochrane database of systematic reviews · 2005
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115 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Commented on by
5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

S SheaDepartment of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
W DuMouchel
L Bahamonde
Columbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveComputer-based reminder systems have the potential to change physician and patient behaviors and to improve patient outcomes. We performed a meta-analysis of published randomized controlled trials to assess the overall effectiveness of computer-based reminder systems in ambulatory settings directed at preventive care.

designMeta-analysis. SEARCH STRATEGY: Searches of the Medline (1966-1994), Nursing and Allied Health (1982-1994), and Health Planning and Administration (1975-1994) databases identified 16 randomized, controlled trials of computer-based reminder systems in ambulatory settings. STATISTICAL

methodsA weighted mixed effects model regression analysis was used to estimate intervention effects for computer and manual reminder systems for six classes of preventive practices.

main outcome measureAdjusted odds ratio for preventive practices.

resultsComputer reminders improved preventive practices compared with the control condition for vaccinations (adjusted odds ratio [OR] 3.09; 95% confidence interval [CI] 2.39-4.00), breast cancer screening (OR 1.88; 95% CI 1.44-2.45), colorectal cancer screening (OR 2.25; 95% CI 1.74-2.91), and cardiovascular risk reduction (OR 2.01; 95% CI 1.55-2.61) but not cervical cancer screening (OR 1.15; 95% CI 0.89-1.49) or other preventive care (OR 1.02; 95% CI 0.79-1.32). For all six classes of preventive practices combined the adjusted OR was 1.77 (95% CI 1.38-2.27).

conclusionEvidence from randomized controlled studies supports the effectiveness of data-driven computer-based reminder systems to improve prevention services in the ambulatory care setting.

Indexed as

Ambulatory CarePreventive Health ServicesReminder SystemsEfficiency, OrganizationalHumansImmunizationLikelihood FunctionsMass ScreeningOdds RatioRegression Analysis

Identifiers

PMID8930856
PMCPMC116324
OpenAlexW2112808048

What OpenQuestion holds

Textmetadata
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.