Coronary Artery Disease
Conditions
Keywords
Percutaneous coronary intervention, Patient Preference, Radial access, Femoral access, Coronary angiography, Shared decision making
Brief summary
The purpose of this study is to determine the preference of patients regarding the vascular access site in future coronary procedures. We hypothesize that patients prefer the lesser invasive procedure via radial access.
Detailed description
Rationale: To explore patient preference for vascular access site in percutaneous coronary procedures, by assessing the perceived importance of benefits and risks of both transradial access and transfemoral access. In addition, direct preference for vascular access and preference for shared decision-making were evaluated. Objective: To investigate the patient preference of vascular access -transradial versus transfemoral- in future percutaneous coronary procedures, by use of the Best-Worst Scaling. Study design: Single-center, prospective, observational registry Study population: A consecutive series of patients, who between June and August 2014, underwent elective coronary procedures at Thoraxcentrum Twente in Enschede. Intervention: All subjects will receive a questionnaire containing basic baseline questions and a best-worst scaling scenario in which they were asked to indicate the most and least desirable characteristics of the vascular access approach. Furthermore, their direct preference was asked and to which extent they preferred to participate in the decision-making process regarding the choice for vascular access route in future percutaneous coronary procedures. Main study endpoints: * The primary endpoint is the patient preference on specific treatment characteristics with regard to vascular access in coronary procedures. * Secondary endpoints include 1. direct patient preference for transradial access or transfemoral access 2. the valuation of participation in decision-making on the choice of vascular access together with the interventional cardiologist.
Interventions
OTHERQuestionnaire
Questionnaire containing a Best-worst Scaling scenario
Sponsors
Foundation of Cardiovascular Research and Education Enschede
Thorax Centrum Twente
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients who undergoing an elective coronary procedure at Thoraxcenteum Twente in the period of June 2014 until August 2014
Exclusion criteria
* Language barrier
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The best and worst treatment characteristics of transradial and transfemoral access, by using a software-generated Best-Worst Scaling Questionnaire - case 2 | 30 days | Best-Worst Scaling Questionnaire will be used to assess which treatment characteristics patients find most and least desirable in percutaneous coronary procedures performed via transradial and transfemoral access. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of times that patients prefer transradial in future percutaneous coronary procedure, when given a discrete choice via a questionnaire. | 30 days | When given the discrete choice, which access site patients would prefer in future percutaneous coronary procedures. |
| Percentage of patients that wants to be directly involved in the decision-making process when making the choice for access site in future coronary procedures, by use of a questionnaire. | 30 days | The valuation of participation in decision-making on the choice of vascular access together with the interventional cardiologist |
Countries
Netherlands
Outcome results
None listed