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Diagnostic Imaging Strategies for Patients with Stable Chest Pain and Intermediate Risk of Coronary Artery Disease: Comparative Effectiveness Research of Existing Technologies

Objective

Coronary artery disease (CAD) is the leading cause of death in high-income countries. Invasive coronary angiography (ICA) is the reference standard for the diagnosis of CAD and allows immediate therapy. However, only 40% of patients undergoing ICA actually have obstructive CAD and ICA has relatively rare but considerable risks. Coronary computed tomography (CT) is the most accurate diagnostic test for CAD currently available. CT may become the most effective strategy to reduce the ca. 2 million annual negative ICAs in Europe by enabling early and safe discharge of the majority of patients with an intermediate risk of CAD.
To evaluate this, we propose the DISCHARGE project that will be implemented by a multinational European consortium. The core of the project is the DISCHARGE pragmatic randomised controlled trial. The primary hypothesis will be that CT is superior to ICA for major adverse cardiovascular events (cardiovascular death, nonfatal myocardial infarction and stroke) after a maximum follow-up of 4 years in a selected broad population of stable chest pain patients with intermediate pretest likelihood of CAD. The trial will include 25 clinical sites from 16 European countries ensuring broad geographical representation. Comparative effectiveness research of complementing work packages include gender-related analysis, systematic review of evidence, cost-effectiveness analysis, and health-related quality of life. DISCHARGE has the capability to influence current standards and guidelines as well as coverage decisions and will raise awareness among patients, health care providers, and decision-makers in Europe about the effectiveness and cost-effectiveness of coronary CT angiography.

Call for proposal

FP7-HEALTH-2013-INNOVATION-1
See other projects for this call

Coordinator

CHARITE - UNIVERSITAETSMEDIZIN BERLIN
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Chariteplatz 1
10117 Berlin
Germany

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Higher or Secondary Education Establishments
Administrative Contact
Adriane Napp (Ms.)
EU contribution
€ 2 538 595

Participants (34)

MEDIZINISCHE UNIVERSITAT INNSBRUCK
Austria
EU contribution
€ 154 304
Address
Christoph Probst Platz 1
6020 Innsbruck

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Activity type
Higher or Secondary Education Establishments
Administrative Contact
Wolfram Rieneck (Dr.)
UNIVERSITAIR ZIEKENHUIS ANTWERPEN

Participation ended

Belgium
Address
Drie Eikenstraat 655
2650 Edegem
Activity type
Research Organisations
Administrative Contact
Erlend Van Breusegem (Mr.)
FAKULTNI NEMOCNICE V MOTOLE
Czechia
EU contribution
€ 113 220
Address
V Uvalu 84
150 06 Praha 5

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Activity type
Research Organisations
Administrative Contact
Josef Veselka (Prof.)
REGION HOVEDSTADEN
Denmark
EU contribution
€ 222 126
Address
Kongens Vaenge 2
3400 Hillerod

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Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Christine Nuding (Mrs.)
KLINIKEN DES LANDKREISES GOPPINGEN GGMBH
Germany
EU contribution
€ 130 696
Address
Eichertstrasse 3
73035 Goppingen

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Research Organisations
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Stephen Schroeder (Prof.)
UNIVERSITAET LEIPZIG
Germany
EU contribution
€ 130 696
Address
Ritterstrasse 26
04109 Leipzig

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Higher or Secondary Education Establishments
Administrative Contact
Matthias Gutberlet (Prof.)
SEMMELWEIS EGYETEM
Hungary
EU contribution
€ 127 320
Address
Ulloi Utca 26
1085 Budapest

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Higher or Secondary Education Establishments
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Bela Merkely (Prof.)
SOUTH EASTERN HEALTH AND SOCIAL CARE TRUST NHS
United Kingdom
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€ 164 310
Address
Upper Newtownards Road Ulster Hospital Dundonald Trust Headquarters
BT16 1RH Belfast

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Administrative Contact
Paul Carlin (Mr.)
UNIVERSITY COLLEGE DUBLIN, NATIONAL UNIVERSITY OF IRELAND, DUBLIN
Ireland
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€ 165 480
Address
Belfield
4 Dublin

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Higher or Secondary Education Establishments
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Donal Doolan (Mr.)
UNIVERSITA DEGLI STUDI DI CAGLIARI
Italy
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€ 97 920
Address
Via Universita 40
09124 Cagliari

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Higher or Secondary Education Establishments
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Luca Saba (Dr.)
UNIVERSITA DEGLI STUDI DI ROMA LA SAPIENZA
Italy
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€ 101 032
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Piazzale Aldo Moro 5
00185 Roma

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Marco Francone (Prof.)
PAULA STRADINA KLINISKA UNIVERSITATES SLIMNICA
Latvia
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€ 256 024
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Pilsonu Iela 13
1002 Riga

