Comparative Effectiveness of Team-Based Care With and Without a Clinical Decision Support System for Diabetes Management : A Cluster Randomized Trial
Authors' conclusion
Compared with team-based care alone, team-based care with a CDSS significantly reduced cardiovascular risk factors in patients with diabetes, but the effect was modest.
Study context
- Population
- Persons aged ≥50 years with uncontrolled T2D and comorbid conditions, 38 community health centers in Xiamen, China
- Participants
- 11,132 persons
- Comparison
- Team-based care with a clinical decision support system (CDSS) vs team-based care alone
- Team-based care with a CDSSn = 5,475
- Team-based care alonen = 5,657reference
- Primary endpoint
- Coprimary: mean reductions in HbA1c, low-density lipoprotein cholesterol (LDL-C) and systolic blood pressure (BP) over 18 months; proportion with all 3 risk factors controlled at 18 months
- Follow-up
- 18 months
Methodological detailscluster randomized, 38 community health centers, No usual care control; clinical outcome assessors unblinded
- Cluster randomized
- 38 community health centers
- No usual care control; clinical outcome assessors unblinded
Primary result
As reported in the abstract
Coprimary outcomes: change in HbA1c, LDL-C, systolic BP; all 3 controlled
Team-based care with a CDSS
−0.9
CI −0.9–-0.8 · percentage point (hemoglobin A1c (HbA1c) change)
Team-based care alone
−0.6
CI −0.7–-0.5 · percentage point (HbA1c change)
Between Team-based care with a CDSS and Team-based care aloneNet difference (HbA1c), percentage point (CI)
Coprimary outcomes: change in HbA1c, LDL-C, systolic BP; all 3 controlled
−0.2(−0.3 to −0.1)
Between Team-based care with a CDSS and Team-based care aloneNet difference (LDL-C), mmol/L (CI)
−6.5 mg/dL (CI, −8.3 to −4.6)
−0.17(−0.21 to −0.12)
Between Team-based care with a CDSS and Team-based care aloneNet difference (systolic BP), mm Hg (CI)
Coprimary outcomes: change in HbA1c, LDL-C, systolic BP; all 3 controlled
−1.5(−2.8 to −0.3)
Original publication
Comparative Effectiveness of Team-Based Care With and Without a Clinical Decision Support System for Diabetes Management : A Cluster Randomized Trial. Ann Intern Med. Published 6 December 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →