From the USA: EHR-Based Algorithm Does Not Cut Hospitalization in Kidney Dysfunction Triad

For patients with the triad of chronic kidney disease, type 2 diabetes, and hypertension, the use of an electronic health record-based algorithm and intervention does not result in reduced hospitalization at one year, according to a study published in the April 4 issue of the New England Journal of Medicine.

Miguel A. Vazquez, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues conducted an open-label, cluster-randomized trial involving 11,182 patients with the kidney-dysfunction triad treated at 141 primary care clinics to receive an intervention using a personalized algorithm (based on the electronic health record and practice facilitators to assist providers in delivery of guideline-based interventions) or to receive usual care. Seventy-one practices with 5,690 patients were assigned to the intervention group, and 70 practices with 5,492 patients were assigned to the usual-care group.

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