Cleveringa 2008.
| Study characteristics | ||
| Methods |
Combined task delegation, computerized decision support, and feedback improve cardiovascular risk for type 2 diabetic patients: a cluster randomized trial in primary care Cluster‐RCT (55 clusters), conducted in primary care practices throughout The Netherlands Two arms: 1) Control (control arm) and 2) Intervention (intervention arm) |
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| Participants | Control arm N: 1692 Intervention arm N: 1699 Diabetes type: type 2 Mean age: 65.1 ± 11.2 % Male: 49.0 Longest follow‐up: 12 months |
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| Interventions |
Control arm: None Intervention arm: 1) Audit and feedback 2) Case management 3) Clinician reminders 4) Patient reminders |
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| Outcomes | 1) HbA1c 2) SBP 3) DBP 4) LDL 5) Smoking cessation |
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| Funding source | For this study we received an unrestricted grant from Pfizer B.V. | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | Information not available. |
| Allocation concealment (selection bias) | Low risk | Cluster‐RCT. |
| Provider's baseline characteristics (selection bias) | High risk | Not reported |
| Patient's baseline characteristics (selection bias) | High risk | Data is provided for age and gender in the Table 1 and the authors mention no differences between the groups, but no data on education. Significant difference in smoking and history of cardiac diseases. |
| Patient's baseline outcomes (selection bias) | Low risk | HDL cholesterol levels in Table 1 seem fine (1.36 vs 1.32). |
| Incomplete outcome data (attrition bias) | Low risk | Information not available. |
| Blinding of participants and personnel (performance bias) and of outcome assessors (detection bias) | Low risk | Information not available. |
| Selective reporting (reporting bias) | Low risk | Information not available. |
| Risk of contamination (other bias) | Low risk | Information not available. |
| Other bias | Unclear risk | Information not available. |