Document Detail

A systematic review of the use of computers in the management of hypertension.
MedLine Citation:
PMID:  9876364     Owner:  NLM     Status:  MEDLINE    
STUDY OBJECTIVE: To assess the effect of computers and computer-based clinical decision support systems on the management of hypertension. DESIGN: Systematic review of randomised controlled trials. SETTING: Ambulatory hypertension clinics, community-based health centres, and general practices. PARTICIPANTS: 11,962 patients enrolled in seven trials retrieved from a systematic search (electronic databases, contact with authors, reference lists; no restriction on language). MAIN RESULTS: Individual trials report on a diverse population of patients (newly diagnosed or established hypertensive patients), interventions (computers used for case finding, recall and registration, feedback on quality of blood pressure control and prescribing information), and outcomes (administration, physician performance and blood pressure control). Four of five trials reported an improvement in patient administration using a computer. Two of three trials reported an improvement in physician performance using a computer. Two of six trials. reported an improvement in blood pressure control in patients using a computer. However, positive findings in two trials should be regarded cautiously because of the potential effects of cluster randomisation. CONCLUSIONS: It seems that computers have a favourable effect on the uptake and follow up of patients in hypertension management. The effect of computers on physician knowledge, recording of information, and blood pressure control in patients is less conclusive and further studies are required.
A A Montgomery; T Fahey
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  52     ISSN:  0143-005X     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1999-01-12     Completed Date:  1999-01-12     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  520-5     Citation Subset:  IM    
Division of Primary Health Care, University of Bristol.
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MeSH Terms
Decision Making, Computer-Assisted
Decision Support Systems, Clinical / statistics & numerical data*
Great Britain
Hypertension / diagnosis*,  prevention & control
Randomized Controlled Trials as Topic
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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