Impact of a Computerized Guidelines on the Management of Hypertension and Diabetes

NCT ID: NCT00398944

Last Updated: 2010-07-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 2715 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-11-30
• Study Completion Date: 2008-05-31

Brief Summary

The purpose is to determine wether an electronic decision support system based on national guidelines is effective to improve the follow-up and the treatment of two conditions: hypertension and diabetes, in primary care practices.

Detailed Description

Existing computer-based ordering systems for physicians provide drug-centred checks but offer little assistance for optimizing the overall patient-centred treatment strategy.

The ASTI project aims :

1. to design a guideline-based decision support system for diabetic and/or hypertensive patients, to help general practitioners :

1. to carry out procedures (clinical and biological tests) according to guidelines (the recommended procedure at the recommended moment), and to get a synthetic view of all the elements they need to follow-up the patient

2. to avoid prescription errors and to improve compliance with therapeutic guidelines. The " critic mode " operates as a background process and corrects the physician's prescription on the basis of automatically triggered elementary rules that account for isolated guideline recommendations. The " guided mode " directs the physician to the best treatment by browsing a comprehensive guideline knowledge base represented as a decision tree.

2. To measure the impact of ASTI when it is implemented with an electronic medical record system. We adopt a randomized design, with the practice as the unit of randomization.

Conditions

Diabetes Mellitus; Hypertension

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Blinding Strategy: NONE

Interventions

Evaluation of the impact of a guideline based computerized decision support system.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Hypertension
• Mellitus diabetes
• Follow-up by GP's

• Minimum Eligible Age: 25 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Société de Formation Thérapeutique du Généraliste

OTHER

Sponsor Role: lead

Responsible Party

Société de Formation Thérapeutique du Généraliste

Principal Investigators

Hector FALCOFF

Role: PRINCIPAL_INVESTIGATOR

Société de Formation Thérapeutique du Généraliste

Locations

SFTG

Paris, , France

Countries

France

References

Seroussi B, Bouaud J, Dreau H, Falcoff H, Riou C, Joubert M, Simon C, Simon G, Venot A. ASTI: a guideline-based drug-ordering system for primary care. Stud Health Technol Inform. 2001;84(Pt 1):528-32.

Reference Type: BACKGROUND

PMID: 11604796 (View on PubMed)

Other Identifiers

SFTG1968A

Identifier Type: -

Identifier Source: org_study_id