Evidence map›Paper›PMID 34452596›Full record

ArticleBMC cardiovascular disorders2021

Cardiology providers' recommendations for treatments and use of patient decision aids for multivessel coronary artery disease.

Elizabeth L Nichols, Glyn Elwyn, Anthony DiScipio, Mandeep S Sidhu, A James O'Malley, Daniel D Matlock, Shama Alam, Cathy S Ross, Megan Coylewright, David J Malenka and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. JACC. Advances · 2024
    Review
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

11 authors.

Elizabeth L NicholsThe Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr, Lebanon, NH, 03756, USA. Elizabeth.L.Nichols.GR@Dartmouth.edu.
Glyn ElwynThe Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr, Lebanon, NH, 03756, USA.
Anthony DiScipioDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Mandeep S SidhuAlbany Medical Center, Albany, NY, USA.
A James O'MalleyThe Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr, Lebanon, NH, 03756, USA.
Daniel D MatlockUniversity of Colorado School of Medicine, Aurora, CO, USA.
Shama AlamThe Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr, Lebanon, NH, 03756, USA.
Cathy S RossDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Megan CoylewrightDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
David J MalenkaDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Jeremiah R BrownThe Dartmouth Institute of Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr, Lebanon, NH, 03756, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of recommending percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) vary across clinicians. Whether clinicians agree on preferred treatment options for multivessel coronary artery disease patients has not been well studied. METHODS AND

resultsWe distributed a survey to 104 clinicians from the Northern New England Cardiovascular Study Group through email and at a regional meeting with 88 (84.6%) responses. The survey described three clinical vignettes of multivessel coronary artery disease patients. For each patient vignette participants selected appropriate treatment options and whether they would use a patient decision aid. The likelihood of choosing PCI only or PCI/CABG over CABG only was modeled using a multinomial regression. Across all vignettes, participants selected CABG only as an appropriate treatment option 24.2% of the time, PCI only 25.4% of the time, and both CABG or PCI as appropriate treatment options 50.4% of the time. Surgeons were less likely to choose PCI over CABG (RR 0.14, 95% CI 0.03, 0.59) or both treatments over CABG only (RR 0.10, 95% CI 0.03, 0.34) relative to cardiologists. Overall, 65% of participants responded they would use a patient decision aid with each vignette.

conclusionsThere is a lack of consensus on the appropriate treatment options across cardiologists and surgeons for patients with multivessel coronary artery disease. Treatment choice is influenced by both patient characteristics and clinician specialty.

Indexed as

Decision Support TechniquesAdolescentAdultAgedAged, 80 and overCardiologistsChoice BehaviorClinical Decision-MakingConsensusCoronary Artery BypassCoronary Artery DiseaseCross-Sectional StudiesFemaleHealth Care SurveysHealth StatusHumans

Identifiers

PMID34452596
PMCPMC8400903

What OpenQuestion holds

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Registered trials

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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.