Evidence map›Paper›PMID 39748242›Full record

Trial reportBMC health services research2025

Evaluation of health-related quality of life changes in an Australian rapid access chest pain clinic.

J Andrew Black, James E Sharman, Gang Chen, Andrew J Palmer, Barbara de Graaff, Mark Nelson, Niamh Chapman, Julie A Campbell

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

J Andrew BlackDepartment of Cardiology, Royal Hobart Hospital, 48 Liverpool Street, Hobart, TAS, Australia. andrew.black@ths.tas.gov.au.ORCID http://orcid.org/0000-0003-0406-2500
James E SharmanCollege of Health and Medicine, Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, Australia.
Gang ChenCentre for Health Economics, Monash University, 900 Dandenong Rd, Caulfield East, Victoria, Australia.
Andrew J PalmerCollege of Health and Medicine, Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, Australia.
Barbara de GraaffCollege of Health and Medicine, Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, Australia.
Mark NelsonCollege of Health and Medicine, Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, Australia.
Niamh ChapmanSchool of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Julie A CampbellCollege of Health and Medicine, Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of absolute cardiovascular risk counselling on quality-of-life indices within a chest pain clinic. DATA SOURCES AND STUDY

settingPrimary data was collected at the Royal Hobart Hospital, Australia, between 2014 and 2020. STUDY

designPatients attending an Australian chest pain clinic were randomised into a prospective, open-label, blinded-endpoint study over a minimum 12-months follow-up. DATA COLLECTION / EXTRACTION

methodsThe SF-36 questionnaire was completed at baseline/follow-up and SF-6D multi-attribute utility instrument's health state utilities (HSU) were generated using SF-36 responses and the SF-6D's Australian tariff. SF-6D minimal important difference was 0.04 points. Absolute cardiovascular risk was also stratified into high/intermediate/low-risk categories for exploratory analysis of summary HSUs and dimensional scores. ANZCTR registration number 12617000615381 (registered 28/4/17). PRINCIPAL

findingsOf n = 189 patients enrolled, HSUs were generated for 96% at baseline (intervention n = 93, usual care n = 88) and 61% at follow-up. There were no statistical differences in age, sex, absolute cardiovascular risk or mean HSU between groups at baseline. Summary HSUs improved more for the intervention group and the median between-group difference exceeded the minimal important difference threshold (intervention 0.16 utility points, control 0.10 utility points). For Intervention patients with high absolute risk (≥ 15%), HSU did not significantly change.

conclusionsAbsolute cardiovascular risk counselling in a chest pain clinic yielded clinically meaningful improvement in health-related quality of life.

Indexed as

Chest PainQuality of LifeAdultAgedAustraliaFemaleHumansMaleMiddle AgedProspective StudiesSurveys and QuestionnairesAbsolute cardiac riskChest pain clinicCost-utilityEconomic evaluationQuality of life

Identifiers

PMID39748242
PMCPMC11697740

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.