Electronic Decision Support for Management of CKD in Primary Care: A Pragmatic Randomized Trial.

ABSTRACT:

Rationale & objective

Most adults with chronic kidney disease (CKD) in the United States are cared for by primary care providers (PCPs). We evaluated the feasibility and preliminary effectiveness of an electronic clinical decision support system (eCDSS) within the electronic health record with or without pharmacist follow-up to improve the management of CKD in primary care.

Study design

Pragmatic cluster-randomized trial.

Setting & participants

524 adults with confirmed creatinine-based estimated glomerular filtration rates of 30 to 59mL/min/1.73m² cared for by 80 PCPs at the University of California San Francisco. Electronic health record data were used for patient identification, intervention deployment, and outcomes ascertainment.

Interventions

Ea

SUBMITTER: Peralta CA 

PROVIDER: S-EPMC7606321 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature