Deferred Testing in Stable Outpatients With Suspected Coronary Artery Disease: A Prespecified Secondary Analysis of the PRECISE Randomized Clinical Trial.

ABSTRACT:

Importance

Guidelines recommend deferral of testing for symptomatic people with suspected coronary artery disease (CAD) and low pretest probability. To our knowledge, no randomized trial has prospectively evaluated such a strategy.

Objective

To assess process of care and health outcomes in people identified as minimal risk for CAD when testing is deferred.

Design, setting, and participants

This randomized, pragmatic effectiveness trial included prespecified subgroup analysis of the PRECISE trial at 65 North American and European sites. Participants identified as minimal risk by the validated PROMISE minimal risk score (PMRS) were included.

Intervention

Randomization to a precision strategy using the PMRS to assign those with minimal risk to deferred testing and

SUBMITTER: Udelson JE 

PROVIDER: S-EPMC10448368 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature