A Comparative Study of e-Partogram with Conventional Partogram

2016 ◽  
Vol 8 (4) ◽  
pp. 319-323
Author(s):  
Priyanka H Krishnaswamy ◽  
Achal Shetty ◽  
Padmalatha Venkatraman
Keyword(s):  
Blood Loss ◽  
Comparative Study ◽  
Apgar Score ◽  
Statistical Tests ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
World Health ◽  
P Value ◽  
Obstructed Labor ◽  
Secondary Outcomes

ABSTRACT Introduction Obstructed labor remains an important cause of not only maternal death but also short- and long-term disability. Even though the partogram serves to assist in effective monitoring of the progress of labor and the condition of the mother and baby, its use in developing countries is limited. Aim To compare the reliability of mobile application-based e-partogram for feto-maternal monitoring in labor with the conventional World Health Organization (WHO) partogram. Setting A total of 40 patients in the delivery suite at Rangadore Memorial Hospital, Shankarapuram, Bengaluru. Design A randomized controlled trial. Materials and methods Study population was randomized into two groups of 20 patients each. Labor events, delivery, and baby details were randomly filled either in the modified WHO partogram or in the e-partogram app. Outcome measures The primary outcomes analyzed were regularity of monitoring of maternal and fetal parameters, consultant supervision of labor, and retrospective filling of data. Secondary outcomes studied were the mode of delivery, blood loss up to 24 hours of delivery, 1 and 5 minutes neonatal APGAR score. Statistical analysis used Averages and proportions were calculated for the study and appropriate statistical tests like chi-square test, Fisher's exact test, Z-test, and Levene's test for equality of variances were done using MiniTab version 16. Results The regularity of monitoring maternal parameters (p-value of 0.001) and consultant supervision (p-value of 0.000) was significantly higher using the e-partogram compared with those whose labor was monitored using the paper partogram. Retrospective filling of the partogram was higher in the modified WHO (on-paper) partogram (p-value of 0.000). The secondary outcomes — mode of delivery, blood loss up to 24 hours of delivery, 1 and 5 minutes neonatal APGAR score — were not significantly different between the two groups (p-value > 0.05). Conclusion The e-partogram can provide safe births by increasing the quality and regularity of important observations on the progress of labor and early detection of problems by consultants, which can lead to better decision-making and earlier referrals. It also makes remote monitoring of labor possible, promotes logical human resource allocation, supports recordkeeping, and is thus a pragmatic way to reduce both maternal and newborn mortality and morbidity. How to cite this article Krishnaswamy PH, Venkatraman P, Shetty A. A Comparative Study of e-Partogram with Conventional Partogram. J South Asian Feder Obst Gynae 2016;8(4):319-323.

scholarly journals Comparative feasibility of two World Health Organization partographs to predict prolonged labour: a randomized control trial

2019 ◽  
Vol 6 (4) ◽  
pp. 167
Author(s):  
Mohini Rajoriya ◽  
Ruchi Kalra
Keyword(s):  
Confidence Interval ◽  
Odds Ratio ◽  
Randomized Control Trial ◽  
Controlled Trial ◽  
World Health ◽  
P Value ◽  
Obstructed Labor ◽  
Prolonged Labor ◽  
Randomized Control ◽  
Latent Phase

<p class="abstract"><strong>Background:</strong> One of the major causes of maternal mortality is obstructed labor. Identification of abnormal labor at earliest and timely management can prevent prolonged labor and significantly reduce its sequel. Partograph is a useful tool in hands of labor care givers to monitor labor course. The study was done to compare feasibility of two WHO partographs a composite partograph including the latent phase with a simplified one without the latent phase to predict prolonged labor in randomized control trial.</p><p class="abstract"><strong>Methods:</strong> A randomized controlled trial, with parallel arm design was conducted. Sample size was calculated as 404 pregnant women .They were randomly categorized in two groups, each group having 202 participants.</p><p class="abstract"><strong>Results:</strong> labor had crossed the alert line in 108 (53.4%) cases monitored by composite partograph and 38(18.8%) cases monitored with simplified partograph. The calculated P value was &lt;0.0001. The odds ratio calculate was 4.95 and 95% confidence interval was 3.16 to 7.76. Labor crossing the action line was found in 16 (7.9%) in composite partograph whereas in simplified partograph, labor had crossed the action line in 18 cases in simplified group. Calculated P value was 0.72 (&gt;0.05). The odds ratio was 0.8793 and 95% confidence interval 0.43 to 1.77 which was not significant statistically .Most participants (70%) experienced difficulty with the composite partograph, but no participant reported difficulty while plotting the simplified partograph.</p><p class="abstract"><strong>Conclusions: </strong>WHO simplified partograph was found to be as good as WHO composite partograph in identifying maternal and perinatal outcomes and was more user friendly.</p>

