The Role of Decision Support System (DSS) in Prevention of Cardiovascular Disease: A Systematic Review and Meta-Analysis

R Anchala; MP Pinto; A Shroufi; R Chowdhury; J Sanderson; L Johnson; P Blanco; D Prabhakaran; OH Franco Duran

doi:10.1371/journal.pone.0047064

The Role of Decision Support System (DSS) in Prevention of Cardiovascular Disease: A Systematic Review and Meta-Analysis

R Anchala, MP Pinto, A Shroufi, R Chowdhury, J Sanderson, L Johnson, P Blanco, D Prabhakaran, OH Franco Duran

Epidemiology

Research output: Contribution to journal › Article › Academic › peer-review

44 Citations (Scopus)

50 Downloads (Pure)

Abstract

Background: The potential role of DSS in CVD prevention remains unclear as only a few studies report on patient outcomes for cardiovascular disease. Methods and Results: A 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 hypert Conclusions: DSS 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

Original language	Undefined/Unknown
Journal	PLoS One (print)
Volume	7
Issue number	10
DOIs	https://doi.org/10.1371/journal.pone.0047064
Publication status	Published - 2012

Research programs

EMC NIHES-01-64-01

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pone.0047064

journal.pone.0047064.pdfOther version, 310 KB
72791.pdfFinal published version, 310 KB

http://hdl.handle.net/1765/72791

Cite this

@article{b17455a22c0f4ef2a920e24ee7c598a8,

title = "The Role of Decision Support System (DSS) in Prevention of Cardiovascular Disease: A Systematic Review and Meta-Analysis",

abstract = "Background: The potential role of DSS in CVD prevention remains unclear as only a few studies report on patient outcomes for cardiovascular disease. Methods and Results: A 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 hypert Conclusions: DSS 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",

author = "R Anchala and MP Pinto and A Shroufi and R Chowdhury and J Sanderson and L Johnson and P Blanco and D Prabhakaran and {Franco Duran}, OH",

year = "2012",

doi = "10.1371/journal.pone.0047064",

language = "Undefined/Unknown",

volume = "7",

journal = "PLoS One (print)",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "10",

}

TY - JOUR

T1 - The Role of Decision Support System (DSS) in Prevention of Cardiovascular Disease: A Systematic Review and Meta-Analysis

AU - Anchala, R

AU - Pinto, MP

AU - Shroufi, A

AU - Chowdhury, R

AU - Sanderson, J

AU - Johnson, L

AU - Blanco, P

AU - Prabhakaran, D

AU - Franco Duran, OH

PY - 2012

Y1 - 2012

N2 - Background: The potential role of DSS in CVD prevention remains unclear as only a few studies report on patient outcomes for cardiovascular disease. Methods and Results: A 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 hypert Conclusions: DSS 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

AB - Background: The potential role of DSS in CVD prevention remains unclear as only a few studies report on patient outcomes for cardiovascular disease. Methods and Results: A 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 hypert Conclusions: DSS 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

U2 - 10.1371/journal.pone.0047064

DO - 10.1371/journal.pone.0047064

M3 - Article

C2 - 23071713

SN - 1932-6203

VL - 7

JO - PLoS One (print)

JF - PLoS One (print)

IS - 10

ER -