Condition category
Circulatory System
Date applied
20/12/2005
Date assigned
20/12/2005
Last edited
11/05/2009
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

http://www.cardss.nl

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

http://www.hartstichting.nl/go/

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

  1. 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.

Additional files

Editorial Notes