HUBUNGAN ANTARA PENDIDIKAN DAN PEKERJAAN IBU HAMIL DENGAN PEMERIKSAAN KEHAMILAN DI PUSKESMAS MARIANA KECAMATAN BANYUASIN I KABUPATEN BANYUASIN TAHUN 2011

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Leny Leny
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Maternal Education ◽  
Statistical Tests ◽  
Univariate Analysis ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

ABSTRACT Prenatal care is health care by health personnel to care the pregnant according to standards. Worlrd Health Organization (WHO) estimates more than 500.000 women die during pregnancy or childbirth. Maternal mortality in Indonesia is 307 per 100,000 live births. The quantity of pregnant women’s visit in Kabupaten Banyuasin in 2009 of 89.1%. The purpose of this study to determine the relationship between education and occupation with prenatal care at Puskesmas Mariana  Kecamatan Banyuasin I Kabupaten Banyuasin in 2011. This study uses analytic approach survey by Cross Sectional methods, the population are 1.946 pregnant women and the samples as many as 332 people. The results of univariate analysis study of pregnant women who are higher education as much as 45.2%, and  low maternal education as much as 54.8%. In pregnant women who work of 43.4%, and pregnant women who do not work for 56.6%. From the results of bivariate analysis and Chi-Square statistical tests found a significant association between education of pregnant women with prenatal care with P Value = 0.000, and there was a significant association between occupation of pregnant women with prenatal care with P Value = 0.000. Can be concluded that there is a relationship between education and occupation of pregnant women with prenatal care. Expected to health workers to provide counseling on the importance of prenatal care in pregnant women and expected future studies may explore again the factors associated with prenatal care with the different variables.   ABSTRAK Pemeriksaan kehamilan adalah pelayanan kesehatan oleh tenaga kesehatan untuk memeriksakan ibu hamil sesuai standar. World Health Organization (WHO) memperkirakan lebih dari 500.000 ibu pertahunnya meninggal saat hamil atau bersalin. AKI di Indonesia 307 per 100.000 kelahiran hidup. Jumlah kunjungan ibu hamil di Kabupaten Banyuasin tahun 2009 sebesar 89,1%. Tujuan penelitian ini untuk mengetahui hubungan antara pendidikan dan pekerjaan dengan pemeriksaan kehamilan di Puskesmas Mariana Kecamatan Banyuasin I Kabupaten Banyuasin tahun  2011. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional, populasi ibu hamil dengan jumlah 1.946 orang dan jumlah sampel sebanyak 332 orang. Hasil penelitian Analisa Univariat adalah ibu hamil yang pendidikan tinggi sebanyak 45,2%, dan pendidikan rendah ibu hamil sebanyak 54,8%. Pada variabel pekerjaan ibu hamil yang bekerja sebesar 43,4%, dan ibu hamil yang tidak bekerja sebesar 56,6%. Dari hasil analisa bivariat dan uji statistik Chi-Square  didapatkan hubungan yang bermakna antara pendidikan ibu hamil dengan pemeriksaan kehamilan dengan  P Value = 0,000, dan ada hubungan yang bermakna antara pekerjaan ibu hamil dengan pemeriksaan kehamilan dengan P Value = 0,000. Dapat disimpulkan bahwa ada hubungan antara pendidikan dan pekerjaan ibu hamil dengan pemeriksaan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan penyuluhan tentang pentingnya pemeriksaan pada ibu hamil dan diharapkan penelitian yang akan datang dapat menggali lagi faktor-faktor yang berhubungan dengan pemeriksaan kehamilan dengan variabel yang berbeda.

scholarly journals Communicating personalised statin therapy-effects as 10-year CVD-risk or CVD-free life-expectancy: does it improve decisional conflict? Three-armed, blinded, randomised controlled trial

