Skip to main content
Journal cover image

A multicenter program for electronic health record screening for patients with heart failure with preserved ejection fraction: Lessons from the DELIVER-EHR initiative.

Publication ,  Journal Article
Peters, AE; Ogunniyi, MO; Hegde, SM; Bianco, C; Ghafghazi, S; Hernandez, AF; DeVore, AD
Published in: Contemp Clin Trials
October 2022

Efficiency in clinical trial recruitment and enrollment remains a major challenge in many areas of clinical medicine. In particular, despite the prevalence of heart failure with preserved ejection fraction (HFpEF), identifying patients with HFpEF for clinical trials has proven to be especially challenging. In this manuscript, we review strategies for contemporary clinical trial recruitment and present insights from the results of the DELIVER Electronic Health Record (EHR) Screening Initiative. The DELIVER trial was designed to evaluate the effects of dapagliflozin on clinical outcomes in patients with HFpEF. Within this trial, the multicenter DELIVER EHR Screening Initiative utilized EHR-based techniques in order to improve recruitment at selected sites in the United States. For this initiative, we developed and deployed a computable phenotype from the trial's eligibility criteria along with additional EHR tools at interested sites. Sites were then surveyed at the end of the program regarding lessons learned. Six sites were recruited, trained, and supported to utilize the EHR methodology and computable phenotype. Sites found the initiative to be helpful in identifying eligible patients and cited the individualized expert technical support as a critical factor in utilizing the program effectively. We found that the major challenge of implementation was the process of converting traditional inclusion/exclusion criteria into a computable phenotype within an established and ongoing trial. Other significant challenges noted by sites were the following: impact of the COVID-19 pandemic, engagement/support by local institutions, and limited availability of internal EHR experts/resources to execute programming. The study represents a proof-of-concept in the ability to utilize EHR-based tools in clinical trial recruitment for patients with HFpEF and provides important lessons for future initiatives. ClinicalTrials.gov Identifier: NCT03619213.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

October 2022

Volume

121

Start / End Page

106924

Location

United States

Related Subject Headings

  • Stroke Volume
  • Public Health
  • Pandemics
  • Multicenter Studies as Topic
  • Humans
  • Heart Failure
  • General Clinical Medicine
  • Electronic Health Records
  • Clinical Trials as Topic
  • COVID-19
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Peters, A. E., Ogunniyi, M. O., Hegde, S. M., Bianco, C., Ghafghazi, S., Hernandez, A. F., & DeVore, A. D. (2022). A multicenter program for electronic health record screening for patients with heart failure with preserved ejection fraction: Lessons from the DELIVER-EHR initiative. Contemp Clin Trials, 121, 106924. https://doi.org/10.1016/j.cct.2022.106924
Peters, Anthony E., Modele O. Ogunniyi, Sheila M. Hegde, Christopher Bianco, Shahab Ghafghazi, Adrian F. Hernandez, and Adam D. DeVore. “A multicenter program for electronic health record screening for patients with heart failure with preserved ejection fraction: Lessons from the DELIVER-EHR initiative.Contemp Clin Trials 121 (October 2022): 106924. https://doi.org/10.1016/j.cct.2022.106924.
Peters AE, Ogunniyi MO, Hegde SM, Bianco C, Ghafghazi S, Hernandez AF, et al. A multicenter program for electronic health record screening for patients with heart failure with preserved ejection fraction: Lessons from the DELIVER-EHR initiative. Contemp Clin Trials. 2022 Oct;121:106924.
Peters, Anthony E., et al. “A multicenter program for electronic health record screening for patients with heart failure with preserved ejection fraction: Lessons from the DELIVER-EHR initiative.Contemp Clin Trials, vol. 121, Oct. 2022, p. 106924. Pubmed, doi:10.1016/j.cct.2022.106924.
Peters AE, Ogunniyi MO, Hegde SM, Bianco C, Ghafghazi S, Hernandez AF, DeVore AD. A multicenter program for electronic health record screening for patients with heart failure with preserved ejection fraction: Lessons from the DELIVER-EHR initiative. Contemp Clin Trials. 2022 Oct;121:106924.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

October 2022

Volume

121

Start / End Page

106924

Location

United States

Related Subject Headings

  • Stroke Volume
  • Public Health
  • Pandemics
  • Multicenter Studies as Topic
  • Humans
  • Heart Failure
  • General Clinical Medicine
  • Electronic Health Records
  • Clinical Trials as Topic
  • COVID-19