Clinical Decision Support for Chronic Kidney Disease in Primary Care

Does a clinical decision support system (CDSS) improve chronic kidney disease management in a primary care system with high disease burden and limited resources?In this cluster randomized trial of 3390 patients with chronic kidney disease from 30 primary care centers in China, both the intervention and control groups demonstrated comparable improvements over 6 months, with no significant additional benefit from a CDSS.These findings suggest that in resource-limited primary care, targeted education and policy support may be more foundational, whereas a CDSS should focus on tiered interruptive alerts with feedback-driven adjustments.

Corresponding Authors: Li Yang, PhD, MD (li.yang@bjmu.edu.cn) and Jicheng Lv, MD (chenglv@263.net), Department of Nephrology, Peking University First Hospital, No. 8 Xishiku St, Beijing 100034, China.

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