CompletedNot Applicable

Picture of Incidental Calcium To Understand Risk Estimate (PICTURE) Trial

United States202 participantsStarted 2024-01-08

Plain-language summary

This is a prospective randomized controlled trial assessing the impact of notifying patients and their clinicians of an incidental finding of coronary artery calcification (CAC) indicating increased cardiovascular risk. Patients will be identified through completed radiology orders for non-gated, non-contrast chest CT in the appropriate clinical context and then will have an EHR screen for inclusion criteria. The presence of CAC will be confirmed by a radiologist. Eligible patients will be randomized to CAC notification or usual care using a 1:1 stratified block randomization method based on baseline ASCVD.

Who can participate

Age range18 Years – 84 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Age 18 and above and \<85 * Non-gated chest CT with CAC * An encounter after July 1, 2021 with a Stanford-affiliated clinician from one of the following clinics: * Stanford Internal Medicine (includes University affiliated clinics) * Stanford Family Medicine (includes University affiliated clinics) * Non-EP cardiologist Exclusion Criteria: * Advanced or poor-prognostic cancer * No active primary care or cardiology care at Stanford Health Care * Primary language other than English, Spanish, Vietnamese, Cantonese, or Mandarin * Baseline statin or non-statin lipid lowering therapy * Allergy to statin medication or identification of statin-associated muscle symptom

What they're measuring

Number of new statin prescriptions

Timeframe: Baseline through Month 6

Trial details

NCT IDNCT05588895

SponsorStanford University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-01-15

View on ClinicalTrials.gov More Coronary Artery Calcification trials