News | Clinical Decision Support | December 07, 2022

Computerized Decision Support System Helps to Reduce Cardiovascular Risk Factors in Patients with Diabetes

Uncontrolled hyperglycemia, hypercholesterolemia, and hypertension are common in people with diabetes

Getty Images


December 7, 2022 —  Compared with team-based care alone, the addition of a computerized clinical decision support system (CDSS) significantly reduced cardiovascular risk factors in patients with diabetes. These findings may have important public health and clinical significance in low- and middle-income countries where there is a lack of diabetes specialists to manage patients. The findings are published in Annals of Internal Medicine. 

Diabetes has become a major public health challenge in low- and middle-income countries and patients with diabetes often have multiple comorbid conditions such as obesity, hypertension, dyslipidemia, and cardiovascular disease (CVD). A major barrier to care in these countries is the insufficient number of diabetes specialists. A CDSS that helps health care providers implement protocol-based treatment could improve both adherence to clinical guidelines and clinical outcomes. 

Researchers from the First Affiliated Hospital of Xiamen university, Xiamen, China and Tulane University School of Public Health and Tropical Medicine randomly assigned 38 community health centers to either team-based care with a CDSS or team-based care alone interventions. A total of 11,132 individuals aged ≥50 years with uncontrolled type 2 diabetes and comorbidities were enrolled to compare the effectiveness of CDSS for controlling glycemia, lipids, and blood pressure. The CDSS was fully integrated with team-based care to help primary care physicians and health coaches make decisions about care based on clinical guidelines. During the 18-month intervention, the authors found that patients in the CDSS group had significantly but modestly lower HbA1C levels, LDL-C levels, and systolic BP than those at centers without a computerized CDSS. This system could help to solve real-world issues in diabetes management by helping health care providers without sufficient training in diabetes care manage patients. According to the authors, these findings support widespread adoption of this implementation strategy in community primary care settings in China and other low- and middle-income countries to reduce CVD risk among patients with diabetes. 


Related Content

News | Heart Failure

June 7, 2024 — Calcific aortic valve disease (CAVD) is the major heart valve disease that afflicts nearly 10 million ...

Home June 07, 2024
Home
News | Heart Failure

June 7, 2024 — BioCardia, Inc., a company focused on cellular and cell-derived therapeutics for the treatment of ...

Home June 07, 2024
Home
News | Heart Failure

May 28, 2024 — Yoga focused on breathing, meditation, and relaxation is linked with symptom improvement in patients with ...

Home May 28, 2024
Home
News | Heart Failure

May 22, 2024 — New research from The Cooper Institute and partners at University of Texas (UT) Southwestern Medical ...

Home May 22, 2024
Home
News | Heart Failure

April 30, 2024 — A multicenter study led by Vanderbilt University Medical Center (VUMC) and Lipscomb University College ...

Home April 30, 2024
Home
News | Heart Failure

April 16, 2024 — Each year more than 500,000 Americans undergo percutaneous coronary intervention, or PCI, a minimally ...

Home April 16, 2024
Home
News | Heart Failure

April 12, 2024 — University of Virginia School of Medicine researchers have discovered a gene on the Y chromosome that ...

Home April 12, 2024
Home
News | Heart Failure

April 2, 2024 — People who use e-cigarettes are significantly more likely to develop heart failure compared with those ...

Home April 02, 2024
Home
News | Heart Failure

March 29, 2024 — V-Wave announced it will present late-breaking data from its RELIEVE-HF pivotal trial at the American ...

Home March 29, 2024
Home
News | Heart Failure

March 25, 2024 — A team of engineers led by the University of Massachusetts Amherst and including colleagues from the ...

Home March 25, 2024
Home
Subscribe Now