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Table 2 CDSS characteristics and summary of results

From: The effect of computerized decision support systems on cardiovascular risk factors: a systematic review and meta-analysis

  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 + + +/−
  1. 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