Computerized Guidelines Enhanced by Symptoms and History: Clinical Effects
1 other identifier
interventional
1,000
1 country
3
Brief Summary
Physician compliance with practice guidelines is imperfect. Computer-generated reminders from electronic medical record systems have been shown to increase compliance with guidelines, but they often require symptom and history data, which limits computer facilitation. Heart failure is a serious condition for which compliance with established guidelines is suboptimal. Physicians� compliance with heart failure guidelines may improve if such reminders use symptom and history data.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable heart-failure
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Completion
Last participant's last visit for all outcomes
February 1, 2001
CompletedFirst Submitted
Initial submission to the registry
March 14, 2001
CompletedFirst Posted
Study publicly available on registry
March 16, 2001
CompletedApril 7, 2015
February 1, 2007
March 14, 2001
April 6, 2015
Conditions
Study Arms (1)
Arm 1
OTHERInterventions
Eligibility Criteria
You may qualify if:
- Left ventricular systolic dysfunction by echocardiogram or cardiac MUGA scan and the outpatient diagnosis of heart failure and the primary care physician's statement that he or she is actively treating the patient for heart failure.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Richard L. Roudebush VA Medical Center, Indianapolis, IN
Indianapolis, Indiana, 46202-2884, United States
Durham VA Medical Center, Durham, NC
Durham, North Carolina, 27705, United States
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Seattle, Washington, 98108, United States
Related Publications (2)
Subramanian U, Fihn SD, Weinberger M, Plue L, Smith FE, Udris EM, McDonell MB, Eckert GJ, Temkit M, Zhou XH, Chen L, Tierney WM. A controlled trial of including symptom data in computer-based care suggestions for managing patients with chronic heart failure. Am J Med. 2004 Mar 15;116(6):375-84. doi: 10.1016/j.amjmed.2003.11.021.
PMID: 15006586RESULTUdris EM, Au DH, McDonell MB, Chen L, Martin DC, Tierney WM, Fihn SD. Comparing methods to identify general internal medicine clinic patients with chronic heart failure. Am Heart J. 2001 Dec;142(6):1003-9. doi: 10.1067/mhj.2001.119130.
PMID: 11717604RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
William M. Tierney, MD
Richard L. Roudebush VA Medical Center, Indianapolis, IN
- PRINCIPAL INVESTIGATOR
Stephan D. Fihn, MD MPH
VA Puget Sound Health Care System Seattle Division, Seattle, WA
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 14, 2001
First Posted
March 16, 2001
Study Completion
February 1, 2001
Last Updated
April 7, 2015
Record last verified: 2007-02