Evidence map›Paper›PMID 30533431›Full record

ReviewBioMed research international2018

Old and New NICE Guidelines for the Evaluation of New Onset Stable Chest Pain: A Real World Perspective.

Nazario Carrabba, Angela Migliorini, Silvia Pradella, Manlio Acquafresca, Marco Guglielmo, Andrea Baggiano, Giuseppe Moscogiuri, Renato Valenti

Erratum issuedAbstract readReview
In one paragraph

Review in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Nazario CarrabbaCardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy.ORCID 0000-0002-5190-5227
Angela MiglioriniCardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy.
Silvia PradellaRadiologic Department of Careggi Hospital, Florence, Italy.
Manlio AcquafrescaRadiologic Department of Careggi Hospital, Florence, Italy.
Marco GuglielmoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Andrea BaggianoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Giuseppe MoscogiuriCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Renato ValentiCardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stable chest pain is a common clinical presentation that often requires further investigation using noninvasive or invasive testing, resulting in a resource-consuming problem worldwide. At onset of 2016, the National Institute for Health and Care Excellence (NICE) published an update on its guideline on chest pain. Three key changes to the 2010 version were provided by the new NICE guideline. First, the new guideline recommends that the previously proposed pretest probability risk score should no longer be used. Second, they also recommend that a calcium score of zero should no longer be used to rule out coronary artery disease (CAD) in patients with low pretest probability. Third, the new guideline recommends that all patients with new onset chest pain should be investigated with a coronary computed tomographic angiography (CTA) as a first-line investigation. However, in real world the impact of implementation of CTA for the evaluation of new onset chest pain remains to be evaluated, especially regarding its cost effectiveness. The aim of the present report was to discuss the results of the studies supporting new NICE guideline and its comparison with European and US guidelines.

Indexed as

Practice Guidelines as TopicChest PainDose-Response Relationship, RadiationHumansTomography, X-Ray Computed

Identifiers

PMID30533431
PMCPMC6250018

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.