Incidental Coronary Calcification Quality Improvement Project
Trial ID or NCT#
Status
NOT RECRUITING
Purpose
This is a multi-center, randomized quality improvement project. At least 200 statin-naïve patients without a history of atherosclerotic cardiovascular disease with incidental coronary artery calcium (CAC) on a prior non-gated chest CT will be enrolled across the Stanford Healthcare System and the Palo Alto Veteran's Affairs Healthcare System. Patients will be randomized in a 1:1 fashion to notification or usual care arms. The primary aim of this project is to estimate the increase in 6-month statin prescription among statin-naïve patients without a history of atherosclerotic cardiovascular disease with incidental CAC on a non-gated chest CT who are randomized to receive notification of their findings vs. usual care.
Official Title
Incidental Coronary Calcification Quality Improvement Project
Eligibility Criteria
- * Non-gated chest CT between 2014-2019* The presence of CAC confirmed by manual review by an experienced radiologist* Stanford affiliated primary care provider or endocrinologist for Stanford healthcare system patients and VA primary care provider for VA patients with at least 1 encounter since 2018
- * Current or prior statin or PCSK9 inhibitor therapy* Prior diagnosis of ASCVD (coronary artery disease, peripheral arterial disease, cerebrovascular disease, coronary/peripheral revascularization)* Prior coronary imaging (cardiac CT, invasive coronary angiography)* Dementia* Metastatic cancer or active cancer undergoing chemotherapy* History of medical nonadherence
Investigator(s)
View on ClinicalTrials.gov
