Videos to reduce racial disparities in ICD therapy Via Innovative Designs (VIVID) trial: Rational, design and methodology

Thomas, Kevin L.; Sullivan, Lonnie T.; Al‐Khatib, Sana M.; Lapointe, Nancy Allen; Sears, Sam; Kosinski, Andrzej S.; Jackson, Larry R.; Kutyifa, Valentina; Peterson, Eric D.

doi:10.1016/j.ahj.2019.10.011

Cited by 8 publications

(7 citation statements)

References 41 publications

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“…Inconsistent findings have fueled controversy concerning whether race concordance and cultural tailoring in SDM are helpful; more research is needed. 125…”

Section: Sdm As a Driver Of Health Equitymentioning

confidence: 99%

“…Inconsistent findings have fueled controversy concerning whether race concordance and cultural tailoring in SDM are helpful; more research is needed. 125 Health literacy and SDM are intersecting concepts that have equity implications. Health literacy, the degree to which individuals have the capacity to obtain, process, and understand basic health information, 126 is an important consideration in SDM.…”

Section: Role Of Decision Aids In Health Equitymentioning

confidence: 99%

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Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association

Himmelfarb¹,

Beckie²,

Allen³

et al. 2023

Circulation

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Shared decision-making is increasingly embraced in health care and recommended in cardiovascular guidelines. Patient involvement in health care decisions, patient-clinician communication, and models of patient-centered care are critical to improve health outcomes and to promote equity, but formal models and evaluation in cardiovascular care are nascent. Shared decision-making promotes equity by involving clinicians and patients, sharing the best available evidence, and recognizing the needs, values, and experiences of individuals and their families when faced with the task of making decisions. Broad endorsement of shared decision-making as a critical component of high-quality, value-based care has raised our awareness, although uptake in clinical practice remains suboptimal for a range of patient, clinician, and system issues. Strategies effective in promoting shared decision-making include educating clinicians on communication techniques, engaging multidisciplinary medical teams, incorporating trained decision coaches, and using tools (ie, patient decision aids) at appropriate literacy and numeracy levels to support patients in their cardiovascular decisions. This scientific statement shines a light on the limited but growing body of evidence of the impact of shared decision-making on cardiovascular outcomes and the potential of shared decision-making as a driver of health equity so that everyone has just opportunities. Multilevel solutions must align to address challenges in policies and reimbursement, system-level leadership and infrastructure, clinician training, access to decision aids, and patient engagement to fully support patients and clinicians to engage in the shared decision-making process and to drive equity and improvement in cardiovascular outcomes.

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“…Inconsistent findings have fueled controversy concerning whether race concordance and cultural tailoring in SDM are helpful; more research is needed. 125…”

Section: Sdm As a Driver Of Health Equitymentioning

confidence: 99%

Section: Role Of Decision Aids In Health Equitymentioning

confidence: 99%

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association

Himmelfarb¹,

Beckie²,

Allen³

et al. 2023

Circulation

View full text Add to dashboard Cite

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“…[81][82][83] Investigation is also underway to evaluate the role of racial concordance in medical decision-making in relation to ICD utilization. 84 Equity, diversity, inclusion, and antiracism training should be an integral part of medical education. Lower socioeconomic position is often associated with poor patient education and engagement and influences clinician behavior and choice of diagnostic testing and treatments.…”

Section: Cultural Humilitymentioning

confidence: 99%

Racial and ethnic disparities in arrhythmia care: A call for action

Thomas¹,

Garg²,

Velagapudi³

et al. 2022

Heart Rhythm

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“…It is unclear, why this marked difference occurs. The lower rate of Black patients for ICD therapy is particularly concerning because Blacks are at greater risk than Whites for sudden cardiac death [32]. However, in the United States, Blacks also had a higher ICD refusal rate than other groups when ICD therapy was presented to them as a consideration [32].…”

Section: Racial/ethnic Groupsmentioning

confidence: 99%

“…The lower rate of Black patients for ICD therapy is particularly concerning because Blacks are at greater risk than Whites for sudden cardiac death [32]. However, in the United States, Blacks also had a higher ICD refusal rate than other groups when ICD therapy was presented to them as a consideration [32]. Among patients who are at higher risk of sudden cardiac death, Blacks had significantly less probability of getting an ICD [33].…”

Section: Racial/ethnic Groupsmentioning

confidence: 99%

Postoperative Pain Control Following Cardiac Implantable Electronic Device Implantation

Magnusson¹,

LeQuang²,

Pergolizzi³

2022

Cardiac Rhythm Management - Pacing, Ablation, Devices

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Postoperative pain following cardiac implantable electronic device (CIED) surgery may not always be adequately treated. The postoperative pain trajectory occurs over several days following the procedure with tenderness and limited arm range of motion lasting for weeks after surgery. Pain control typically commences in the perioperative period while the patient is in the hospital and may continue after discharge; outpatients may be given a prescription and advice for their analgesic regimen. It is not unusual for CIED patients to be discharged a few hours after implantation. While opioids are known as an effective analgesic to manage acute postoperative pain, growing scrutiny on opioid use as well as their side effects and potential risks have limited their use. Opioids may be considered for appropriate patients for a short course of treatment of acute postoperative pain, but other analgesics may likewise be considered.

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Videos to reduce racial disparities in ICD therapy Via Innovative Designs (VIVID) trial: Rational, design and methodology

Cited by 8 publications

References 41 publications

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association

Shared Decision-Making and Cardiovascular Health: A Scientific Statement From the American Heart Association

Racial and ethnic disparities in arrhythmia care: A call for action

Postoperative Pain Control Following Cardiac Implantable Electronic Device Implantation

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