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e041673
Author(s):  
Nicole E M Jaspers ◽  
Frank L J Visseren ◽  
Yolanda van der Graaf ◽  
Yvo M Smulders ◽  
Olga C Damman ◽  
...  
Keyword(s):  
Decision Making ◽  
Randomised Controlled Trial ◽  
Life Expectancy ◽  
Statin Therapy ◽  
Controlled Trial ◽  
Decisional Conflict ◽  
P Value ◽  
Cvd Risk ◽  
Secondary Outcomes ◽  
Randomised Controlled

ObjectiveTo determine whether communicating personalised statin therapy-effects obtained by prognostic algorithm leads to lower decisional conflict associated with statin use in patients with stable cardiovascular disease (CVD) compared with standard (non-personalised) therapy-effects.DesignHypothesis-blinded, three-armed randomised controlled trialSetting and participants303 statin users with stable CVD enrolled in a cohortInterventionParticipants were randomised in a 1:1:1 ratio to standard practice (control-group) or one of two intervention arms. Intervention arms received standard practice plus (1) a personalised health profile, (2) educational videos and (3) a structured telephone consultation. Intervention arms received personalised estimates of prognostic changes associated with both discontinuation of current statin and intensification to the most potent statin type and dose (ie, atorvastatin 80 mg). Intervention arms differed in how these changes were expressed: either change in individual 10-year absolute CVD risk (iAR-group) or CVD-free life-expectancy (iLE-group) calculated with the SMART-REACH model (http://U-Prevent.com).OutcomePrimary outcome was patient decisional conflict score (DCS) after 1 month. The score varies from 0 (no conflict) to 100 (high conflict). Secondary outcomes were collected at 1 or 6 months: DCS, quality of life, illness perception, patient activation, patient perception of statin efficacy and shared decision-making, self-reported statin adherence, understanding of statin-therapy, post-randomisation low-density lipoprotein cholesterol level and physician opinion of the intervention. Outcomes are reported as median (25th– 75th percentile).ResultsDecisional conflict differed between the intervention arms: median control 27 (20–43), iAR-group 22 (11–30; p-value vs control 0.001) and iLE-group 25 (10–31; p-value vs control 0.021). No differences in secondary outcomes were observed.ConclusionIn patients with clinically manifest CVD, providing personalised estimations of treatment-effects resulted in a small but significant decrease in decisional conflict after 1 month. The results support the use of personalised predictions for supporting decision-making.Trial registrationNTR6227/NL6080.

scholarly journals INFLUENCE OF YOGA ON THE BLOOD PRESSURE OF ELDERLY WITH HYPERTENSION

2018 ◽  
Vol 2 (3) ◽  
pp. 30-35
Author(s):  
Mariza Elvira
Keyword(s):  
Blood Pressure ◽  
Quantitative Methods ◽  
Statistical Tests ◽  
The Elderly ◽  
World Health ◽  
P Value ◽  
Main Program ◽  
The Earth ◽  
Health Organization ◽  
Relationship Of

According to WHO (World Health Organization) about 972 million people in the earth suffering from hypertension that occurs in the elderly over the age of 60 years. The purpose of this study is to determine the effect of yoga exercises on blood pressure in the elderly who experienced hypertension in Social House Trisna Werdha Kasih Sayang Ibu Batusangkar. This research was conducted in April to May 2017 with quantitative methods. The instrument used was the observation sheet with elderly respondents who suffered from hypertension as many as 12 people that meet the criteria with Total Sampling. The statistical test used is Dependent t-test. The results of statistical tests showed a significant influence between elderly blood pressure before yoga gymnastics and after yoga exercises with p value = 0.000 (<0.05). So it can be concluded that there is a relationship of yoga exercises with blood pressure.It is expected to Trisna Werdha Kasih Sayang Ibu at Batusangkar Social House to be able to make this yoga gymnastics as one of the main program for elderly.

scholarly journals Maternal and fetal outcomes in pregnant women with hyperemesis gravidarum

2019 ◽  
Vol 8 (3) ◽  
pp. 901
Author(s):  
Sangeeta Parihar ◽  
Swatantar Singh
Keyword(s):  
Gestational Diabetes ◽  
Pregnant Women ◽  
Apgar Score ◽  
Gestational Hypertension ◽  
Hyperemesis Gravidarum ◽  
Mode Of Delivery ◽  
Multiple Pregnancy ◽  
Nutritional Deficiencies ◽  
P Value ◽  
Maternal Weight

