PMID: 9431333Feb 7, 1998Paper

Effect of linking practice data to published evidence. A randomized controlled trial of clinical direct reports

Medical Care
E A BalasK Stephenson

Abstract

The purpose of this study was to evaluate the effect of clinical direct reports (practice data with pertinent evidence from the literature) on dialysis modality selection for patients with end-stage renal disease. A randomized controlled clinical trial was conducted at five dialysis centers. Five of the 10 physician participants were assigned through centralized computerized randomization to the intervention group (who received 12 center-specific clinical direct reports encouraging the consideration of peritoneal dialysis), and five were assigned to the control group, who received usual information but no similar report. One hundred fifty-two patients were eligible for monitoring. The number of patients allocated to peritoneal dialysis was significantly higher in the intervention group than in the control group (15.3% versus 2.4%; P = 0.044). Due to a need for transient initial hemodialysis by some patients, the percentage of patients receiving peritoneal dialysis further increased through the end of the 3-month follow-up (18.0% versus 4.9%, P = 0.041). There were no significant differences between the intervention and control groups in meeting patient preferences, metabolic status, and complication rates. The results of this s...Continue Reading

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Citations

Jan 29, 2002·International Journal of Nursing Practice·M Johnson, R Griffiths
Feb 24, 2001·The Journal of Ambulatory Care Management·S A Boren, E A Balas
Nov 7, 2000·The Journal of Ambulatory Care Management·C SchraederP Shelton
Sep 22, 2001·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·K L Strom
May 18, 2006·Annual Review of Microbiology·Xiaorong Lin, Joseph Heitman
Mar 2, 2010·International Journal of Medical Informatics·Sabine N van der VeerKitty J Jager
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman
Jun 4, 2008·Medical Care·Aaron W CalhounAdrienne G Randolph
Apr 1, 2017·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Bikaramjit S MannRobert R Quinn
Aug 11, 2001·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·V M Montori, S A Smith
Feb 16, 2002·Journal of the American Podiatric Medical Association·Anne-Maree Keenan, Anthony C Redmond

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