Medical Information Systems: Assessing Impact in the Areas of Hypertension, Obesity and Renal Disease

Rogers, James L.; Haring, Olga M.; Wortman, Paul M.; Watson, Royce A.; Goetz, John P.

doi:10.1097/00005650-198201000-00005

Cited by 51 publications

(68 citation statements)

References 15 publications

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“…Reasons for inclusion Rogers et al (1982) This study describes the influence of a computerized medical record summary system in three disease areas (hypertension, obesity and renal disease) observed in the course of a controlled, randomized and prospective study of 479 Northwestern University Cardiac, Pulmonary and Renal Clinic (NUCPRC) patients. From 1,200 eligible patients, 484 were randomly selected and assigned to either the experimental or control group.…”

Section: Authormentioning

confidence: 99%

“…High risk Rogers et al (1982) stated the randomization process was performed as follows: From 1,200 eligible patients, 484 were selected and assigned to either an experimental or control group. It is not clear whether the participants were randomly selected or assigned to a group.…”

Section: Severity Of Bias Authormentioning

confidence: 99%

“…Unclear risk Rogers et al (1982) reported the number and percentage of patients who died by the end of the two-year study period or were transferred to another clinic, moved or left for unknown reasons. Differential dropout rates across conditions due to death or other reasons were not presented.…”

Section: Incomplete Outcome Data (Attrition Bias)mentioning

confidence: 99%

“…These laboratory procedures give the biomarker readings which are stated in our protocol as appropriate outcome measures for our review. Rogers et al (1982) also reports that the traditional non-computerised records used in the clinics contained an average of 1.5 pounds of notes, laboratory test outcomes, diagnoses and other information not entered over long periods of time by the physicians. This may have affected continuity of care, especially as patients were not necessarily seen by the same physician from visit to visit.…”

Section: Cahts For Cvd Managementmentioning

confidence: 99%

“…The use of computer-assisted tools to increase weight loss may consequently help to improve cardiovascular disease prevention and management. Rogers et al (1982) also found that the traditional record used in the clinics contained on average 1.5 pounds of notes, laboratory test outcomes, diagnoses and other information entered over long periods of time by different physicians. The computerized system, in addition to condensing the medical information to items that were current, legible and relevant, also provided physicians with warnings and reminders concerning good medical practices.…”

Section: Cahts For Cvd Managementmentioning

confidence: 99%

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Computer-Assisted versus Oral-and-Written History Taking for the Prevention and Management of Cardiovascular Disease: a Systematic Review of the Literature

Pappas

Všetečková

Poduval

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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A B ST R AC T Background and objectives: CVD is an important global healthcare issue; it is the leading cause of global mortality, with an increasing incidence identified in both developed and developing countries. It is also an extremely costly disease for healthcare systems unless managed effectively. In this review we aimed to: -Assess the effect of computer-assisted versus oral-and-written history taking on the quality of collected information for the prevention and management of CVD.-Assess the effect of computer-assisted versus oral-and-written history taking on the prevention and management of CVD. Methods: A systematic review of randomised controlled trials that included participants of 16 years or older at the beginning of the study, who were at risk of CVD (prevention) or were either previously diagnosed with CVD (management). We searched all major databases. We assessed risk of bias using the Cochrane Collaboration tool. Results: Two studies met the inclusion criteria. One comparing the two methods of history-taking for the prevention of cardiovascular disease n = 75. The study shows that generally the patients in the experimental group underwent more laboratory procedures, had more biomarker readings recorded and/or were given (or had reviewed), more dietary changes than the control group. The other study compares the two methods of history-taking for the management of cardiovascular disease (n = 479). The study showed that the computerized decision aid appears to increase the proportion of patients who responded to invitations to discuss CVD prevention with their doctor. The ComputerAssisted History Taking Systems (CAHTS) increased the proportion of patients who discussed CHD risk reduction with their doctor from 24% to 40% and increased the proportion who had a specific plan to reduce their risk from 24% to 37%. Discussion: With only one study meeting the inclusion criteria, for prevention of CVD and one study for management of CVD we did not gather sufficient evidence to address all of the objectives of the review. We were unable to report on most of the secondary patient outcomes in our protocol. Conclusions: We tentatively conclude that CAHTS can provide individually-tailored information about CVD prevention. However, further primary studies are needed to confirm these findings. We cannot draw any conclusions in relation to any other clinical outcomes at this stage. There is a need to develop an evidence base to support the effective development and use of CAHTS in this area of practice. In the absence of evidence on effectiveness, the implementation of computer-assisted history taking may only rely on the clinicians' tacit knowledge, published monographs and viewpoint articles.

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Section: Authormentioning

confidence: 99%

Section: Severity Of Bias Authormentioning

confidence: 99%

Section: Incomplete Outcome Data (Attrition Bias)mentioning

confidence: 99%

Section: Cahts For Cvd Managementmentioning

confidence: 99%

Section: Cahts For Cvd Managementmentioning

confidence: 99%

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