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Reducing cardiovascular disease risk in diabetes: a randomised controlled trial of a quality improvement initiative

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The known Managing risk factors for cardiovascular disease (CVD) in patients with diabetes improves their outcomes, but many are not prescribed the recommended treatments. Electronic decision support is a scalable strategy for improving guideline implementation. 

The new The implementation of recommended management of CVD risk factors in people with diabetes is incomplete, but better than for patients without diabetes. An electronic decision support tool achieved modest improvements in CVD risk factor screening and treatment escalation in patients with diabetes. 

The implications While computerised tools may play an important enabling role, broader strategies are needed to close evidence–practice gaps. 

By 2030, diabetes may affect more than 300 million people worldwide.1 Cardiovascular disease (CVD) is the primary cause of mortality and morbidity in patients with type 2 diabetes,2 and large studies have found that managing risk factors for CVD in patients with diabetes reduces both.3,4 According to risk management guidelines, decisions about the need for and…