Evidence map›Paper›PMID 32410687›Full record

Trial reportHealth and quality of life outcomes2020

Health-related qualify of life, angina type and coronary artery disease in patients with stable chest pain.

Nina Rieckmann, Konrad Neumann, Sarah Feger, Paolo Ibes, Adriane Napp, Daniel Preuß, Henryk Dreger, Gudrun Feuchtner, Fabian Plank, Vojtěch Suchánek and 51 more

Erratum issued Registry-linked trialOpen access · goldAbstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02400229 (Diagnostic Imaging Strategies for Patients With Stable Chest Pain and Intermediate Risk of Coronary Artery Disease), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
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.

NCT02400229 nacompletednot on this map

Diagnostic Imaging Strategies for Patients With Stable Chest Pain and Intermediate Risk of Coronary Artery Disease: Comparative Effectiveness Research of Existing Technologies) - A Pragmatic Randomised Controlled Trial of CT Versus ICA

TypeinterventionalSponsorCharite University, Berlin, GermanyRan2015 to 2022Enrolled3,546ConditionsCoronary Artery DiseaseArmsComputed tomography angiography (cardiac CT), Invasive coronary angiography (ICA)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Impact of an interactive CTCA/FFRThe international journal of cardiovascular imaging · 2025
    Article
  5. Article
  6. Societal, occupational, and economic considerations for women with (M)INOCA: a narrative review.International journal of occupational medicine and environmental health · 2025
    Review
  7. Article
  8. Article
  9. Population-level norm values by EQ-5D-3L in Hungary - a comparison of survey results from 2022 with those from 2000.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

61 authors at 20 institutions in 16 countries.

Nina RieckmannInstitute of Public Health, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany. nina.rieckmann@charite.de.
Konrad NeumannInstitute of Public Health, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Sarah FegerDepartment of Radiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Paolo IbesDepartment of Radiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Adriane NappDepartment of Radiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Daniel PreußDepartment of Radiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Henryk DregerDepartment of Cardiology and Angiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Gudrun FeuchtnerDepartment of Radiology, Innsbruck Medical University, Innsbruck, Austria.
Fabian PlankDepartment of Internal Medicine III, Cardiology, Innsbruck Medical University, Innsbruck, Austria.
Vojtěch SuchánekDepartment of Imaging Methods, Motol University Hospital, Prague, Czech Republic.
Josef VeselkaDepartment of Cardiology, Motol University Hospital, Prague, Czech Republic.
Thomas EngstrømDepartment of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Klaus F KofoedDepartment of Cardiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Stephen SchröderDepartment of Cardiology, ALB FILS KLINIKEN GmbH, Goeppingen, Germany.
Thomas ZelesnyDepartment of Radiology, ALB FILS KLINIKEN GmbH, Goeppingen, Germany.
Matthias GutberletDepartment of Radiology, University of Leipzig Heart Centre, Leipzig, Germany.
Michael WoinkeDepartment of Cardiology, University of Leipzig Heart Centre, Leipzig, Germany.
Pál Maurovich-HorvatHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Béla MerkelyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Patrick DonnellyDepartment of Cardiology, Southeastern Health and Social Care Trust, Belfast, UK.
Peter BallDepartment of Radiology, Southeastern Health and Social Care Trust, Belfast, UK.
Jonathan D DoddDepartment of Radiology, St. Vincent's University Hospital, Dublin, Ireland.
Mark HenseyDepartment of Cardiology, St. Vincent's University Hospital, Dublin, Ireland.
Bruno LoiDepartment of Cardiology, Azienda Ospedaliera Brotzu, Cagliari, CA, Italy.
Luca SabaDepartment of Radiology, University of Cagliari, Cagliari, CA, Italy.
Marco FranconeDepartment of Radiological, Pathological and Oncological Sciences, Sapienza University of Rome, Rome, Italy.
Massimo ManconeDepartment of Cardiovascular, Respiratory, Nephrology, Anesthesiology and Geriatric Science, Sapienza University of Rome, Rome, Italy.
Marina BerzinaDepartment of Cardiology, Paul Stradins Clinical University Hospital, Riga, Latvia.
Andrejs ErglisDepartment of Cardiology, Paul Stradins Clinical University Hospital, Riga, Latvia.
Audrone VaitiekieneDepartment of Cardiology, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
Laura ZajanckauskieneDepartment of Cardiology, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
Tomasz HarańDepartment of Radiology, Wojewodzki Szpital Specjalistyczny We Wroclawiu, Wroclaw, Poland.
Malgorzata Ilnicka SuckielDepartment of Cardiology, Wojewodzki Szpital Specjalistyczny We Wroclawiu, Wroclaw, Poland.
Rita FariaDepartment of Cardiology, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Vila Nova de Gaia, Portugal.
Vasco Gama-RibeiroDepartment of Cardiology, Centro Hospitalar de Vila Nova de Gaia/ Espinho, Vila Nova de Gaia, Portugal.
Imre BenedekCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tirgu Mures, Romania.
Ioana RodeanCenter of Advanced Research in Multimodality Cardiac Imaging, Cardio Med Medical Center, Tirgu Mures, Romania.
Filip AdjićDepartment of Cardiology, Institute for Cardiovascular Diseases of Vojvodina, Novi Sad, Sremska Kamenica, Serbia.
Nada Čemerlić AdjićDepartment of Cardiology, Institute for Cardiovascular Diseases of Vojvodina, Novi Sad, Sremska Kamenica, Serbia.
José Rodriguez-PalomaresDepartment of Cardiology, Hospital Universitari Vall d'Hebron, Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain.
Bruno Garcia Del BlancoDepartment of Cardiology, Hospital Universitari Vall d'Hebron, Institut de Recerca (VHIR), Universitat Autònoma de Barcelona, Barcelona, Spain.
Katriona BrooksbankBHF Centre of Research Excellence, Glasgow University, Glasgow, UK.
Damien CollisonInstitute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.
Gershan DavisCardiovascular Medicine, University of Central Lancashire, Preston, UK.
Erica ThwaiteDepartment of Radiology, Aintree University Hospital, Liverpool, UK.
Juhani KnuutiTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Antti SarasteHeart Center, Turku University Hospital and University of Turku, Turku, Finland.
Cezary KępkaThe National Institute of Cardiology, Warsaw, Poland.
Mariusz KrukThe National Institute of Cardiology, Warsaw, Poland.
Theodora BenedekDepartment of Internal Medicine, University of Medicine and Pharmacy, Tirgu Mures, Romania.
Mihaela RatiuCounty Clinical Emergency Hospital, Tirgu Mures, Romania.
Aleksandar N NeskovicClinic of Internal medicine/Interventional cardiology, Clinical Hospital Center Zemun-Belgrade, Belgrade, Serbia.
Radosav VidakovicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Ignacio DiezDepartment of Cardiology, Basurto Hospital, Bilbao, Spain.
Iñigo LecumberriDepartment of Radiology, Basurto Hospital, Bilbao, Spain.
Michael FisherDepartment of Cardiology, Royal Liverpool University Hospital, Liverpool, UK.
Balazs RuzsicsDepartment of Cardiology, Royal Liverpool University Hospital, Liverpool, UK.
William HollingworthPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Iñaki Gutiérrez-IbarluzeaOsteba, Basque Office for Health Technology Assessment, Ministry for Health, Basque Country, Spain.
Marc DeweyDepartment of Radiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Jacqueline Müller-NordhornInstitute of Public Health, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEHumboldt-Universität zu Berlin · DEUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · ROAlb Fils Kliniken · DECentro Hospitalar de Vila Nova de Gaia · PTHospital de Basurto · ESHospital of Lithuanian University of Health Sciences Kaunas Clinics · LTInnsbruck Medical University · ATInstitute for Cardiovascular Diseases of Vojvodina · RSInstitute of Cardiology · PLLeipzig Heart Institute · DEPauls Stradiņš Clinical University Hospital · LVRigshospitalet · DKSapienza University of Rome · ITSemmelweis University · HUSouth Eastern Health and Social Care Trust · GBSt. Vincent's University Hospital · IEUniversity Hospital in Motol · CZUniversity of Belgrade · RSUniversity of Glasgow · GB

