A computerized decision support system that identifies youths at risk of diabetes can help increase the number of patients screened for type 2 diabetes (T2D), according to a review of the medical records of 1,369 high-risk children with a median age of 12.9 years, many of whom had BMI at or above the 85th percentile and 2 or more risk factors for T2D. Among the findings:
- The T2D computer program significantly increased the percentage of patients who underwent diabetes screening, when compared to a control group (31.4% vs 9.2%).
- Diabetes screening was more than 4 times more likely among patients who were randomized to the clinical decision support program.
The investigators also found that the automated system was responsible for a significant number of youths attending follow-up appointments (29.4% vs 18.9%).
Hannon TS, Dugan TM, Saha CK et al. Effectiveness of computer automation for the diagnosis and management of childhood type 2 diabetes: A randomized clinical trial. [Published online ahead of print February 13, 2017]. JAMA Pediatr. doi:10.1001/jamapediatrics.2016.4207.