Trial reportTrials2014
Effectiveness of the Chest Pain Choice decision aid in emergency department patients with low-risk chest pain: study protocol for a multicenter randomized trial.
Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Shared Decision Making in the Emergency Department: The Chest Pain Choice Trial
The Use of a Visual Decision Aid for Shared Decision Making Among Patients With Chest Pain
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial.BMJ (Clinical research ed.) · 2016Trial
- Evaluating a digital decision aid for atrial fibrillation rhythm control in a hybrid implementation-effectiveness trial.NPJ digital medicine · 2026Article
- Article
- Development of an electronic conversation aid to support shared decision making for children with acute otitis media.JAMIA open · 2021Article
- Impact of improved prehospital emergency medical service system on the time management of chest pain patients in the emergency department.American journal of translational research · 2021Article
- Shared Decision-Making as the Future of Emergency Cardiology.The Canadian journal of cardiology · 2018Review
- Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians.Annals of emergency medicine · 2017Article
- Development and Testing of Shared Decision Making Interventions for Use in Emergency Care: A Research Agenda.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
- The Physician-as-Stakeholder: An Exploratory Qualitative Analysis of Physicians' Motivations for Using Shared Decision Making in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
- Perceived Appropriateness of Shared Decision-making in the Emergency Department: A Survey Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChest pain is the second most common reason patients visit emergency departments (EDs) and often results in very low-risk patients being admitted for prolonged observation and advanced cardiac testing. Shared decision-making, including educating patients regarding their 45-day risk for acute coronary syndrome (ACS) and management options, might safely decrease healthcare utilization. METHODS/
designThis is a protocol for a multicenter practical patient-level randomized trial to compare an intervention group receiving a decision aid, Chest Pain Choice (CPC), to a control group receiving usual care. Adults presenting to five geographically and ethnically diverse EDs who are being considered for admission for observation and advanced cardiac testing will be eligible for enrollment. We will measure the effect of CPC on (1) patient knowledge regarding their 45-day risk for ACS and the available management options (primary outcome); (2) patient engagement in the decision-making process; (3) the degree of conflict patients experience related to feeling uninformed (decisional conflict); (4) patient and clinician satisfaction with the decision made; (5) the rate of major adverse cardiac events at 30 days; (6) the proportion of patients admitted for advanced cardiac testing; and (7) healthcare utilization. To assess these outcomes, we will administer patient and clinician surveys immediately after each clinical encounter, obtain video recordings of the patient-clinician discussion, administer a patient healthcare utilization diary, analyze hospital billing records, review the electronic medical record, and conduct telephone follow-up. DISCUSSION: This multicenter trial will robustly assess the effectiveness of a decision aid on patient-centered outcomes, safety, and healthcare utilization in low-risk chest pain patients from a variety of geographically and ethnically diverse EDs.
trial registrationNCT01969240.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.