Funding

Seventh Framework Programme EC-GA 603266
6 · The paper itself

Abstract

backgroundHealth-related quality of life (HRQoL) is impaired in patients with stable angina but patients often present with other forms of chest pain. The aim of this study was to compare the pre-diagnostic HRQoL in patients with suspected coronary artery disease (CAD) according to angina type, gender, and presence of obstructive CAD.

methodsFrom the pilot study for the European DISCHARGE trial, we analysed data from 24 sites including 1263 patients (45.9% women, 61.1 ± 11.3 years) who were clinically referred for invasive coronary angiography (ICA; 617 patients) or coronary computed tomography angiography (CTA; 646 patients). Prior to the procedures, patients completed HRQoL questionnaires: the Short Form (SF)-12v2, the EuroQoL (EQ-5D-3 L) and the Hospital Anxiety and Depression Scale.

resultsFifty-five percent of ICA and 35% of CTA patients had typical angina, 23 and 33% had atypical angina, 18 and 28% had non-anginal chest discomfort and 5 and 5% had other chest discomfort, respectively. Patients with typical angina had the poorest physical functioning compared to the other angina groups (SF-12 physical component score; 41.2 ± 8.8, 43.3 ± 9.1, 46.2 ± 9.0, 46.4 ± 11.4, respectively, all age and gender-adjusted p < 0.01), and highest anxiety levels (8.3 ± 4.1, 7.5 ± 4.1, 6.5 ± 4.0, 4.7 ± 4.5, respectively, all adjusted p < 0.01). On all other measures, patients with typical or atypical angina had lower HRQoL compared to the two other groups (all adjusted p < 0.05). HRQoL did not differ between patients with and without obstructive CAD while women had worse HRQoL compared with men, irrespective of age and angina type.

conclusionsPrior to a diagnostic procedure for stable chest pain, HRQoL is associated with chest pain characteristics, but not with obstructive CAD, and is significantly lower in women.

trial registrationClinicaltrials.gov, NCT02400229.

Indexed as

Quality of LifeAgedAngina PectorisCoronary Artery DiseaseFemaleHumansMaleMiddle AgedPilot ProjectsSex DistributionSurveys and QuestionnairesAnginaChest painComputed tomography angiographyCoronary artery diseaseHealth-related quality of lifeInvasive coronary angiography

Identifiers

PMID32410687
PMCPMC7222590
OpenAlexW3024854952

What OpenQuestion holds

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LicenceCC BY
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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.