Angina Prevalence and Provider Evaluation of Angina Relief (APPEAR)
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.
Stable Coronary Artery Disease (CAD).
|Study Design:||Observational Model: Case-Only
Time Perspective: Prospective
|Official Title:||Angina Prevalence and Provider Evaluation of Angina Relief|
- Seattle Angina Questionnaire [ Time Frame: One time cardiology office visit. ] [ Designated as safety issue: No ]Percentage of patients with frequent angina (>1 episode/week) as measured by the Seattle Angina Questionnaire (SAQ).
- Quality of Life [ Time Frame: One time cardiology office visit. ] [ Designated as safety issue: No ]Evaluate the impact of frequent angina on Quality of Life (as measured by the SAQ)
- Physician Perspective [ Time Frame: One time cardiology office visit. ] [ Designated as safety issue: No ]Identifying differences between patients' and cardiologists' assessment of angina control
- Cardiology practices angina control. [ Time Frame: One time cardiology office visit. ] [ Designated as safety issue: No ]Evaluate the differences in angina control between cardiology practices.
|Study Start Date:||July 2013|
|Estimated Study Completion Date:||December 2015|
|Estimated Primary Completion Date:||July 2015 (Final data collection date for primary outcome measure)|
Outpatient Coronary Artery Disease Patient
CAD patients being seen in a participating cardiology office for a scheduled clinic visit who agree to take the survey.
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01705054
|United States, Missouri|
|Saint Luke's Hospital of Kansas City|
|Kansas City, Missouri, United States, 64111|
|Principal Investigator:||John A Spertus, MD, MPH||Saint Luke's Hospital of Kansas City|
|Principal Investigator:||Faraz Kureshi, MD||Saint Luke's Hospital of Kansas City|