Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study

Comín, Eva; Catalan-Ramos, Arantxa; Iglesias-Rodal, Manuel; Grau Magaña, Maria; Val, José Luis del; Consola, Alicia; Amado Guirado, Ester; Pons, Angels; Mata-Cases Manel; Franz, Alicia; Ciurana, Ramon; Frigola, Eva; Cos, Xavier; Davins, Josep; Verdú-Rotellar, José María

Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study

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dc.contributor.author Comín, Evaca
dc.contributor.author Catalan-Ramos, Arantxaca
dc.contributor.author Iglesias-Rodal, Manuelca
dc.contributor.author Grau Magaña, Mariaca
dc.contributor.author Val, José Luis delca
dc.contributor.author Consola, Aliciaca
dc.contributor.author Amado Guirado, Esterca
dc.contributor.author Pons, Angelsca
dc.contributor.author Mata-Cases Manelca
dc.contributor.author Franz, Aliciaca
dc.contributor.author Ciurana, Ramonca
dc.contributor.author Frigola, Evaca
dc.contributor.author Cos, Xavierca
dc.contributor.author Davins, Josepca
dc.contributor.author Verdú-Rotellar, José Maríaca
dc.date.accessioned 2017-11-20T08:37:19Z
dc.date.available 2017-11-20T08:37:19Z
dc.date.issued 2017
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: omputerized 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.mimetype application/pdfca
dc.identifier.citation Comin E, Catalan-Ramos A, Iglesias-Rodal M, Grau M, Del Val JL, Consola A. et al. Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study. Aten Primaria. 2017 Aug - Sep;49(7):389-398. DOI: 10.1016/j.aprim.2016.11.007
dc.identifier.doi http://dx.doi.org/10.1016/j.aprim.2016.11.007
dc.identifier.issn 0212-6567
dc.identifier.uri http://hdl.handle.net/10230/33277
dc.language.iso eng
dc.publisher Elsevierca
dc.relation.ispartof Atención Primaria. 2017 Aug - Sep;49(7):389-98
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keyword Clinical practice guidelines
dc.subject.keyword Diabetes mellitus tipo 2
dc.subject.keyword Electronic health records
dc.subject.keyword Evidence-based practice
dc.subject.keyword Guías de práctica clínica
dc.subject.keyword Hipercolesterolemia
dc.subject.keyword Hipertensión
dc.subject.keyword Historia clínica electrónica
dc.subject.keyword Hypercholesterolemia
dc.subject.keyword Hypertension
dc.subject.other Hipertensió
dc.subject.other Hipercolesterolèmia
dc.subject.other Medicina basada en l'evidència
dc.title Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled studyca
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/publishedVersion

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