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The role of Decision Support System (DSS) in prevention of cardiovascular disease: a systematic review and meta-analysis
- Source :
- PLoS ONE, Vol 7, Iss 10, p e47064 (2012), PLoS ONE, Anchala, R, Pinto, M P, Shroufi, A, Chowdhury, R, Sanderson, J, Johnson, L, Blanco, P, Prabhakaran, D & Franco, O H 2012, ' The Role of Decision Support System (DSS) in Prevention of Cardiovascular Disease : A Systematic Review and Meta-Analysis ', PLoS ONE, vol. 7, no. 10, e47064 . https://doi.org/10.1371/journal.pone.0047064, PLoS One (print), 7(10). Public Library of Science
- Publication Year :
- 2012
- Publisher :
- Public Library of Science (PLoS), 2012.
-
Abstract
- BackgroundThe potential role of DSS in CVD prevention remains unclear as only a few studies report on patient outcomes for cardiovascular disease.Methods and ResultsA systematic review and meta-analysis of randomised controlled trials and observational studies was done using Medline, Embase, Cochrane Library, PubMed, Amed, CINAHL, Web of Science, Scopus databases; reference lists of relevant studies to 30 July 2011; and email contact with experts. The primary outcome was prevention of cardiovascular disorders (myocardial infarction, stroke, coronary heart disease, peripheral vascular disorders and heart failure) and management of hypertension owing to decision support systems, clinical decision supports systems, computerized decision support systems, clinical decision making tools and medical decision making (interventions). From 4116 references ten studies met our inclusion criteria (including 16,312 participants). Five papers reported outcomes on blood pressure management, one paper on heart failure, two papers each on stroke, and coronary heart disease. The pooled estimate for CDSS versus control group differences in SBP (mm of Hg) was - 0.99 (95% CI −3.02 to 1.04 mm of Hg; I2 = 0; p = 0.851).ConclusionsDSS show an insignificant benefit in the management and control of hypertension (insignificant reduction of SBP). The paucity of well-designed studies on patient related outcomes is a major hindrance that restricts interpretation for evaluating the role of DSS in secondary prevention. Future studies on DSS should (1) evaluate both physician performance and patient outcome measures (2) integrate into the routine clinical workflow with a provision for decision support at the point of care.
- Subjects :
- Decision support system
Decision Analysis
Non-Clinical Medicine
Epidemiology
Economics
Health Care Providers
Myocardial Infarction
lcsh:Medicine
Coronary Artery Disease
030204 cardiovascular system & hematology
Cochrane Library
Cardiovascular
Social and Behavioral Sciences
Computer Applications
Disease Informatics
Coronary artery disease
0302 clinical medicine
030212 general & internal medicine
Health Systems Strengthening
10. No inequality
lcsh:Science
Information Science
Evidence-Based Medicine
Multidisciplinary
3. Good health
Cardiovascular Diseases
Meta-analysis
Hypertension
Medicine
Health Services Research
Public Health
Information Technology
Research Article
Operations Research
medicine.medical_specialty
Systematic Reviews
Clinical Research Design
education
MEDLINE
Health Informatics
Clinical decision support system
03 medical and health sciences
SDG 3 - Good Health and Well-being
Diagnostic Medicine
medicine
Humans
Intensive care medicine
Primary Care
Preventive healthcare
Heart Failure
Health Care Policy
business.industry
lcsh:R
Decision Support Systems, Clinical
medicine.disease
Computer Science
Observational study
lcsh:Q
Preventive Medicine
Meta-Analyses
business
Computer-Assisted Instruction
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 7
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....bbaac27738033795b2a7acba1623d55d