Table 2.
Summary of Findings for comparison two: Electronic guideline implementations versus paper version of the guideline
| Study | Risk of bias | No of patients/professionals | Intervention | Outcomes | |
|---|---|---|---|---|---|
| Process | Patient | ||||
|
Eccles [24] Cluster-RCT |
low | 2,400 patients, 60 primary care practices | Intervention group one: Computerized asthma guidelines + paper version of the guidelines for asthma and angina Intervention group two: Computerized angina guidelines + paper version of the guidelines for asthma and angina |
N | |
|
Tierney '03 [15] Cluster-RCT |
low | 706 patients, 246 physicians | Intervention group one: Computerized cardiac care suggestions + printed summary of the guidelines Intervention group two and three: not included in analysis of this review Control group: Usual care + printed summary of the guidelines |
N | N |
|
Tierney '05 [16] Cluster-RCT |
low | 706 patients, 246 physicians | Intervention group one: Computerized feedback for asthma and COPD + printed summary of the guidelines Intervention group two and three: not included in analysis of this review Control group: Usual care + printed summary of the guidelines |
N | N |
|
Jousimaa [37] Cluster-RCT |
moderate | 2,813 evaluated cases, 130 physicians | Intervention group: CD ROM of primary care guidelines Control group: Text based version of primary care guidelines |
N | |
|
Montgomery [26] Cluster-RCT |
moderate | 614 patients, 27 primary care practices | Intervention group: Computer-based clinical decision support system and a risk chart on absolute cardiovascular risk, blood pressure, and prescribing of cardiovascular drugs in hypertensive patients. Control group: Cardiovascular risk chart on paper alone |
N | N |
|
Murray [17] Cluster-RCT |
moderate | 712 patients, 246 physicians | Intervention group one: Computerized suggestions for hypertension + printed, referenced summary of the locally approved guidelines Intervention group two and three: not included in analysis of this review Control group: Usual care + printed, referenced summary of the locally approved guidelines |
N | N |
|
Wilson [27] Cluster-RCT |
moderate | 86 practices | Intervention group: Electronic referral guidelines for breast cancer + mailed referral guidelines Control group: Usual care + mailed referral guidelines |
N | N |
|
Kuilboer [30] Cluster-RCT |
high | 156,772 patients, 40 primary care physicians | Intervention group: AsthmaCritic provides patient-specific feedback for asthma and COPD + disposal of the asthma and COPD guidelines Control group: Usual care + disposal of the asthma and COPD guideline |
N | |
Y = if at least 50% of outcomes significant, N = if less than 50% of outcomes significant