1055-P: Clinical Decision Support Systems (CDSSs) in Diabetes Management—A Scoping Review

Abstract

This scoping review aimed to summarize the application scenarios, effectiveness and safety of CDSS in diabetes management. PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, VIP, and conference databases were searched from 1985 to 2022. There were 11,145 studies identified, and 72 articles and 8 abstracts were included, involving 137,710 subjects. Most CDSSs (77%) were knowledge-based, while the non-knowledge-based systems have been increasing in recent years. CDSS was mainly utilized in treatment recommendations (Table 1). Most CDSSs significantly improved outcomes (Table 2) without increase of hypoglycemia risk. The results demonstrated the value of CDSS as a reliable assistant in diabetes management especially in primary care with limited resources, and advanced software is needed to improve CDSS functionalities. Disclosure S.Huang: None. Y.Liang: None. J.Li: None. X.Li: None. Funding Beijing Medical Award Foundation (2019-1585)