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Clinical decision-making of cardiologists regarding admission and treatment of patients with suspected unstable angina or non-ST-elevation myocardial infarction: protocol of a clinical vignette study.

Engel J, van der Wulp I, Poldervaart JM, Reitsma JB, de Bruijne MC, Wagner C - BMJ Open (2015)

Bottom Line: The results of the study will provide insight into the relative importance of cardiac risk scores and other clinical information in cardiac decision-making.Further, the results indicate cardiologists' adherence to the European Society of Cardiology guideline recommendations.In addition, the detailed description of the method of vignette development applied in this study could assist other researchers or clinicians in creating future choice experiments.

View Article: PubMed Central - PubMed

Affiliation: Department of Public and Occupational Health, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.

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Related in: MedlinePlus

Example of clinical vignettes used in the web-based survey (UA/NSTEMI, unstable angina non-ST segment elevation myocardial infarction).
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BMJOPEN2014006441F1: Example of clinical vignettes used in the web-based survey (UA/NSTEMI, unstable angina non-ST segment elevation myocardial infarction).

Mentions: Two members of the research team drafted the initial clinical case descriptions of the vignettes: one representing decision moment A and one representing decision moment B. Next, the clinical case descriptions were discussed and reviewed in a second consensus meeting (26 February 2014), comprising four cardiologists and the research team. This review process was undertaken to ensure accuracy, plausibility and clarity of the clinical event presentation in all of the vignettes. The vignettes were revised until the research team and the panel of cardiologists agreed that the case descriptions represented clinical practice as closely as possible. An example of a vignette is presented in figure 1.


Clinical decision-making of cardiologists regarding admission and treatment of patients with suspected unstable angina or non-ST-elevation myocardial infarction: protocol of a clinical vignette study.

Engel J, van der Wulp I, Poldervaart JM, Reitsma JB, de Bruijne MC, Wagner C - BMJ Open (2015)

Example of clinical vignettes used in the web-based survey (UA/NSTEMI, unstable angina non-ST segment elevation myocardial infarction).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4390690&req=5

BMJOPEN2014006441F1: Example of clinical vignettes used in the web-based survey (UA/NSTEMI, unstable angina non-ST segment elevation myocardial infarction).
Mentions: Two members of the research team drafted the initial clinical case descriptions of the vignettes: one representing decision moment A and one representing decision moment B. Next, the clinical case descriptions were discussed and reviewed in a second consensus meeting (26 February 2014), comprising four cardiologists and the research team. This review process was undertaken to ensure accuracy, plausibility and clarity of the clinical event presentation in all of the vignettes. The vignettes were revised until the research team and the panel of cardiologists agreed that the case descriptions represented clinical practice as closely as possible. An example of a vignette is presented in figure 1.

Bottom Line: The results of the study will provide insight into the relative importance of cardiac risk scores and other clinical information in cardiac decision-making.Further, the results indicate cardiologists' adherence to the European Society of Cardiology guideline recommendations.In addition, the detailed description of the method of vignette development applied in this study could assist other researchers or clinicians in creating future choice experiments.

View Article: PubMed Central - PubMed

Affiliation: Department of Public and Occupational Health, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.

Show MeSH
Related in: MedlinePlus