Table 2.
CDSS characteristics and summary of results
| CDSS characteristics | Outcomes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Author | Risk factor summary | Risk calculator/ score | Target support | Medication support | Prompting/reminders | Other | Technical basis | Clinical outcome | |||
| On target | Favours CDSS | Mean | Favours CDSS | ||||||||
| Patients with an indication for CVRM | |||||||||||
| Anchala et. al, 2015 [65] | + | + | + | + | + | CDSS training | EHR | BP | + | ||
| Hicks et al., 2008 [66] | + | – | + | + | + | EHR | BP | +/− | |||
| Montgomery et. al, 2000 [67] | + | + | – | – | – | Training of nurse practitioners | EHR | BP | +/− | ||
| Roumie et.al, 2006 [68] | + | – | + | – | + | Weblink to JNC-7. All PCP’s received education | Computer sign-on alert | BP | +/− | BP | +/− |
| Eaton et.al, 2011 [69] | + | – | + | + | – | Computer kiosk with patient activating software | PDA | LDL-c | + | ||
| Gill et.al, 2009 [70] | + | – | + | + | + | EHR | LDL-c | +/− | +/− | ||
| Lester et al, 2006 [71] | + | – | + | + | + | EHR | LDL-c | +/− | |||
| Patients with type II diabetes | Patients with type II diabetes | ||||||||||
| Ali et.al, 2016 [19, 72] | + | – | – | – | + | Support by non-physician care coordinators. Patient focused. Web |
HbA1c LDL-c BP |
+ + + |
HbA1c LDL-c BP |
+ + + |
|
| Cleveringa et.al, 2008 [73] | + | – | + | + | – | Feedback every 3 months on target attainment to physician and patient | NR |
HbA1c BP LDL-c |
+ + + |
HbA1c |
+/− + + |
| Glasgow et.al, 2005 [74] | + | – | – | – | – | Development of self-management action plan | CD-ROM | HbA1c | +/− | ||
| Grant et.al, 2008 [75] | + | – | + | + | – | Questions enabling patient empowerment Patient focused | EHR | HbA1c | +/− | HbA1c | +/− |
| Holbrook et.al, 2009 [76] | + | – | + | – | – | Patient focused | Web | HbA1c | +/− | ||
| Ilag et.al, 2003 [77] | + | – | +/− | + | – | Reviewed by a nurse, advice emailed to PCP and entered into EHR | EHR | HbA1c | +/− |
HbA1c BP LDL-c |
+/− +/− +/− |
| Maclean et.al, 2009 [78] | + | – | – | – | + (by fax) | Fax |
HbA1c LDL-c |
- +/− |
HbA1c LDL-c |
+/− +/− |
|
| Mathers et.al, 2012 [79] | + | – | – | + | – | PDA training. Probabilities of outcome. Patient value clarification | PDA | HbA1c | +/− | ||
| Meigs et.al, 2003 [80] | + | – | + | + | – | Single screen view | EHR |
HbA1c BP LDL-c |
+/− - +/− |
HbA1c BP LDL-c |
- +/− +/− |
| O’connor et.al, 2011 [81] | + | – | + | + | – | Training of nurses and physician. Reimbursement ($500–800) | EHR |
HbA1c BP LDL-c |
+/− + +/− |
HbA1c BP LDL-c |
+ + +/− |
EHR electronical health record, PCP primary care practice, PDA personal digital assistant, BP blood pressure, LDL-c low-density lipoprotein cholesterol, HbA1c glycated hemoglobin, JNC Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure