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Computer-Based Clinical Decision Support Systems and Patient-Reported Outcomes: A Systematic Review
David Blum1,2, Sunil X Raj3, Rolf Oberholzer4
1Faculty of Medicine, European Palliative Care Research Centre (PRC), Norwegian University of Science and Technology (NTNU), Cancer Clinic, St. Olavs Hospital, University Hospital in Trondheim, Trondheim, Norway. david.blum@ntnu.no.
Computer-based clinical decision support systems (CCDSS) show marginal positive effects on patient-reported outcomes (PRO), particularly symptoms. Further development of user-friendly systems with integrated evidence-based advice is recommended.
Area of Science:
- Health Informatics
- Clinical Decision Support Systems
- Patient-Reported Outcomes
Background:
- Computer-based clinical decision support systems (CCDSS) integrating evidence-based guidelines may enhance patient-reported outcomes (PRO).
- Systematic review to assess the content, application, and impact of CCDSS on PRO.
Purpose of the Study:
- To systematically review the literature on computer-based clinical decision support systems (CCDSS).
- To evaluate the effects of CCDSS on patient-reported outcomes (PRO).
Main Methods:
- Systematic literature review of MEDLINE and EMBASE (1996-May 2014).
- Searches included terms for
Main Results:
- Fifteen studies (13,480 patients) met inclusion criteria; 9 used computerized data entry, 4 by patients.
- Most systems presented data at point-of-care with international guidelines.
- Three studies reported positive effects on PRO, specifically symptoms; no negative effects observed.
Conclusions:
- Computer-based clinical decision support systems (CCDSS) demonstrate marginal positive effects on specific patient-reported outcomes (PRO), primarily symptoms.
- User-friendly CCDSS with easily integrated, evidence-based recommendations are crucial for enhanced clinical impact.
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