Background: Hyperemesis gravidarum (HG) is associated with maternal weight loss, nutritional deficiencies, fluid and electrolyte abnormalities, which may lead to adverse fetal and maternal outcomes. The purpose of this study was to evaluate the relationship of hyperemesis gravidarum to maternal and foetal outcomes.Methods: A hospital-based prospective observational study was carried out. All patients with singleton pregnancy diagnosed as / history of hyperemesis gravidarum the current pregnancy was included in the study. The pregnant women with multiple pregnancy, molar pregnancy, presence of pre-gestational diabetes, pre-gestational hypertension, and other causes of nausea such as appendicitis and pyelonephritis were excluded from the study.Results: 36 pregnant women with prevalence rate of 3.28% have been found to be suffering from HG. Almost half (17, 47.22%) of the pregnant women with HG had age less than 25 years. The significant association (p-value: 0.0099) has been found between parity and smoking with HG. HG was significantly associated with low birth weight (p-value: 0.0133); small for gestational age (SGA) (p-value: 0.0316); APGAR score < 7 after 1 minute (p-value: 0.0060); and APGAR score <7 after 5 minutes (p-value: 0.0006). There is no association found between mode of delivery, gestational diabetes, and pregnancy-induced hypertension with HG.Conclusions: HG can adversely affect fetal as well as maternal, though not significant, pregnancy outcomes.

scholarly journals Factors Related To Abortus Events In Mitra Medika Rsu Tanjung Mulia Medan In 2019

2020 ◽  
Vol 5 (3) ◽  
pp. 631
Author(s):  
Qori Armiza Septia
Keyword(s):  
Pregnant Women ◽  
Health Workers ◽  
Statistical Tests ◽  
World Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Contraceptive Failure ◽  
Study Approach ◽  
History Of ◽  
Relationship Of

<p><em>Abortion is an important problem in public health because it affects maternal morbidity and mortality. Based on data from the World Health Organization (WHO) in 2016, around 830 women die from pregnancy-related complications worldwide every day. During 2010-2014, an estimated 56 million abortions occur each year worldwide. The aim is to find out factors related to the abortion at Mitra Medika Tanjung Mulia Medan Hospital in 2019.</em></p><pre><strong><em>         </em></strong><em>This research uses a Mix Methods research with a Sequential Explanatory strategy. The approach used in quantitative retrospectives and qualitative uses a case study approach. The population </em><em>in</em><em> this study were all pregnant women who experienced abortion recorded in the medical records of Mitra Medika Hospital Tanjung Mulia Medan as many as 73 respondents. The sample in a quantitative approach of 73 respondents with the technique of Total Population while for qualitative 2 pregnant women who have abortion, 2 husbands, 1 midwife. Data collection is carried out with primary, secondary and tertiary data. Data analysis was performed by univariate, bivariate analysis. Qualitative </em><em>data</em><em> analysis with data reduction, data presentation, and drawing conclusions.</em></pre><pre><em>         </em><em>Data obtained from the results of statistical tests show there is a relationship between age and abortion p value 0.005, there is a relationship of work with abortion p value 0.017, there is a relationship of parity with abortion p value 0.022, there is a relationship between historical abortion with abortion p value 0.001. And there is no correlation between contraceptive failure and abortion p value 0.297. Qualitatively based on in-depth interviews with informants that the cause of the occurrence of abortion is due to the age of the mother at risk, a history of previous abortion and fatigue at work. Another factor related to the incidence of abortion is husband's support.</em></pre><p><em>         The conclusion of this study is that there is a relationship between age, occupation, parity, history of abortion of pregnant women with abortion and there is no relationship between contraceptive failure of pregnant women with abortion in Mitra Medika Tanjung Mulia Hospital in 2019. It is expected that health workers can improve the quality of services in efforts to manage abortion and providing information about pre-conception preparation and health monitoring during pregnancy.</em><em></em></p>

scholarly journals Hubungan Antara Perilaku Hidup Bersih dan Sehat dengan Kejadian Pneumonia pada Balita di Wilayah Kerja Puskesmas Mlati II Yogyakarta

