Prevention & lipidsRandomised controlled trial
Default Bulk Ordering and Text Messaging to Enhance Outreach for Lipid Screening
- Randomised controlled trial
- pragmatic
- 2 primary care practices
- 1:2:2 randomisation
Authors' conclusion
Lipid screening among participants receiving bulk orders and outreach letters increased significantly compared with usual care at 3 months. However, there was no difference at 6 months.
Study context
- Population
- Patients aged 20–75 y with ≥1 primary care visit in the past 3 years, overdue for lipid screening, at an academic health system
- Participants
- 1,000 patients
- Comparison
- Direct outreach with bulk orders, with or without text messaging, vs usual care
- Usual caren = 202reference
- Outreach + bulk ordern = 394
- Outreach + bulk order + textn = 404
- Primary endpoint
- Proportion of patients who completed a lipid panel
- Follow-up
- 3 months
Primary result
As reported in the abstract
Lipid panel completed
Difference, percentage points (95% CI)P value
Outreach + bulk order vs Usual care
9.8(4.6–15.0)
P = 0.001Outreach + bulk order + text vs Outreach + bulk order
2.4(−3.1 to 7.8)
P = 0.43Further findings
Lipid screening · 6 months
- No significant differences between group 1 vs group 2 or group 2 vs group 3
Original publication
Default Bulk Ordering and Text Messaging to Enhance Outreach for Lipid Screening. JAMA Cardiol. Published 1 April 2025. doi:10.1001/jamacardio.2024.5281
Summarised from the published abstract; every number is checked against it