Cited by 41Electronic Health Records SystemsLipoproteins and Cardiovascular HealthMedication Adherence and Compliance

Effect of health information technology interventions on lipid management in clinical practice: A systematic review of randomized controlled trials

Aspry, Karen E., Furman, Roy, Karalis, Dean G., Jacobson, Terry A., Zhang, Audrey M., Liptak, Gregory S., Cohen, Jerome D.·2013·Journal of Clinical Lipidology

Abstract

Background Large gaps in lipid treatment and medication adherence persist in high-risk outpatients in the United States. Health information technology (HIT) is being applied to close quality gaps in chronic illness care, but its utility for lipid management has not been widely studied.Objective To perform a qualitative review of the impact of HIT interventions on lipid management processes of care (screening or testing; drug initiation, titration or adherence; or referrals) or clinical outcomes (percent at low density lipoprotein cholesterol goal; absolute lipid levels; absolute risk scores; or cardiac hospitalizations) in outpatients with coronary heart disease or at increased risk.Methods PubMed and Google Scholar databases were searched using Medical Subject Headings related to clinical informatics and cholesterol or lipid management. English language articles that described a randomized controlled design, tested at least one HIT tool in high risk outpatients, and reported at least 1 lipid management process measure or clinical outcome, were included.Results Thirty-four studies that enrolled 87,874 persons were identified. Study ratings, outcomes, and magnitude of effects varied widely. Twenty-three trials reported a significant positive effect from a HIT tool on lipid management, but only 14 showed evidence that HIT interventions improve clinical outcomes. There was mixed evidence that provider-level computerized decision support improves outcomes. There was more evidence in support of patient-level tools that provide connectivity to the healthcare system, as well as system-level interventions that involve database monitoring and outreach by centralized care teams.Conclusion Randomized controlled trials show wide variability in the effects of HIT on lipid management outcomes. Evidence suggests that multilevel HIT approaches that target not only providers but include patients and systems approaches will be needed to improve lipid treatment, adherence and quality.

Integrity signals

Registry

Crossref · 10.1016/j.jacl.2013.10.004

Cites

75 of 75 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • A review of randomized trials at system, practitioner, and patient levels for lipid management using health information technology found better management in system-level and individual-patient implementations.

    “A recent review of system, practitioner, and individual patient-level randomized trials to evaluate level-specific lipid management approaches that all used a health information technology component concluded that systems and individual patient implementations showed better management (4).”

Cites

Flagged first, then by citations

3 of the 78 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Aspry, K. E., Furman, R., Karalis, D. G., Jacobson, T. A., Zhang, A. M., Liptak, G. S., & Cohen, J. D.
Affiliations
  • Brown University (US)
  • Pennsylvania Hospital (US)
  • Emory University (US)
  • Saint Louis University (US)
Corresponding author
Aspry, Karen E.
Venue
Journal of Clinical Lipidology
Publisher
Elsevier BV
Published
2013-11
Volume
7
Issue
6
Pages
546-560
ISSN
  • 1876-4789 (ISSN-L)
  • 1933-2874
OpenAlex
W2082139119
Cited by
41
References
78
Citations by year
2026: 2 · 2024: 1 · 2023: 7 · 2022: 6 · 2021: 1 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 4
FWCI
0.55
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of clinical lipidology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
health information technology, lipid control, cholesterol screening, LDL cholesterol goal attainment, medication adherence, decision support system, multilevel interventions, coronary artery disease, cardiovascular risk, quality of care gaps
MeSH terms
Humans, Lipids, Cholesterol, LDL, Medical Informatics, Randomized Controlled Trials as Topic, Databases, Factual

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review