Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385817058> ?p ?o ?g. }
- W4385817058 abstract "Background Interrelated chronic vascular diseases (chronic kidney disease (CKD), type 2 diabetes (T2D) and cardiovascular disease (CVD)) are common with high morbidity and mortality. This study aimed to assess if an electronic-technology-based quality improvement intervention in primary care could improve detection and management of people with and at risk of these diseases. Methods Stepped-wedge trial with practices randomised to commence intervention in one of five 16-week periods. Intervention included (1) electronic-technology tool extracting data from general practice electronic medical records and generating graphs and lists for audit; (2) education regarding chronic disease and the electronic-technology tool; (3) assistance with quality improvement audit plan development, benchmarking, monitoring and support. De-identified data analysis using R 3.5.1 conducted using Bayesian generalised linear mixed model with practice and time-specific random intercepts. Results At baseline, eight included practices had 37,946 active patients (attending practice ≥3 times within 2 years) aged ≥18 years. Intervention was associated with increased OR (95% CI) for: kidney health checks (estimated glomerular filtration rate, urine albumin:creatinine ratio (uACR) and blood pressure) in those at risk 1.34 (1.26–1.42); coded diagnosis of CKD 1.18 (1.09–1.27); T2D diagnostic testing (fasting glucose or HbA1c) in those at risk 1.15 (1.08–1.23); uACR in patients with T2D 1.78 (1.56–2.05). Documented eye checks within recommended frequency in patients with T2D decreased 0.85 (0.77–0.96). There were no significant changes in other assessed variables. Conclusions This electronic-technology-based intervention in primary care has potential to help translate guidelines into practice but requires further refining to achieve widespread improvements across the interrelated chronic vascular diseases." @default.
- W4385817058 created "2023-08-15" @default.
- W4385817058 creator A5002836170 @default.
- W4385817058 creator A5004304628 @default.
- W4385817058 creator A5012761277 @default.
- W4385817058 creator A5014908394 @default.
- W4385817058 creator A5017070659 @default.
- W4385817058 creator A5037905168 @default.
- W4385817058 creator A5040165535 @default.
- W4385817058 creator A5051082734 @default.
- W4385817058 creator A5060216783 @default.
- W4385817058 creator A5086468634 @default.
- W4385817058 date "2023-01-01" @default.
- W4385817058 modified "2023-09-26" @default.
- W4385817058 title "Chronic disease IMPACT (chronic disease early detection and improved management in primary care project): An Australian stepped wedge cluster randomised trial" @default.
- W4385817058 cites W1841663249 @default.
- W4385817058 cites W1858184033 @default.
- W4385817058 cites W1949252975 @default.
- W4385817058 cites W1982689536 @default.
- W4385817058 cites W1985899508 @default.
- W4385817058 cites W1989155830 @default.
- W4385817058 cites W2022174723 @default.
- W4385817058 cites W2031093662 @default.
- W4385817058 cites W2065447468 @default.
- W4385817058 cites W2104793920 @default.
- W4385817058 cites W2125159607 @default.
- W4385817058 cites W2142526493 @default.
- W4385817058 cites W2160773927 @default.
- W4385817058 cites W2321081820 @default.
- W4385817058 cites W2582258891 @default.
- W4385817058 cites W2594848887 @default.
- W4385817058 cites W2771551847 @default.
- W4385817058 cites W2794083991 @default.
- W4385817058 cites W2800834760 @default.
- W4385817058 cites W2885559138 @default.
- W4385817058 cites W2950020099 @default.
- W4385817058 cites W2970157515 @default.
- W4385817058 cites W2995160317 @default.
- W4385817058 cites W2998933518 @default.
- W4385817058 cites W3008310671 @default.
- W4385817058 cites W3012352416 @default.
- W4385817058 cites W3027310860 @default.
- W4385817058 cites W3044001201 @default.
- W4385817058 cites W3095298672 @default.
- W4385817058 cites W3097466121 @default.
- W4385817058 cites W3153863376 @default.
- W4385817058 cites W4213317678 @default.
- W4385817058 cites W4288080795 @default.
- W4385817058 doi "https://doi.org/10.1177/20552076231194948" @default.
- W4385817058 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37588155" @default.
- W4385817058 hasPublicationYear "2023" @default.
- W4385817058 type Work @default.
- W4385817058 citedByCount "0" @default.
- W4385817058 crossrefType "journal-article" @default.
- W4385817058 hasAuthorship W4385817058A5002836170 @default.
- W4385817058 hasAuthorship W4385817058A5004304628 @default.
- W4385817058 hasAuthorship W4385817058A5012761277 @default.
- W4385817058 hasAuthorship W4385817058A5014908394 @default.
- W4385817058 hasAuthorship W4385817058A5017070659 @default.
- W4385817058 hasAuthorship W4385817058A5037905168 @default.
- W4385817058 hasAuthorship W4385817058A5040165535 @default.
- W4385817058 hasAuthorship W4385817058A5051082734 @default.
- W4385817058 hasAuthorship W4385817058A5060216783 @default.
- W4385817058 hasAuthorship W4385817058A5086468634 @default.
- W4385817058 hasBestOaLocation W43858170581 @default.
- W4385817058 hasConcept C126322002 @default.
- W4385817058 hasConcept C134018914 @default.
- W4385817058 hasConcept C159641895 @default.
- W4385817058 hasConcept C1862650 @default.
- W4385817058 hasConcept C194828623 @default.
- W4385817058 hasConcept C195910791 @default.
- W4385817058 hasConcept C2777180221 @default.
- W4385817058 hasConcept C2778653478 @default.
- W4385817058 hasConcept C555293320 @default.
- W4385817058 hasConcept C71924100 @default.
- W4385817058 hasConceptScore W4385817058C126322002 @default.
- W4385817058 hasConceptScore W4385817058C134018914 @default.
- W4385817058 hasConceptScore W4385817058C159641895 @default.
- W4385817058 hasConceptScore W4385817058C1862650 @default.
- W4385817058 hasConceptScore W4385817058C194828623 @default.
- W4385817058 hasConceptScore W4385817058C195910791 @default.
- W4385817058 hasConceptScore W4385817058C2777180221 @default.
- W4385817058 hasConceptScore W4385817058C2778653478 @default.
- W4385817058 hasConceptScore W4385817058C555293320 @default.
- W4385817058 hasConceptScore W4385817058C71924100 @default.
- W4385817058 hasFunder F4320331287 @default.
- W4385817058 hasLocation W43858170581 @default.
- W4385817058 hasLocation W43858170582 @default.
- W4385817058 hasOpenAccess W4385817058 @default.
- W4385817058 hasPrimaryLocation W43858170581 @default.
- W4385817058 hasRelatedWork W1563850031 @default.
- W4385817058 hasRelatedWork W2021055445 @default.
- W4385817058 hasRelatedWork W2415759662 @default.
- W4385817058 hasRelatedWork W2534023429 @default.
- W4385817058 hasRelatedWork W3003571257 @default.
- W4385817058 hasRelatedWork W3036934084 @default.
- W4385817058 hasRelatedWork W3216805237 @default.
- W4385817058 hasRelatedWork W4225978806 @default.
- W4385817058 hasRelatedWork W4320929188 @default.
- W4385817058 hasRelatedWork W1556208436 @default.