Holbrook 2009.
| Study characteristics | ||
| Methods |
Individualized electronic decision support and reminders to improve diabetes care in the community: COMPETE II randomized trial Patient RCT, conducted with 46 primary care providers across Ontario, Canada Two arms: 1. Control (control arm) and 2. Intervention (intervention arm) |
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| Participants | Control arm N: 258 Intervention arm N: 253 Diabetes type: type 2 Mean age: 60.7 ± 12.5 % Male: 50.7 Longest follow‐up: 6 months |
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| Interventions |
Control arm: None Intervention arm: 1) Electronic patient registry 2) Facilitated relay of clinical information 3) Patient reminders |
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| Outcomes | 1) Foot screening, N screened (%) Control arm: pre 72 (28), post 93 (36) Intervention arm: pre 71 (28), post 129 (51) 2) Renal screening (microalbumin), N screened (%) Control arm: pre 67 (26), post 101 (39) Intervention arm: pre 63 (25), post 171 (68) 3) HbA1c, mean % (SD) Control arm: pre 7.1 (1.6), post 7.3 (1.6) Intervention arm: pre 7.0 (1.4), post 6.8 (1.2) 4) SBP, mean mmHg (SD) Control arm: pre 134.8 (18.4), post 135.1 (18.4) Intervention arm: pre 135.2 (17.6), post 130.5 (16.4) 5) DBP, mean mmHg (SD) Control arm: pre 74.7 (10.3), post 75.4 (10.5) Intervention arm: pre 76.1 (11.1), post 73.6 (9.9) 6) LDL, mean mg/dL (SD) Control arm: pre 100.2 (33.6), post 98.2 (31.3) Intervention arm: pre 93.2 (25.1), post 94.0 (30.2) 7) Smoking cessation, N smokers (%) Control arm: pre 8 (3), post 79 (31) Intervention arm: pre 1 (0), post 78 (31) |
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| Funding source | This study was funded by a grant from the Canada Health Infostructure Partnerships Program Project 35b, Health Canada | |
| Notes | — | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Information not available. |
| Allocation concealment (selection bias) | Low risk | Information not available. |
| Patient's baseline characteristics (selection bias) | Low risk | Information not available. |
| Patient's baseline outcomes (selection bias) | Low risk | Information not available. |
| 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 | Low risk | Information not available. |