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Table 3 Raw counts of preventive care reminders delivered by the cloud-based CDSC rules and the locally-crafted CARE rules

From: Measuring agreement between decision support reminders: the cloud vs. the local expert

Reminder

Both rules

CDSC rule, not CARE

CARE rule, not CDSC

Neither rule

P0

 

N

N

N

N

 
 

(%)

(%)

(%)

(%)

 

1. Overdue for A1c

85 (21%)

20 (5%)

7 (72%)

293

0.93

2. Almost due for A1c

11 (3%)

1 (<1%)

2 (97%)

391

0.99

3. Recent A1c was over 8

4 (1%)

4 (1%)

15 (4%)

382 (94%)

0.95

4. Due for microalbumin screening

110 (27%)

15 (4%)

32 (8%)

248 (61%)

0.88

5. Renal disease, consider ACE inhibitor

12 (3%)

34 (8%)

44 (11%)

315 (78%)

0.81

6. Renal disease, contraindications for ACE inhibitor, consider ARB

1 (<1%)

0 (0%)

3 (1%)

401 (99%)

0.99

7. Due for eye exam

204 (50%)

12 (3%)

8 (2%)

181 (45%)

0.95

8. Due for foot exam

140 (35%)

27 (7%)

7 (2%)

231 (57%)

0.92

9. Due for blood pressure

84 (21%)

127 (31%)

9 (2%)

185 (46%)

0.66

10. CAD, consider anti-platelet

35 (9%)

8 (2%)

72 (18%)

290 (72%)

0.80

11. CAD, consider anti-platelet, but contraindications exist

2 (<1%)

29 (7%)

2 (<1%)

372 (92%)

0.92

  1. P0 = observed agreement, the proportion of times both CDSC rule and CARE rule agreed. A1C = Hemoglobin A1C. ACE Inhibitor = Angiotensin converting enzyme inhibitor. ARB = Angiotensin receptor blocker. CAD = Coronary artery disease.