Improving Adherence to Prescribing Guidelines for Cholesterol Lowering in Hospitalized Diabetic Patients

Diabetes Clinical Trial

Official title:

Assisted Detailing to Improve Guideline Adherence

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01113099
• Other study ID #: 02-1072
• Secondary ID: R01HL070790
• Status: Completed
• Phase: N/A
• First received: April 22, 2010
• Last updated: April 27, 2010
• Start date: June 2006
• Est. completion date: June 2007

Study information

• Verified date: April 2010
• Source: Washington University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

We hypothesize that when compared to usual care a greater proportion of hospitalized diabetic patients who are candidates for cholesterol lowering will be discharged with a prescription for a statin if their physicians are contacted by a pharmacist to discuss treatment guidelines.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 247
• Est. completion date: June 2007
• Est. primary completion date: June 2007
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Hospitalized patients with diabetes

• LDL >= 100

Exclusion Criteria:

• Terminal illness

• Pregnancy

• Intolerance or contraindication to statin

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Diabetes
• Dyslipidemia
• Dyslipidemias

Intervention

Other:
• Academic detailing
Education of physicians by pharmacists regarding indications for statins in diabetic patients

Locations

Country	Name	City	State
United States	Barnes Jewish Hospital	St. Louis	Missouri

Sponsors (2)

Lead Sponsor	Collaborator
Washington University School of Medicine	National Heart, Lung, and Blood Institute (NHLBI)

Country where clinical trial is conducted

United States, 

References & Publications (4)

McKinnon PS, Reichley RM, Noirot LA, Dunagan WC, Bailey TC. Prospective validation of an algorithm to identify hospitalized diabetic patients using administrative data. AMIA Annu Symp Proc. 2006:1029. — View Citation

McKinnon PS, Seaton T, Noirot LA, Reichley RM, Heard KM, Shannon WD, Goldberg AC, Dunagan WC, Bailey TC. Improving adherence to dyslipidemia medication guidelines in hospitalized diabetic patients using a technology-assisted pharmacist intervention. AMIA — View Citation

Reichley R, McKinnon PS, Seaton T, Noirot L, Dunagan WC, Bailey TC. Adherence to dyslipidemia treatment guidelines in diabetic patients. AMIA Annu Symp Proc. 2006:1071. — View Citation

Reichley R, Rachmiel E, Seaton T, Noirot L, Longyhore D, Dunagan WC, Bailey TC. Intervention to improve dyslipidemia screening in hospitalized diabetics. AMIA Annu Symp Proc. 2005:1093. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Statin prescription at hospital discharge		Hospital discharge (avg = 3 days)	No