Skip to main content

Table 2 Patient population and primary outcome for each of 3 replicates

From: The Ontario printed educational message (OPEM) trial to narrow the evidence-practice gap with respect to prescribing practices of general and family physicians: a cluster randomized controlled trial, targeting the care of individuals with diabetes and hypertension in Ontario, Canada

Replicate

Evidence/Practice Gap

Patients studied

Expected patient N

Primary Outcome

1

Use of ACE inhibitors, blood pressure and cholesterol-reducing drugs (ABCs); each fall short of guideline targets by at least 30%

All prevalent cases of persons with diabetes, aged ≥ 65 years

280,000

% of target patients receiving an ACE inhibitor, % receiving 2 or more antihypertensive, and % receiving lipid-lowering drug

2

Retinopathy screening in incident Type 2 DM; 50% below guideline-recommended levels

All incident cases of persons with diabetes, aged >30 years

100,000

% of target patients receiving complete eye exam from optometrist or ophthalmologist

3

Use of hydrochlorothiazide (HCTZ) as initial therapy in uncomplicated hypertension; ~40% below guideline-recommended levels

All patients ≥ 65 years, newly initiated on antihypertensive therapy

30,000

% of target patients receiving a diuretic