Comín, EvaCatalan Ramos, ArantxaIglesias Rodal, ManuelGrau, MariaVal García, Jose Luís delConsola, AliciaAmado, EsterPons, AngelsMata Cases, ManelFranzi, AliciaCiurana, RamonFrigola, EvaCos, XavierDavins, JosepVerdú Rotellar, Jose Maria2021-06-112021-06-112017-08-010212-6567https://hdl.handle.net/2445/178251Objective: 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.10 p.application/pdfengcc-by-nc-nd (c) Comín, Eva et al., 2017https://creativecommons.org/licenses/by-nc-nd/4.0/Malalties cardiovascularsCardiovascular diseasesImpact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled studyinfo:eu-repo/semantics/article6960742021-06-11info:eu-repo/semantics/openAccess28314542