Assessing the Effectiveness of Concurrent Peer Review for Patients With Cardiovascular Disease and Diabetes
Concurrent Peer Review Visits to Reduce Cardiovascular Risk Factors
1 other identifier
interventional
727
1 country
1
Brief Summary
We will assess the impact of concurrent peer review vists on blood pressure, cholesterol and diabetes control. Concurrent peer review (CPR) visits refer to special offic visits by patients to a clinician (physician, nurse practitioner, or physician assistant) other than than their primary care provider that are specifically designed to improve care for diabetes and cardiovascular disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable cardiovascular-diseases
Started Dec 2006
Typical duration for not_applicable cardiovascular-diseases
1 active site
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 Start
First participant enrolled
December 1, 2006
CompletedFirst Submitted
Initial submission to the registry
July 25, 2007
CompletedFirst Posted
Study publicly available on registry
July 27, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2010
CompletedOctober 14, 2013
October 1, 2013
3.5 years
July 25, 2007
October 10, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean change in blood pressure, glycated hemoglobin, and LDL-cholesterol between baseline and follow-up
7 months
Secondary Outcomes (1)
Use of aspirin, ACE inhibiters/ARBs (diabetic patients), pneumonia vaccine updated, diabetic foot exam, diabetic microalbumuria check, retinal exam, smoking cessation counseling, dental visit, and self management goal
one year
Study Arms (2)
Control
ACTIVE COMPARATORusual care
Concurrent Peer Review Visit
EXPERIMENTALSee description of interventioin
Interventions
Participants are offered an office visit with a peer of their clinician primary clinician. This office visit is structured and focused on blood pressure, diabetic, and/or lipid control with decision support available at point of care
Eligibility Criteria
You may qualify if:
- Active patient at Westside Health Services.
- Currently enrolled in the Health Disparities Collaborative at WHS.
- At least one visit to primary care provider in past year.
- Any of the following documented during the preceding three months:
- BP not at goal e,g. (BP 140/80 or greater unless has DM, CAD or CRI then BP greater than 130/80), LDL-C not at goal (level dependent on absolute ATP III CVD risk) or glycated hemoglogin 7 percent or higher
You may not qualify if:
- Less than 18 years of age
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Rochesterlead
- Robert Wood Johnson Foundationcollaborator
Study Sites (1)
Westside Health Services, Inc
Rochester, New York, 14611, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Kevin Fiscella, MD, MPH
University of Rochester
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Tenured Professor
Study Record Dates
First Submitted
July 25, 2007
First Posted
July 27, 2007
Study Start
December 1, 2006
Primary Completion
June 1, 2010
Study Completion
June 1, 2010
Last Updated
October 14, 2013
Record last verified: 2013-10