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http://hdl.handle.net/2445/178251
Title: | Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study |
Author: | Comín, Eva Catalan Ramos, Arantxa Iglesias Rodal, Manuel Grau, Maria Val García, Jose Luís del Consola, Alicia Amado, Ester Pons, Angels Mata Cases, Manel Franzi, Alicia Ciurana, Ramon Frigola, Eva Cos, Xavier Davins, Josep Verdú Rotellar, Jose Maria |
Keywords: | Malalties cardiovasculars Cardiovascular diseases |
Issue Date: | 1-Aug-2017 |
Publisher: | Elsevier España |
Abstract: | Objective: To 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. Design: Pre-post controlled study. Setting: Catalonia, autonomous community located in north-eastern Spain. Participants: Individuals aged 35-74 years assigned to general practitioners of the Catalan Health Institute. Intervention: The 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. Results: A 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. Conclusions: Computerized 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. |
Note: | Reproducció del document publicat a: https://doi.org/10.1016/j.aprim.2016.11.007 |
It is part of: | Atención Primaria, 2017, vol. 49, num. 7, p. 389-398 |
URI: | http://hdl.handle.net/2445/178251 |
Related resource: | https://doi.org/10.1016/j.aprim.2016.11.007 |
ISSN: | 0212-6567 |
Appears in Collections: | Articles publicats en revistes (Medicina) |
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