Speaker
Miguel A. Vazquez, MD
Professor of Medicine
University of Texas Southwestern Medical Center
Dallas, TX
George (Holt) Oliver, MD, PhD
Vice President Clinical Informatics
Parkland Center for Clinical Innovation
Dallas, TX
Keywords
ICD-Pieces; Chronic kidney disease (CKD); EHR data collection; Diabetes; Hypertension
Key Points
- ICD-Pieces focuses on the chronic conditions of Diabetes, Hypertension, and CKD. These conditions are common, under-recognized, and can have serious complications.
- PIECES is an information technology software developed to help facilitate primary care practices provide comprehensive evidence-based care for patients with these chronic conditions.
- Researchers enrolled 11,000 patients with CKD in the study. The interventions included controlling blood pressure with medication, avoiding hypoglycemia, use of statins, and avoidance of NSAIDs.
- Interventions were determined to be feasible. Outcomes for study populations are to be determined with further analysis of the data.
Discussion Themes
Pragmatic trials are often practical laboratories for implementation science.
An inherent challenge of collecting data from the EHR record is delay. It may help to have part of the study team embedded in the clinical trial for the data collection aspect, or possibly to collect the data at the time of intervention rather than waiting.
Read more about ICD-Pieces.
Tags
#pctGR, @Collaboratory1