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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