Providing Patient Information and CT Examination Results
Condition: Chest Pain; Nonmalignant Condition
MeSH terms: Precancerous Conditions; Chest Pain
Study type: Interventional

Summary: 
      Chest pain is a common cause of visits in the Emergency Room and General Practice, and is
      most commonly connected as a symptom of coronary disease, as for instance angina pectoris and
      acute myocardial infarct. Approximately 75-80% of these patients are not diagnosed with
      coronary disease or other cardiac findings. However, many of these patients still report
      chest pain and worries about cardiac disease.

      This study is based on patients that are referred to a CT-examination of the coronary
      arteries on the background of chest pain, where the CT-examination shows normal coronary
      arteries.

      The study aims to evaluate whether providing an intervention to this group of patients has an
      effect on patient satisfaction, patient's worry of cardiac disease and incidence of chest
      pain.

      The intervention group will be compared with a similar group going through the same
      CT-examination, but is receiving the examination result from their regular general
      practitioner (RGP), which is considered standard care.

      The hypothesis is that patients with chest pain with no coronary findings receiving extended
      information before getting the normal examination results experience a better patient
      satisfaction than those receiving the examination result from their RGP.
    

Detailed description: 
      This study is a randomized controlled study. Eligible patients going through a CT-examination
      of the heart's coronary arteries, Coronary CT Angiogram (CCTA) will after an informed consent
      be randomized into two groups, either the intervention group or standard care.

      The intervention consists of extended information regarding the benefits of doing a CCTA,
      thereby emphasising the specificity and accuracy of the CCTA's ability to exclude coronary
      disease. After this, there will be given an opportunity of a visual go-through and
      explanation of CT-images. Then they will be informed of the examination result that shows
      normal coronary arteries.

      Follow up is planned after one month, six months and twelve months, where the participants
      receive the same questionnaire as at baseline to fill out and return. The questionnaire
      consists of Seattle Angina Questionnaire and RAND-12, in addition to social demographic and
      clinical data, such as sex, height, weight and current medication.
    

Intervention name(s): Extended information
Intervention type(s): Other
Intervention description(s): The extended information consists out of an information leaflet and a visual go-through of the participants calcium score images. The patients are then given the normal examination result.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Experimental randomized controlled trial
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Non coronary Chest Pain; Extended Information; Normal Examination Result; Coronar Computed Tomography Angiography; CCTA; Calcium score; Diagnostic Examination; Patient Satisfaction; Normal Coronary Arteries