Health Status after Invasive or Conservative Care in Coronary and Advanced Kidney Disease
Why the study?
Does an initially invasive strategy improve angina-related health status in participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease?
Population
Patients with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease
Comparison
Initially invasive strategy vs conservative strategy
Authors
Discussion
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Member takes
Implication
Supports conservative strategy for angina in advanced CKD; extends evidence against routine invasive approach in this population.
Structured PICO
Does an initially invasive strategy improve angina-related health status in participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease?
P
Population
Participants with stable ischemic heart disease, moderate or severe ischemia, and advanced chronic kidney disease
I
Intervention
Initially invasive strategy
C
Comparator
Conservative strategy
O
Outcome
Angina-related health statuspatient reported
An initially invasive strategy does not provide substantial or sustained benefits in angina-related health status compared to a conservative strategy in patients with stable ischemic heart disease and advanced CKD.
Cite This Study
Spertus et al. (2020) studied this question.