2014 ◽  
Vol 1 (2) ◽  
pp. 72
Author(s):  
Nining Fitrianingsih ◽  
Titih Huriah ◽  
Sri Muryati
Keyword(s):  
Exclusive Breastfeeding ◽  
Statistical Tests ◽  
Family Members ◽  
World Health ◽  
Smoking Habits ◽  
P Value ◽  
Healthy Life ◽  
The World ◽  
The Relationship ◽  
Life Behavior

Background: The United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2006 stated, pneumonia is the most important child killer. Every year, more than 2 million children die from pneumonia, means that 1 in 5 infants died in the world. Health status is not only determined by health service, but the most dominant are environment and people’s behavior. One efffort to change people’s behavior, in order to support the improvement of health is by implemented of Clean And Healthy Life Behavior Program. Aim: To know the correlation between the behavior of clean and healthy life with incident pneumonia in children in the work area of Mlati II Primary Health Center Yogyakarta. Methods: The reseach method used an analytical survey research with cross sectional survey design. Total population in this study were 2.243 childrens, while the technical sampling is done with cluster techniques obtained as 96 samples of  children. Statistical tests used chi square and than analized the relationship using Prevalence Ratio (PR). Results:Result showed p value = 0.000 and PR = 2.88 on the relationship between the incidence of pneumonia with clean and healthy life behavior. Exclusive breastfeeding variables showed p value 0.00 and PR = 3.811. Variabel wash hand shows the results p value 0.034 and PR= 1.277. Variable smoking habits of family members is p value 0.026. and PR = 9.831. Conclusion: There are relation between the behavior of clean and healthy life, exclusive breastfeeding, hand washing with soap and smoking habits of family members with the incidence of pneumonia.

scholarly journals Análise comparativa entre o parto normal e cesárea: aspectos para a puérpera e recém-nascido /Comparative analysis between transpelvic and cesarean delivery: aspects for the postpartum woman and newborn

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Giulia Severini Lazarini ◽  
Stephanie San Gregorio Contieri ◽  
Lucas Fontes Gaetani ◽  
Lucca Marzocca Rodante Corsi ◽  
Cássia Maria Carvalho Abrantes do Amaral
Keyword(s):  
Pregnant Woman ◽  
Cesarean Section ◽  
Comparative Study ◽  
Cesarean Delivery ◽  
Apgar Score ◽  
Statistical Significance ◽  
World Health ◽  
Postpartum Woman ◽  
The World ◽  
Minute Apgar Score

Introdução: Segundo as orientações do Ministério da Saúde e da Organização Mundial da Saúde, a gestante deve optar pelo parto transpélvico, caso não tenha nenhuma indicação de cesárea. Apesar disso, Brasil é um dos países que mais realiza cesárea no mundo todo, sendo que apenas 15% são realmente necessárias. Objetivo: Realizar um estudo comparativo em relação ao estado clínico da parturiente e do recém-nascido após a realização de parto transpélvico e cesárea. Material e Métodos: Foram coletados dados de 50 gestantes com idade gestacional entre 38 a 40 semanas quando realizaram o parto, através da análise de prontuário e questionário aplicado às puérperas, e contemplando o estado de saúde tanto da puérpera como do recém-nascido. Resultados: Com as informações levantadas, foi traçado um perfil das gestantes. O estudo estatístico não demonstrou significado estatístico na comparação das vias de parto com relação aos seguintes aspectos: ocorrência e intensidade da dor após o parto (P = 0,14), Apgar do 1º minuto (P = 0,73) e Apgar do 5º minuto (P = 0,53). Apenas o tempo de permanência mostrou-se significativo (P = 0,02), sendo encontrado um maior tempo de permanência do parto transpélvico. Conclusão: Apesar de a literatura demonstrar maiores vantagens tanto para a paciente como para o recém-nascido quando realizado o parto transpélvico, o presente estudo não encontrou diferenças significativas entre as duas vias de parto.Palavras Chave: Parto transpélvico, Cesárea, Período pós-parto, Recém-nascido, Estudo comparativo ABSTRACTIntroduction: According to the guidelines of the Ministry of Health and the World Health Organization, pregnant woman should opt for transpelvic delivery, if she has no indication for cesarean section. Nonetheless, Brazil is one of the most performing cesarean section countries in the world, but only 15% of the cases the method are really needed. Objective: To perform a comparative study regarding the clinical status of parturient and newborn after transpelvic and cesarean delivery. Material and Methods: Data were collected from 50 pregnant women with gestational age between 38 and 40 weeks when they delivered, through analysis of medical records and questionnaire applied to postpartum women and considering the health status of both the postpartum and the newborn. Results: With the information gathered, a profile of the pregnant woman was drawn. The statistical study did not show statistical significance in the comparison of the pathways regarding the following aspects: occurrence and intensity of pain after delivery (P = 0.14), 1st minute Apgar score (P = 0.73) and 5th minute Apgar score (P = 0.53). Only the length of stay was significant (P = 0.02), and a longer time of transpelvic delivery was found. Conclusion: Although the literature demonstrates greater advantages for both the patient and the newborn when performing transpelvic delivery, the present study found no significant differences between the two routes of delivery.Keywords: Transpelvic delivery; Cesarean section; Postpartum period; Infant, newborn; Comparative study

