Gout & crystal arthritis

Effect of Implementing a Dashboard With or Without a Best Practice Alert on HLA ‐B*58:01 Testing Rates Among Allopurinol Users at VA Medical Centers

Arthritis Care Res (Hoboken)Published Quality improvement study

Authors' conclusion

Implementing a dashboard plus simple text BPA was associated with a greater increase in the proportion of patients who completed guideline-recommend HLA-B*58:01 testing compared to implementing a dashboard alone.

Study context

Population
Asian or African American/Black patients filling allopurinol prescriptions at two VA medical centers, October 2022–December 2023
Participants
262 vs 330
Comparison
Clinician-facing dashboard plus best practice alert (BPA) vs dashboard only
  • DASHBOARD + BPAn = 262
  • DASHBOARD ONLYn = 330reference
Outcome
Change in proportion of patients prescribed allopurinol with HLA-B*58:01 testing before or during the month allopurinol was prescribed
Follow-up
October 2022 to December 2023
Methodological detailstwo-site comparison, difference-in-differences analysis, electronic health record data
  • Two-site comparison
  • Difference-in-differences analysis
  • Electronic health record data

Main finding

As reported in the abstract

Asian or African American/Black patients with HLA-B*58:01 testing, October 2022 to December 2023

Asian or African American/Black patients with HLA-B*58:01 testing, October 2022 to December 2023

October 2022

  • Dashboard + BPA vs Dashboard only: P < 0.0001 for difference in difference

Further findings

Cumulative % of prescribers whose patient(s) completed HLA-B*58:01 testing · December 2023

P < 0.0001 for difference in difference

Baseline

Original publication

Effect of Implementing a Dashboard With or Without a Best Practice Alert on HLA ‐B*58:01 Testing Rates Among Allopurinol Users at VA Medical Centers. Arthritis Care Res (Hoboken). Published 24 February 2026. doi:10.1002/acr.80016

Composed by AI from the published abstract and checked against it. How Briefs are made →

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