| Assessment and improvement of figures to visually convey benefit and risk of stroke thrombolysis. | |
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MedLine Citation:
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PMID: 20056928 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Deciding whether to use intravenous fibrinolytic therapy for acute cerebral ischemia within 3 hours of onset is challenging for patients, family members, and health care providers. Visual displays can permit individuals to rapidly understand response patterns to therapy. This study sought to evaluate, refine, and improve existing visual aids for stroke fibrinolytic decision-making. METHODS: Existing visual aids were identified by Medline search and querying of national guideline organizations, pharmaceutical manufacturers, and stroke specialists, and were rated on a formal 8-point quality rating scale (0, lowest; 8, highest). Based on available instruments, new visual displays were developed to improve informed decision-making in routine practice. RESULTS: Two existing visual aids were identified, one from an emergency medicine society and one from a pharmaceutical company. Both were comparison visual displays of outcomes with and without treatment; no decision matrix visual aid was found. Both scored 4.0 on the quality scale, showing defects of effect size distortion, privileging less salient outcomes, dissimilar representation by treatment group, and limited stakeholder participation in generation. Revised versions of these graphics were developed with higher quality scores (6.75 and 7.75). In addition, a new decision matrix display with quality score 8.0 was developed that complements the numeric text of a national patient education tool developed jointly by US neurology, emergency medicine, and stroke patient organizations. CONCLUSIONS: Existing visual aids for stroke fibrinolysis decision-making have deficiencies. New visual displays are now available to convey the health benefits and risks of fibrinolytic stroke therapy efficiently and informatively to patients and family members. |
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Authors:
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Jigneshkumar Gadhia; Sidney Starkman; Bruce Ovbiagele; Latisha Ali; David Liebeskind; Jeffrey L Saver |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2010-01-07 |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 41 ISSN: 1524-4628 ISO Abbreviation: Stroke Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-26 Completed Date: 2010-02-23 Revised Date: 2011-07-22 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: United States |
Other Details:
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Languages: eng Pagination: 300-6 Citation Subset: IM |
Affiliation:
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Stroke Center and Department of Neurology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, Calif 90095, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Audiovisual Aids
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standards* Caregivers / education Computer Graphics / standards Data Interpretation, Statistical Decision Support Techniques* Education, Medical, Continuing / methods Humans Intracranial Thrombosis / drug therapy*, epidemiology, physiopathology Outcome Assessment (Health Care) / methods* Patient Education as Topic / methods Risk Assessment / methods Software Design Stroke / drug therapy*, epidemiology, physiopathology Thrombolytic Therapy / methods* |
| Grant Support | |
ID/Acronym/Agency:
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P50 NS044378/NS/NINDS NIH HHS; P50 NS044378-069011/NS/NINDS NIH HHS; P50 NS044378-079011/NS/NINDS NIH HHS; U01 NS 44364/NS/NINDS NIH HHS |
| Comments/Corrections | |
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