Int J Med Inform - To test or not: a registry-based observational study of an online decision support for prostate-specific antigen tests.

Tópicos

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Resumo

CKGROUND: Watchful waiting is an essential part in the handling of patients with prostate cancer (PC). More effective disease management may be achieved by this strategy. Correct use of prostate-specific antigen (PSA) test is crucial and the general practitioner (GP) may therefore benefit from access to a clinical decision support system (CDSS) that focuses on this challenge. There are many barriers to the use of CDSSs. The aim of the present paper is to study if such barriers may be overcome by granting GPs easier access to a web-based CDSS via a hyperlink in the GPs' electronic medical record system (EMR).METHODS: In the present population-based observational registry study with an intervention and control group, we created a web-based CDSS that was made accessible to GPs via hyperlink inserted into the EMR medical chart contents. The intervention was introduced 1 January 2011. Our outcome measure was the number of age-standardised PSA test rates per 1000 men per practice during three equally sized periods of 6 months within the study period from 1 January 2010 to 30 June 2011.RESULTS: We found that none of the differences between intervention and control groups were statistically significant.CONCLUSIONS: Providing GPs with access to a CDSS to aid their decision to use the PSA, had no measurable effect on the GPs' PSA testing behaviour.

Resumo Limpo

ckground watch wait essenti part handl patient prostat cancer pc effect diseas manag may achiev strategi correct use prostatespecif antigen psa test crucial general practition gp may therefor benefit access clinic decis support system cdss focus challeng mani barrier use cdsss aim present paper studi barrier may overcom grant gps easier access webbas cdss via hyperlink gps electron medic record system emrmethod present populationbas observ registri studi intervent control group creat webbas cdss made access gps via hyperlink insert emr medic chart content intervent introduc januari outcom measur number agestandardis psa test rate per men per practic three equal size period month within studi period januari june result found none differ intervent control group statist significantconclus provid gps access cdss aid decis use psa measur effect gps psa test behaviour

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