MedPage Today March 15, 2024
Elizabeth Short

— Greater reduction in systolic BP over usual care in randomized trial

A computerized clinical decision support (CDS) tool for primary care helped lower blood pressure (BP) in patients with chronic kidney disease (CKD) and uncontrolled hypertension, a cluster-randomized trial found.

When primary care practitioners (PCPs) were randomized to a CDS system instead of usual care, there was a modestly better reduction in average systolic BP among patients 6 months later (-14.6 vs -11.7 mm Hg, P=0.005), reported researchers led by Lipika Samal, MD, MPH, of Brigham and Women’s Hospital in Boston, in JAMA Internal Medicine.

More patients in the intervention group also received an action aligned with CDS recommendations than those in the usual-care group (49.9% vs 34.6%, P<0.001)....

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