Evidence map›Paper›PMID 39723322›Full record

ArticleCureus2024

Integrated Multidisciplinary Approach to Acute Chest Pain: Perspectives From Family Medicine, Emergency Medicine, and Internal Medicine.

Amna Yaseen, Huzaifa Kamran Khan, Areeb Asghar, Zahoor Ahmad, Talha Masood, Muhammad Hamza Ghufran, Tajala Fayyaz, Muzzamil Samad, Ahmad Amin, Salman Wali and 5 more

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Amna YaseenGeneral Practice, Hayatabad Medical Complex, Peshawar, PAK.
Huzaifa Kamran KhanMedicine, Foundation University School of Health Sciences, Islamabad, PAK.
Areeb AsgharEmergency Medicine, Government Mian Meer Hospital, Lahore, PAK.
Zahoor AhmadInternal Medicine, Kuwait Teaching Hospital, Peshawar, PAK.
Talha MasoodInternal Medicine, Northern Lincolnshire and Goole NHS Foundation Trust, Scunthorpe, GBR.
Muhammad Hamza GhufranInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Tajala FayyazInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Muzzamil SamadInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Ahmad AminCardiology, Mardan Medical Complex, Mardan, PAK.
Salman WaliInternal Medicine, Mardan Medical Complex, Mardan, PAK.
Naqeeb UllahInternal Medicine, Lady Reading Hospital, Peshawar, PAK.
Sundas SafdarRadiology, Lady Reading Hospital, Peshawar, PAK.
Mahwash NazirInternal Medicine, Borders General Hospital, Melrose, GBR.
Hanifullah HanfiInternal Medicine, Mardan Medical Complex, Mardan, PAK.
Tamanna NazirInternal Medicine, Hayatabad Medical Complex, Peshawar, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute chest discomfort is a common clinical problem that has to be well understood and managed collaboratively by specialists from many fields of medicine.

objectiveThis study aimed to explore and evaluate the perspectives of healthcare professionals in family, emergency, and internal medicine regarding the management of acute chest pain, with a specific focus on diagnostic practices, interdisciplinary collaboration, and protocol adherence to establish best practices for a unified approach. METHODOLOGY: This cross-sectional study, conducted from June 2022 to July 2024, included 218 healthcare professionals with over a year of experience in family, emergency, and internal medicine, selected through convenient sampling from hospitals such as Lady Reading Hospital, Hayatabad Medical Complex, Mardan Medical Complex, and Government Mian Meer Hospital. Data was collected through structured questionnaires covering demographics, clinical protocols, inter-disciplinary communication, and management challenges, complemented by semi-structured interviews for deeper insights. Statistical analysis was performed using SPSS version 26, with chi-square tests comparing responses across specialties, considering p < 0.05 as statistically significant.  Results: The results showed that emergency medicine practitioners had the highest use of diagnostic tools, with 80 out of 80 (100%) using electrocardiogram (ECG) and 78 out of 80 (97.5%) using troponin tests, compared to 60 out of 70 (85.71%) and 40 out of 70 (57.14%) in family medicine (p < 0.001 for both). Additionally, 70 out of 80 (87.5%) in emergency medicine reported time constraints affecting management. Communication barriers were noted by 50 out of 80 (62.5%) in emergency medicine and 45 out of 70 (64.29%) in family medicine. Interdisciplinary collaboration was reported at 50 out of 70 (71.43%) in family medicine and 60 out of 80 (75%) in emergency medicine. A lack of standardized protocols was especially high in internal medicine, impacting 65 out of 68 (95.59%) participants (p<0.001).

conclusionEmergency medicine professionals consistently utilize diagnostic tools like ECGs and troponin tests more frequently, reflecting their time-sensitive clinical environment, but also report significant time constraints. In contrast, internal medicine practitioners, who generally have more years of experience, reported the highest adherence to management protocols, yet they also identified a lack of standardized guidelines as a major barrier. Family medicine professionals, while showing strong interdisciplinary collaboration, had lower utilization rates of advanced diagnostic tools, which may impact early decision-making. These disparities underline the need for unified protocols and improved communication pathways across specialties to enhance diagnostic accuracy and streamline management.

Indexed as

acute chest painemergency medicinefamily medicineinternal medicinemultidisciplinary approach

Identifiers

PMID39723322
PMCPMC11669374

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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.