{"id":7351,"date":"2025-06-18T10:56:26","date_gmt":"2025-06-18T08:56:26","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/les-lettres-de-coup-de-pouce-electronique-nameliorent-pas-la-therapie-medicale-dirigee-par-les-directives-dans-ckd\/"},"modified":"2025-06-18T10:56:27","modified_gmt":"2025-06-18T08:56:27","slug":"les-lettres-de-coup-de-pouce-electronique-nameliorent-pas-la-therapie-medicale-dirigee-par-les-directives-dans-ckd","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/les-lettres-de-coup-de-pouce-electronique-nameliorent-pas-la-therapie-medicale-dirigee-par-les-directives-dans-ckd\/","title":{"rendered":"Les lettres de coup de pouce \u00e9lectronique n&rsquo;am\u00e9liorent pas la th\u00e9rapie m\u00e9dicale dirig\u00e9e par les directives dans CKD"},"content":{"rendered":"<div>\n<div class=\"article-gallery lightGallery\">\n<div data-thumb=\"https:\/\/scx1.b-cdn.net\/csz\/news\/tmb\/2025\/electronic-nudge-lette.jpg\" data-src=\"https:\/\/scx2.b-cdn.net\/gfx\/news\/2025\/electronic-nudge-lette.jpg\" data-sub-html=\"\">\n<figure class=\"article-img\">\n<\/figure><\/div>\n<\/div>\n<p>Ni la livraison de lettres de coup de pouce \u00e9lectronique ni de lettres \u00e0 la pratique g\u00e9n\u00e9rale n&rsquo;augmente l&rsquo;absorption de la th\u00e9rapie m\u00e9dicale dirig\u00e9e par les directives (GDMT) chez les patients atteints d&rsquo;une maladie r\u00e9nale chronique (CKD), selon une \u00e9tude publi\u00e9e en ligne le 7 juin en <i>Circulation<\/i>.<\/p>\n<p>Kristoffer Grundtvig Skaarup, MD, de l&rsquo;h\u00f4pital de Copenhague University Hospital-Herlev et Gentofte au Danemark, et ses coll\u00e8gues ont examin\u00e9 si les coups de pouce \u00e9lectronique \u00e0 base de lettres livr\u00e9s aux personnes atteintes de CKD et leurs pratiques g\u00e9n\u00e9rales pouvaient augmenter l&rsquo;adoption du GDMT dans un essai de mise en \u0153uvre factoriel de 2 par 2 \u00e0 tout 2 par 2. Tous les adultes danois ayant un diagnostic \u00e0 l&rsquo;h\u00f4pital de CKD ont \u00e9t\u00e9 assign\u00e9s au hasard \u00e0 des soins habituels (pas de lettre) ou pour recevoir un coup de pouce \u00e9lectronique bas\u00e9 sur des lettres sur GDMT dans CKD (11 394 et 11 223 patients, respectivement).<\/p>\n<p>De plus, les pratiques g\u00e9n\u00e9rales des personnes atteintes de CKD ont \u00e9t\u00e9 assign\u00e9es de mani\u00e8re ind\u00e9pendante au hasard pour ne recevoir aucune lettre ni une lettre d&rsquo;information \u00e9lectronique sur GDMT (14110 patients de 766 pratiques et 13 959 patients de 774 pratiques, respectivement).<\/p>\n<p>Les chercheurs ont constat\u00e9 que 65,1% et 65,9% des patients allou\u00e9s au coup de pouce dirig\u00e9 par le patient et dans les soins habituels, respectivement, avaient rempli une prescription d&rsquo;un inhibiteur du syst\u00e8me r\u00e9nine-angiotensine (RASI) ou d&rsquo;un inhibiteur de cotransporteur-2 de sodium-glucose (SGLT2I) pendant le suivi. De m\u00eame, 63,9% et 64,4% des patients de pratiques recevant la lettre dirig\u00e9e par le fournisseur et dans le groupe de soins habituels, respectivement, ont rempli une ordonnance pour un RASI ou SGLT2I. Il n&rsquo;y avait pas d&rsquo;interaction entre les interventions.<\/p>\n<p>\u00ab\u00a0Ces r\u00e9sultats repr\u00e9sentent un r\u00e9sultat nul dans le contexte des strat\u00e9gies de mise en \u0153uvre directe \u00e0 patient \u00e0 grande \u00e9chelle pour GDMT\u00a0\u00bb, \u00e9crivent les auteurs. \u00ab\u00a0Cet essai fournit des le\u00e7ons pr\u00e9cieuses qui pourraient aider \u00e0 \u00e9clairer les efforts de mise en \u0153uvre futurs.\u00a0\u00bb<\/p>\n<p>                                        <!-- print only --><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ni la livraison de lettres de coup de pouce \u00e9lectronique ni de lettres \u00e0 la<\/p>\n","protected":false},"author":1,"featured_media":7352,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[5719,3856,44,3788,5718,2296,49,1640,3507,5717,540,359,5716,1063],"class_list":["post-7351","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-maladies","tag-ckd","tag-coup","tag-dans","tag-directives","tag-dirigee","tag-electronique","tag-les","tag-lettres","tag-medicale","tag-nameliorent","tag-par","tag-pas","tag-pouce","tag-therapie","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - 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