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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update

BOSTON: E-Reminders to Providers Boost HIV Care


MedPage Today (12.04.12)

A system of interactive computer alerts for providers improved outcomes for HIV-infected patients in a year-long study at Massachusetts General Hospital in Boston. The primary measure of success was an increase in CD4-positive T cell counts during the period. Other endpoints for the study were missed or unscheduled appointments and abnormal lab results. The study included 33 providers and 1,011 patients in the hospital’s outpatient clinic. The control group in the study, randomly assigned by researchers, comprised half of the total number of patients. For this group, healthcare providers received alerts only on the patients’ electronic medical records. In contrast, alerts for the intervention group also appeared on the provider’s home page; in biweekly emails; and via hyperlinks to appointment schedules, lab results, and previous alerts. An automated nightly check of hospital databases generated the alerts. At the end of the year, there was a significant difference (P<0.040) in the count of CD4-positive T cells for the intervention group. This group also had better follow-up rates than the control group; rates of virologic failure were the same for both groups. More than 90 percent of the participating providers favored adopting the alert system into the standard of care at the end of the trial. Massachusetts General has a strong informatics system, which could have affected the results of the study.


Copyright © 2012 -CDC Prevention News Update, Publisher. All rights reserved to Information, Inc., Bethesda, MD. The CDC National Center for HIV, STD and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.

Information in this article was accurate in December 5, 2012. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.