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Andrejs Erglis (Prof.)
LIETUVOS SVEIKATOS MOKSLU UNIVERSITETAS
Lithuania
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€ 106 960
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A Mickeviciaus Gatve 9
44307 Kaunas

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Mateleviciute Laima (Ms.)
WOJEWODZKI SZPITAL SPECJALISTYCZNY WE WROCLAWIU
Poland
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€ 76 172
Address
Ul. Henryka Michala Kamienskiego 73 A
51 124 Wroclaw

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Patrycja Gawora (Ms.)
CENTRO HOSPITALAR DE VILA NOVA DE GAIA/ESPINHO EPE
Portugal
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€ 113 280
Address
Rua Conceicao Fernandes S/n
4434 502 Vila Nova De Gaia

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Nuno Bettencourt (Dr.)
CARDIO MED SRL
Romania
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€ 97 005
Address
22 Decembrie 1989 Strada 76 Ap 1
540124 Targu Mures

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Teodora Benedek (Dr.)
INSTITUT ZA KARDIOVASKULARNE BOLESTI VOJVODINE
Serbia
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€ 64 260
Address
Put Doktora Goldmana 4
21204 Sremska Kamenica

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Ljiljana Pupic (Ms.)
INSTITUT CATALA DE LA SALUT
Spain
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€ 147 340
Address
Gran Via De Les Corts Catalanes 587
08007 Barcelona

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Administrative Contact
Joan X Comella (Dr.)
REGION OSTERGOTLAND

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Sweden
Address
Larsgatan 49b
581 91 Linkoping
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Eva Swahn (Prof.)
KANTONSSPITAL ST. GALLEN

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Switzerland
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Rorschacherstrasse 95
9007 St. Gallen
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Cornelia De Martin
UNIVERSITY OF GLASGOW
United Kingdom
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€ 91 000
Address
University Avenue
G12 8QQ Glasgow

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Joe Galloway (Mr.)
AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST
United Kingdom
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€ 132 160
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Longmoor Lane
L9 7AL Liverpool

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Administrative Contact
Gershan Davis (Dr.)
INSTITUT NATIONAL DE LA SANTE ET DE LA RECHERCHE MEDICALE

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France
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Rue De Tolbiac 101
75654 Paris
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Lyddie Laaland (Ms.)
ACADEMISCH ZIEKENHUIS LEIDEN
Netherlands
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€ 151 000
Address
Albinusdreef 2
2333 ZA Leiden

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Daan Katchaki (Mr.)
FUNDACION VASCA DE INNOVACION E INVESTIGACION SANITARIAS
Spain
EU contribution
€ 228 600
Address
Ronda De Azkue,1
48902 Barakaldo

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Irune Vegas Martinez (Mrs.)
CESKE VYSOKE UCENI TECHNICKE V PRAZE

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Czechia
EU contribution
€ 24 600
Address
Jugoslavskych Partyzanu 1580/3
160 00 Praha
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Vladimir Rogalewicz (Prof.)
UNIVERSITATSKLINIKUM JENA
Germany
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€ 199 000
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Kastanienstr.1
07747 Jena

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Stefanie Höhn (Mrs.)
VARSINAIS-SUOMEN SAIRAANHOITOPIIRIN KUNTAYHTYMA
Finland
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€ 80 480
Address
Kiinamyllynkatu 4-8
20520 Turku

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Juhani Knuuti (Prof.)
NARODOWY INSTYTUT KARDIOLOGII STEFANA KARDYNALA WYSZYNSKIEGO - PANSTWOWY INSTYTUT BADAWCZY
Poland
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€ 29 955
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Ul. Alpejska 42
04 628 Warszawa

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Aleksandra Pajor (Mrs.)
"UNIVERSITATEA DE MEDICINA, FARMACIE, STIINTE SI TEHNOLOGIE ""GEORGE EMIL PALADE"" DIN TARGU MURES"
Romania
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€ 18 520
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Street Gheorghe Marinescu 38
540139 Targu Mures

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Paraschiva Munteanu (Mrs.)
FACULTY OF MEDICINE, UNIVERSITY OF BELGRADE
Serbia
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€ 38 960
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Dr Subotica, 8
11000 Belgrade

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Slavica Petricevic (Mrs.)
Servicio Vasco de Salud Osakidetza
Spain
EU contribution
€ 46 000
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Alava 45
01006 Vitoria-gasteiz

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Ainhoa Martin (Mrs.)
ECRIN EUROPEAN CLINICAL RESEARCH INFRASTRUCTURE NETWORK
France
EU contribution
€ 113 000
Address
30 Bd Saint-jacques Batiment B
75014 Paris

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Alicja Szofer-Araya (Mrs.)
KOBENHAVNS UNIVERSITET
Denmark
EU contribution
€ 39 980
Address
Norregade 10
1165 Kobenhavn

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Administrative Contact
Tine Mathiesen (Mrs.)