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Table 2 Summary of Findings for comparison two: Electronic guideline implementations versus paper version of the guideline

From: Effectiveness of electronic guideline-based implementation systems in ambulatory care settings - a systematic review

Study Risk of bias No of patients/professionals Intervention Outcomes
     Process Patient
Eccles[24]
Cluster-RCT
low 2,400 patients, 60 primary care practices Intervention group one: Computerized asthma guidelines + paper version of the guidelines for asthma and angina
Intervention group two: Computerized angina guidelines + paper version of the guidelines for asthma and angina
N  
Tierney '03[15]
Cluster-RCT
low 706 patients, 246 physicians Intervention group one: Computerized cardiac care suggestions + printed summary of the guidelines
Intervention group two and three: not included in analysis of this review
Control group: Usual care + printed summary of the guidelines
N N
Tierney '05[16]
Cluster-RCT
low 706 patients, 246 physicians Intervention group one: Computerized feedback for asthma and COPD + printed summary of the guidelines
Intervention group two and three: not included in analysis of this review
Control group: Usual care + printed summary of the guidelines
N N
Jousimaa[37]
Cluster-RCT
moderate 2,813 evaluated cases, 130 physicians Intervention group: CD ROM of primary care guidelines
Control group: Text based version of primary care guidelines
N  
Montgomery[26]
Cluster-RCT
moderate 614 patients, 27 primary care practices Intervention group: Computer-based clinical decision support system and a risk chart on absolute cardiovascular risk, blood pressure, and prescribing of cardiovascular drugs in hypertensive patients.
Control group: Cardiovascular risk chart on paper alone
N N
Murray[17]
Cluster-RCT
moderate 712 patients, 246 physicians Intervention group one: Computerized suggestions for hypertension + printed, referenced summary of the locally approved guidelines
Intervention group two and three: not included in analysis of this review
Control group: Usual care + printed, referenced summary of the locally approved guidelines
N N
Wilson[27]
Cluster-RCT
moderate 86 practices Intervention group: Electronic referral guidelines for breast cancer + mailed referral guidelines
Control group: Usual care + mailed referral guidelines
N N
Kuilboer[30]
Cluster-RCT
high 156,772 patients, 40 primary care physicians Intervention group: AsthmaCritic provides patient-specific feedback for asthma and COPD + disposal of the asthma and COPD guidelines
Control group: Usual care + disposal of the asthma and COPD guideline
N  
  1. Y = if at least 50% of outcomes significant, N = if less than 50% of outcomes significant