I25 I20 R07
Conditions
Interventions
Group 1: "Before" (control phase): conventional treatment or diagnostics
Group 2: "After" (intervention phase): treatment or diagnostics according to a regional pathway developed by peers (clinical pa
Sponsors
Philipps-Universität MarburgAbt. f. Allgemeinmedizin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with chest pain / chest tightness, shortness of breath or similar symptoms for which you (recruiting doctors) are considering at least a distant cause of CHD; Even patients who already have a CHD; Even patients that you e.g. at V.a. seek acute coronary syndrome (home visit, emergency room); Regardless of consequence (general, specialist and / or inpatient treatment)
Exclusion criteria
Exclusion criteria: Age <18 years, Lack of knowledge of German
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of cardiac catheterization (Telephone patient survey on use of services (modified FIMA) in intervention and control groups, each at T1 = 3 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| Frequency of non-invasive diagnostics to clarify CHD Survey: Telephone patient questionnaire on the use of services (modified FIMA) in the intervention and control groups, each at T1 = 3 months Definition of non-invasive diagnostics: exercise ECG, stress echocardiography, CT angiography and / or CT coronary calcification, cardio-MRI, myocardial scintigraphy, myocardial PET Share of use decision support Survey: Telephone patient survey on decision support (dichotomous, own question) in intervention and control group, each at T1 = 3 months Joint decision-making on cardiac catheters Survey: Telephone patient survey for joint decision-making (PEF-9) on the further procedure in the intervention and control groups, each at T1 = 3 months | — |
Countries
Germany
Contacts
Public ContactNorbert Donner-Banzhoff
Philipps-Universität Marburg
Outcome results
None listed