Evidence map›Paper›PMID 27194173›Full record

ReviewDiabetic medicine : a journal of the British Diabetic Association2016

Outpatient diabetes clinical decision support: current status and future directions.

P J O'Connor, J M Sperl-Hillen, C J Fazio, B M Averbeck, B H Rank, K L Margolis

Registry-linked trialAbstract readReview
In one paragraph

Review in Diabetic medicine : a journal of the British Diabetic Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01420016 (Prioritized Clinical Decision Support), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01420016 nacompletednot on this map

Prioritized Clinical Decision Support (CDS) to Reduce Cardiovascular Risk

TypeinterventionalSponsorHealthPartners InstituteRan2012 to 2014Enrolled7,914ConditionsHypertension, Hyperlipidemia, Diabetes, SmokingArmsPrioritized Clinical Decision Support
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Observational
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

P J O'ConnorCenter for Chronic Care Innovation, Minneapolis, MN, USA.
J M Sperl-HillenCenter for Chronic Care Innovation, Minneapolis, MN, USA.
C J FazioHealthPartners, Minneapolis, MN, USA.
B M AverbeckHealthPartners, Minneapolis, MN, USA.
B H RankHealthPartners, Minneapolis, MN, USA.
K L MargolisCenter for Chronic Care Innovation, Minneapolis, MN, USA.

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
Reducing CV Risk in Prediabetes Patients Using EHR-Based Decision SupportR01HL128614 · NHLBI · HEALTHPARTNERS INSTITUTE · PI DESAI, JAY R, O'CONNOR, PATRICK J · 2015 to 2019
$3.7M
Prioritized Clinical Decision Support to Reduce Cardiovascular RiskR01HL102144 · NHLBI · HEALTHPARTNERS INSTITUTE · PI O'CONNOR, PATRICK J · 2010 to 2014
$3.7M
EHR-Based Clinical Decision Support to Improve BP Management in AdolescentsR01HL115082 · NHLBI · HEALTHPARTNERS INSTITUTE · PI KHARBANDA, ELYSE OLSHEN · 2012 to 2016
$2.9M
NHLBI NIH HHS R01 HL102144NHLBI NIH HHS R01 HL115082NHLBI NIH HHS R01 HL128614NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

Outpatient clinical decision support systems have had an inconsistent impact on key aspects of diabetes care. A principal barrier to success has been low use rates in many settings. Here, we identify key aspects of clinical decision support system design, content and implementation that are related to sustained high use rates and positive impacts on glucose, blood pressure and lipid management. Current diabetes clinical decision support systems may be improved by prioritizing care recommendations, improving communication of treatment-relevant information to patients, using such systems for care coordination and case management and integrating patient-reported information and data from remote devices into clinical decision algorithms and interfaces.

Indexed as

AlgorithmsAmbulatory CareDecision Support Systems, ClinicalDiabetes MellitusDiffusion of InnovationForecastingHealth PrioritiesHumansInservice TrainingLeadershipPatient Care TeamQuality ImprovementWorkflow

Identifiers

PMID27194173
PMCPMC5642968

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.