Adrenal disease

Best Practice Alert to Promote Screening for Primary Aldosteronism Among People With Apparent Treatment-Resistant Hypertension

Endocr PractPublished Before-and-after study

Authors' conclusion

Implementation of a real-time electronic health record BPA doubled the screening rate for PA among people with aTRH; however, the overall screening rate was low.

Study context

Population
People with apparent treatment-resistant hypertension (aTRH) attending office visits at ambulatory primary care, endocrinology, nephrology and cardiology clinics
Participants
11,463 vs 10,944
Comparison
Post-BPA vs pre-BPA implementation
  • Post-BPAn = 11,463
  • Pre-BPAn = 10,944reference
Outcome
PA screening rates
Follow-up
12 months before vs after BPA implementation
Methodological detailsquality improvement, noninterruptive electronic health record Best Practice Alert, ambulatory primary care, endocrinology, nephrology and cardiology clinics
  • Quality improvement
  • Noninterruptive electronic health record Best Practice Alert
  • Ambulatory primary care, endocrinology, nephrology and cardiology clinics

Main finding

As reported in the abstract

PA screening orders placed
  • Significant increase in primary aldosteronism (PA) screening orders placed after Best Practice Alert (BPA) implementation
  • Post-BPA vs Pre-BPA: P < 0.001

Further findings

Positive PA screening tests

P = 0.447

PA screening labs performed · 12 months before vs after BPA implementation · significant increase after BPA implementation
P < 0.001

PA screening labs performed · 12 months before vs after BPA implementation

Significant increase in PA screening labs performed after BPA implementation

Original publication

Best Practice Alert to Promote Screening for Primary Aldosteronism Among People With Apparent Treatment-Resistant Hypertension. Endocr Pract. Published 26 April 2024. doi:10.1016/j.eprac.2024.04.014

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