Clinical trial NCT01705054: Angina Prevalence and Provider Evaluation of Angina Relief
Official title: Angina Prevalence and Provider Evaluation of Angina Relief
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stable Coronary Artery Disease CAD
Keywords: Angina
Stable ischemic heart disease
Quality of Life
Seattle Angina Questionnaire (SAQ)
Lead sponsor: Saint Luke's Health System
Sponsor class: OTHER
Collaborators: name: Gilead Sciences
First posted: 2012-10-12
Enrollment: 1246
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Outpatient cardilogy practice.

Brief summary: The purpose of this study is describe the frequency of chest pain and how chest pain impacts patients' quality of life in the outpatients with chronic coronary artery disease in contemporary cardiology practice settings.

Detailed description: The primary goals in the management of stable coronary artery disease (CAD) are to reduce risk factors for heart attack and to control the symptoms of angina (chest pain). Ideally angina is well controlled with medications alone, but invasive procedures are a valuable option for patients with persistent angina. The amount of angina among patients with stable CAD in the outpatient setting, however, is unknown. An Australian study reported that almost 1 in 3 patients with stable angina being treated by primary care doctors had angina at least once a week, which was associated with worse quality of life. We propose to examine the burden of angina in outpatients with stable CAD who are being medically managed by cardiologists in the United States through administration of a one-time survey. The information from this study could ultimately help improve management of stable CAD and angina and illuminate potential underuse of revascularization. While cardiologists are generally expected to provide better angina control than primary care doctors, establishing the prevalence of angina among the best providers will help with a framework for interpreting symptom control among other practitioners.

Eligibility criteria: Inclusion Criteria:

* Coronary artery disease patients being seen in a participating cardiology office for a scheduled clinic visit who agree to take the survey.

Exclusion Criteria:

* Too ill to take survey
* Previously completed this survey
* Refused to participate

Primary outcomes:
measure: Seattle Angina Questionnaire
timeFrame: One time cardiology office visit.
Secondary outcomes:
measure: Quality of Life
timeFrame: One time cardiology office visit.
measure: Physician Perspective
timeFrame: One time cardiology office visit.
measure: Cardiology practices angina control.
timeFrame: One time cardiology office visit.
Other outcomes:
Locations:
city: Kansas City
country: United States
facility: Saint Luke's Hospital of Kansas City
state: Missouri
Study officials:
affiliation: St. Luke's Hospital, Kansas City, Missouri
name: John A Spertus, MD, MPH
role: PRINCIPAL_INVESTIGATOR
affiliation: St. Luke's Hospital, Kansas City, Missouri
name: Faraz Kureshi, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Beltrame JF, Weekes AJ, Morgan C, Tavella R, Spertus JA. The prevalence of weekly angina among patients with chronic stable angina in primary care practices: The Coronary Artery Disease in General Practice (CADENCE) Study. Arch Intern Med. 2009 Sep 14;169(16):1491-9. doi: 10.1001/archinternmed.2009.295.