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http://hdl.handle.net/2445/178251
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DC Field | Value | Language |
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dc.contributor.author | Comín, Eva | - |
dc.contributor.author | Catalan Ramos, Arantxa | - |
dc.contributor.author | Iglesias Rodal, Manuel | - |
dc.contributor.author | Grau, Maria | - |
dc.contributor.author | Val García, Jose Luís del | - |
dc.contributor.author | Consola, Alicia | - |
dc.contributor.author | Amado, Ester | - |
dc.contributor.author | Pons, Angels | - |
dc.contributor.author | Mata Cases, Manel | - |
dc.contributor.author | Franzi, Alicia | - |
dc.contributor.author | Ciurana, Ramon | - |
dc.contributor.author | Frigola, Eva | - |
dc.contributor.author | Cos, Xavier | - |
dc.contributor.author | Davins, Josep | - |
dc.contributor.author | Verdú Rotellar, Jose Maria | - |
dc.date.accessioned | 2021-06-11T15:48:59Z | - |
dc.date.available | 2021-06-11T15:48:59Z | - |
dc.date.issued | 2017-08-01 | - |
dc.identifier.issn | 0212-6567 | - |
dc.identifier.uri | http://hdl.handle.net/2445/178251 | - |
dc.description.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. | - |
dc.format.extent | 10 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier España | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1016/j.aprim.2016.11.007 | - |
dc.relation.ispartof | Atención Primaria, 2017, vol. 49, num. 7, p. 389-398 | - |
dc.relation.uri | https://doi.org/10.1016/j.aprim.2016.11.007 | - |
dc.rights | cc-by-nc-nd (c) Comín, Eva et al., 2017 | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Malalties cardiovasculars | - |
dc.subject.other | Cardiovascular diseases | - |
dc.title | Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 696074 | - |
dc.date.updated | 2021-06-11T15:49:00Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 28314542 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) |
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696074.pdf | 660.3 kB | Adobe PDF | View/Open |
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