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

Not Applicable

Completed

• Conditions: Diabetes Mellitus; Hypertension

• Registration Number: NCT00398944
• Lead Sponsor: Société de Formation Thérapeutique du Généraliste

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.

Study Timeline

• Status Verified: 2006-11
• Study Start: 2006-11
• Study First Submitted: 2006-11-13
• Study First Submitted QC: 2006-11-13
• Study First Posted: 2006-11-14
• Primary Completion: 2008-01
• Study Completion: 2008-05
• Last Update Submitted: 2010-07-26
• Last Update Posted: 2010-07-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2715

Inclusion Criteria

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

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Patients who underwent the recommended procedures during the last 12 months	16 months

Trial Locations

Locations (1)

SFTG; 🇫🇷 Paris, France