Evidence map›Paper›PMID 34027356›Full record

ArticleCJC open2021

Reducing Unnecessary Noninvasive Testing for Inpatients With Unstable Angina: The RUNIT Protocol.

Benjamin Leis, Idris Bare, Kirsten Marshall, Elise Buschau, Lori Penner, Cassandra Keith, J S De Villiers, Jason Orvold

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CJC open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 72% 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.

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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Benjamin LeisDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Idris BareDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Kirsten MarshallDepartment of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Elise BuschauDivision of Cardiology, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada.
Lori PennerDivision of Cardiology, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada.
Cassandra KeithDivision of Cardiology, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada.
J S De VilliersDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Jason OrvoldDepartment of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Saskatchewan Health Authority · CAUniversity of Saskatchewan · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine inpatient transthoracic echocardiography (TTE) for patients with unstable angina is common, but it anecdotally adds little value to clinical care. A practice audit at our academic hospital demonstrated that 61.5% of patients with troponin-negative chest pain (TNCP) had normal left ventriculography (LVG) during coronary angiography and normal TTE on the same admission (duplicate testing).

methodsWe developed the

resultsAmong 254 patients admitted with TNCP over 12 months, we reduced duplicate testing from 61.5% (before intervention) to 34% (

conclusionWe achieved a sustained reduction in reflexive TTE ordering in patients with TNCP, and we discuss the potential of nursing-led interventions to address other areas of low value care in cardiology.

Identifiers

PMID34027356
PMCPMC8129432
OpenAlexW3112596894

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.