Trial reportBMJ (Clinical research ed.)2009
Information sheets for patients with acute chest pain: randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Interventions to increase patient and family involvement in escalation of care for acute life-threatening illness in community health and hospital settings.The Cochrane database of systematic reviews · 2020Pooled it
- Print-based self-help interventions for smoking cessation.The Cochrane database of systematic reviews · 2019Pooled it
- How best to use and evaluate Patient Information Leaflets given during a consultation: a systematic review of literature reviews.Health expectations : an international journal of public participation in health care and health policy · 2017Pooled it
- Treatment efficacy for non-cardiovascular chest pain: a systematic review and meta-analysis.PloS one · 2014Pooled it
- Trial
- Incremental levels of diagnostic information incentivize health-seeking in non-alcoholic fatty liver: a randomized clinical trial.Scientific reports · 2022Trial
- A randomized clinical trial of an eHealth intervention on anxiety in patients undergoing abdominal aortic aneurysm surgery.The British journal of surgery · 2021Trial
- Empowering self-care through patient education in heart failure patients: A multimodal approach comprising of P-PILs, videos, and personalized advice.Journal of education and health promotion · 2024Article
- Patients' and health professionals' perceptions of the LoDED (limit of detection and ECG discharge) strategy for low-risk chest pain management: a qualitative study.Emergency medicine journal : EMJ · 2021Article
- Computed tomography coronary angiography vs. standard diagnostic procedure for the diagnosis of angina due to coronary heart disease: A cross-sectional study.Experimental and therapeutic medicine · 2019Article
- Article
- Anxiety about anxiety: a survey of emergency department provider beliefs and practices regarding anxiety-associated low risk chest pain.BMC emergency medicine · 2018Article
- UV imaging reveals facial areas that are prone to skin cancer are disproportionately missed during sunscreen application.PloS one · 2017Article
- The acceptability and feasibility of an anxiety reduction intervention for emergency department patients with non-cardiac chest pain.Psychology, health & medicine · 2017Article
- 'Everything's fine, so why does it happen?' A qualitative investigation of patients' perceptions of noncardiac chest pain.Journal of clinical nursing · 2015Article
- Illness representations, psychological distress and non-cardiac chest pain in patients attending an emergency department.Psychology & health · 2014Article
- Do guidelines on first impression make sense? Implementation of a chest pain guideline in primary care: a systematic evaluation of acceptance and feasibility.BMC family practice · 2011Article
- Patient education strategies in dermatology: part 2: methods.The Journal of clinical and aesthetic dermatology · 2009Article
- Communicating the External Beam Radiation Experience (CEBRE): Perceived Benefits of a Graphic Narrative Patient Education Tool.Practical radiation oncologyArticle
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether providing an information sheet to patients with acute chest pain reduces anxiety, improves health related quality of life, improves satisfaction with care, or alters subsequent symptoms or actions.
designSingle centre, non-blinded, randomised controlled trial.
settingChest pain unit of an emergency department.
participants700 consecutive patients with acute chest pain and no clear diagnosis at initial presentation.
interventionsAfter a diagnostic assessment patients were randomised to receive either standard verbal advice or verbal advice followed by an information sheet.
main outcome measuresThe primary outcome was anxiety (hospital anxiety and depression scale). Secondary outcomes were depression (hospital anxiety and depression scale), health related quality of life (SF-36), patient satisfaction, presentation with further chest pain within one month, lifestyle change (smoking cessation, diet, exercise), further information sought from other sources, and planned healthcare seeking behaviour in response to further pain.
results494 of 700 (70.6%) patients responded. Compared with those receiving standard verbal advice those receiving advice and an information sheet had lower mean hospital anxiety and depression scale scores for anxiety (7.61 v 8.63, difference 1.02, 95% confidence interval 0.20 to 1.84) and depression (4.14 v 5.28, difference 1.14, 0.41 to 1.86) and higher scores for mental health and perception of general health on the SF-36. The information sheet had no significant effect on satisfaction with care, subsequent symptoms, lifestyle change, information seeking, or planned actions in the event of further pain.
conclusionsProvision of an information sheet to patients with acute chest pain can reduce anxiety and depression and improve mental health and perception of general health but does not alter satisfaction with care or other outcomes.
trial registrationCurrent Controlled Trials ISRCTN85248020.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.