P646Effects of personalized therapy-effect predictions on statin treatment decisions by patients and physicians: a three-armed, blinded, randomized controlled trial

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
N E M Jaspers ◽  
F L J Visseren ◽  
Y Van Der Graaf ◽  
O C Damman ◽  
Y M Smulders ◽  
...  
Keyword(s):  
Decision Making ◽  
Randomized Controlled Trial ◽  
Life Expectancy ◽  
Controlled Trial ◽  
Decisional Conflict ◽  
P Value ◽  
Shared Decision ◽  
Cvd Risk ◽  
Randomized Controlled ◽  
Secondary Outcomes

Abstract Background Several online tools express an individual's therapy-benefit for various cardiovascular disease (CVD) prevention strategies. The benefit can be expressed in multiple formats, such as absolute 10-year CVD risk reduction or gain in CVD-free life-years. It is increasingly suggested that these estimates can be used in doctor-patient communication to support shared decision-making. However, the actual therapy-benefit to be expected from preventive therapy might be small from the perspective of patients, and it remains unclear how the estimates affect patient and physician decision-making. Purpose The primary objective was to determine whether communicating personalized predictions of prognosis and treatment-effects (compared to non-personalized standard practice) leads to lower decisional conflict among patients with stable CVD and prescribed statin medication. Methods A hypothesis-blinded, three-armed randomized controlled trial was performed in which 303 patients were randomized in a 1:1:1 ratio to either standard practice (control-group) or to one of two intervention arms. Intervention arms received personalized estimates of prognostic changes associated with both discontinuation of current statin and intensification to the most potent statin type and dose (atorvastatin 80 mg). Intervention arms differed only in the format of the treatment effect estimates: change in personal 10-year absolute CVD risk (iAR-group) or CVD-free life-expectancy (iLE-group). Primary outcome was patient decisional conflict score (DCS) after one-month, which varies from 0 (no conflict) to 100 (high conflict). Secondary outcomes were collected at one or six months: DCS, quality of life, illness perception, patient activation, patient perception of statin efficacy and shared decision-making, self-reported statin adherence, understanding of statin-therapy, post-randomization low-density lipoprotein cholesterol levels, and physician opinion of statin therapy decisions and the intervention. Outcomes are reported as median (25th–75th percentile). Results In the iAR group, the change in 10-year absolute CVD-risk was −2.4 (−1.2 to −3.9%) from intensification and +10.2% (+7.7 to +13.5) from discontinuation. In the iLE group, the change in CVD-free life-expectancy was +0.5 years (+0.3 to +0.8) from intensification and −2.0 years (−1.3 to −2.8) from discontinuation. Decisional conflict differed between the intervention arms: median control 27 (20–43), iAR-group 22 (11–30; p-value versus control 0.002), and iLE-group 25 (10–31; p-value versus control 0.02). No differences in secondary outcomes were observed. Figure 1. Part of the personalized information received by iAR-group (left) and iLE-group (right). Conclusion In patients with clinically manifest CVD, providing personalized estimations of treatment-effects lowers decisional conflict associated with statin use. The results support the use of personalized predictions for patient decision making. Acknowledgement/Funding Partially funded by a Netherlands Heart Foundation grant (2016T026)

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