Contact information
Type
Scientific
Primary contact
Dr N Peek
ORCID ID
Contact details
Academic Medical Centre
UvA
Department of Medical Informatics
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands
n.b.peek@amc.uva.nl
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
NTR246
Study information
Scientific title
Monitoring and improving guideline adherence by an electronic decision support system: a multicentre cluster randomised trial
Acronym
CARDSS
Study hypothesis
Care providers are more likely to adhere to clinical practice guidelines when they receive guideline-based decision support by an electronic system.
Ethics approval
Received from local medical ethics committee
Study design
Multicentre, randomised, active controlled, parallel group trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Diagnostic
Patient information sheet
Condition
Heart Disease, cardiac rehabilitation
Intervention
Randomisation takes place at cluster (centre) level. The participating cardiac rehabilitation centres will either work with an intervention version of the DSS, having full functionality with advice, or with a control version, which comprises patient records and information management services but provides no advice regarding clinical decisions. The system is based on the Dutch Cardiac Rehabilitation Guidelines 2004.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measures
Adherence, by care providers, to the Dutch Cardiac Rehabilitation Guidelines.
Secondary outcome measures
No secondary outcome measures
Overall trial start date
01/01/2005
Overall trial end date
01/01/2006
Reason abandoned
Eligibility
Participant inclusion criteria
The decision support system (DSS) can be used at all Dutch cardiac rehabilitation (CR) centres. These centres treat patients after acute coronary syndromes, patients with angina pectoris, heart failure, and/or congenital heart disease, and patients who have undergone cardiac surgery, percutaneous transluminal coronary angioplasty, or heart transplant surgery, or have received an implantable cardioverter defibrillator.
Participant type
Patient
Age group
Not Specified
Gender
Not Specified
Target number of participants
5000
Participant exclusion criteria
The system should be used on a routine basis in the participating CR centres, for all patients that are screened for CR no patients are excluded.
Recruitment start date
01/01/2005
Recruitment end date
01/01/2006
Locations
Countries of recruitment
Netherlands
Trial participating centre
Academic Medical Centre, UvA
Amsterdam
1105 AZ
Netherlands
Sponsor information
Organisation
Netherlands Heart Foundation (Nederlandse Hartstichting) (Netherlands)
Sponsor details
P.O. Box 300
Den Haag
2501 CH
Netherlands
+31 (0)70 315 5555
info@hartstichting.nl
Sponsor type
Charity
Website
Funders
Funder type
Research organisation
Funder name
The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
Publication summary
2006 results in http://www.ncbi.nlm.nih.gov/pubmed/19398471
Publication citations
-
Results
Goud R, de Keizer NF, ter Riet G, Wyatt JC, Hasman A, Hellemans IM, Peek N, Effect of guideline based computerised decision support on decision making of multidisciplinary teams: cluster randomised trial in cardiac rehabilitation., BMJ, 2009, 338, b1440.