John Spertus, M.D., M.P.H., professor of medicine and Daniel Lauer, M.D., Missouri Endowed Chair in Metabolism and Vascular Disease Research, has received a $1.7 million grant to create a device to help cardiac patients and their physicians decide the best course of action to take when necessary to open a blocked heart artery.
The grant from the Patient-Centered Outcomes Research Institute will allow Spertus to develop and test a shared decision-making tool that will outline the benefits, risks, and costs associated with using drug eluting stents (DES) or bare metal stents (BMS) to keep the artery open. Patients currently receive the drug-coated stents, which reduce the risk of a necessary repeat procedures but require taking a “super-aspirin” for a least a year, nearly 80 percent of the time but fewer than one-third discuss the choice of stents with their physician prior to the procedure, Spertus said.
In order to create the tool, patients and health care providers will be interviewed to identify the most important information and best method of presenting a shared decision-making tool. Once created, the tool will be introduced into routine clinical with patients undergoing percutaneous coronary intervention.
If successful, Spertus said the tool could be rapidly disseminated with training material to be used in the 600,000 PCI procedures that are performed in the United States each year.