Trial Outcomes & Findings for Don't Throw Your Heart Away: Layperson Study 1 (NCT NCT04133831)

NCT ID: NCT04133831

Last Updated: 2024-10-29

Results Overview

The outcome variable will be a measure of binary choice between two hospitals: one with a selective donor-heart acceptance strategy and one with a non-selective donor heart acceptance strategy. Participants will respond to the question "Which Hospital is a better choice for patients? Please click on one of the two tables below to indicate which hospital is the better choice." Participants will choose been two outcome tables featuring the selective and non-selective hospital (counterbalanced, such that each of the two choices is equally likely to be presented at top of the choice scenario in each condition). The number of participants that choose each hospital will be the measured outcome variable used in analyses.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1019 participants

Primary outcome timeframe

1 day

Results posted on

2024-10-29

Participant Flow

Participant milestones

Participant milestones
Measure
Condition 1: Combined Only
Participants randomized to baseline (control) arm Condition 1 will view only combined transplant survival outcome information (e.g. transplant survival rate not stratified by number and quality of donor hearts accepted at each center) when making a choice between the two hospitals.
Condition 2: Combined Plus Total
Participants randomized to Condition 2 will view combined transplant survival and total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\].
Condition 3: Stratified Only
Participants randomized to Condition 3 will view only stratified transplant survival outcome information when making a choice between the two hospitals. Stratified Transplant Survival: The transplant survival rate in the table of outcome statistics is stratified into two groups: (i) patients who received excellent donor organs and (ii) patients who received less than optimal donor organs. Stratified transplant survival is computed from survival rates of transplant patients who received each quality category of organ. excellent transplant survival = \[number of patients surviving after transplant with excellent organ\]/\[number of patients for whom excellent organ was accepted for transplant\] marginal transplant survival = \[number of patients surviving after transplant with marginal organ\]/\[number of patients for whom marginal organ was accepted for transplant\]
Condition 4: Stratified Plus Total
Participants randomized to Condition 4 will view stratified transplant survival and total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\]. Stratified Transplant Survival: The transplant survival rate in the table of outcome statistics is stratified into two groups: (i) patients who received excellent donor organs and (ii) patients who received less than optimal donor organs. Stratified transplant survival is computed from survival rates of transplant patients who received each quality category of organ. excellent transplant survival = \[number of patients surviving after transplant with excellent organ\]/\[number of patients for whom excellent organ was accepted for transplant\] marginal transplant survival = \[number of patients surviving after transplant with marginal organ\]/\[number of patients for whom marginal organ was accepted for transplant\]
Condition 5: Total Only
Participants randomized to Condition 5 will view only total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\].
Overall Study
STARTED
183
194
192
209
241
Overall Study
COMPLETED
183
194
192
209
241
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Don't Throw Your Heart Away: Layperson Study 1

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Condition 1: Combined Only
n=183 Participants
Participants randomized to baseline (control) arm Condition 1 will view only combined transplant survival outcome information (e.g. transplant survival rate not stratified by number and quality of donor hearts accepted at each center) when making a choice between the two hospitals.
Condition 2: Combined Plus Total
n=194 Participants
Participants randomized to Condition 2 will view combined transplant survival and total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\].
Condition 3: Stratified Only
n=192 Participants
Participants randomized to Condition 3 will view only stratified transplant survival outcome information when making a choice between the two hospitals. Stratified Transplant Survival: The transplant survival rate in the table of outcome statistics is stratified into two groups: (i) patients who received excellent donor organs and (ii) patients who received less than optimal donor organs. Stratified transplant survival is computed from survival rates of transplant patients who received each quality category of organ. excellent transplant survival = \[number of patients surviving after transplant with excellent organ\]/\[number of patients for whom excellent organ was accepted for transplant\] marginal transplant survival = \[number of patients surviving after transplant with marginal organ\]/\[number of patients for whom marginal organ was accepted for transplant\]
Condition 4: Stratified Plus Total
n=209 Participants
Participants randomized to Condition 4 will view stratified transplant survival and total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\]. Stratified Transplant Survival: The transplant survival rate in the table of outcome statistics is stratified into two groups: (i) patients who received excellent donor organs and (ii) patients who received less than optimal donor organs. Stratified transplant survival is computed from survival rates of transplant patients who received each quality category of organ. excellent transplant survival = \[number of patients surviving after transplant with excellent organ\]/\[number of patients for whom excellent organ was accepted for transplant\] marginal transplant survival = \[number of patients surviving after transplant with marginal organ\]/\[number of patients for whom marginal organ was accepted for transplant\]
Condition 5: Total Only
n=241 Participants
Participants randomized to Condition 5 will view only total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\].
Total
n=1019 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=8 Participants
Age, Categorical
Between 18 and 65 years
181 Participants
n=5 Participants
192 Participants
n=7 Participants
190 Participants
n=5 Participants
207 Participants
n=4 Participants
239 Participants
n=21 Participants
1009 Participants
n=8 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
2 Participants
n=21 Participants
9 Participants
n=8 Participants
Sex/Gender, Customized
Sex/Gender (customized) · Female
82 Participants
n=5 Participants
97 Participants
n=7 Participants
87 Participants
n=5 Participants
102 Participants
n=4 Participants
119 Participants
n=21 Participants
487 Participants
n=8 Participants
Sex/Gender, Customized
Sex/Gender (customized) · Male
97 Participants
n=5 Participants
90 Participants
n=7 Participants
96 Participants
n=5 Participants
106 Participants
n=4 Participants
115 Participants
n=21 Participants
504 Participants
n=8 Participants
Sex/Gender, Customized
Sex/Gender (customized) · Unknown/Other
4 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
1 Participants
n=4 Participants
7 Participants
n=21 Participants
28 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
6 Participants
n=8 Participants
Race (NIH/OMB)
Asian
9 Participants
n=5 Participants
7 Participants
n=7 Participants
10 Participants
n=5 Participants
11 Participants
n=4 Participants
11 Participants
n=21 Participants
48 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
13 Participants
n=5 Participants
10 Participants
n=7 Participants
14 Participants
n=5 Participants
19 Participants
n=4 Participants
16 Participants
n=21 Participants
72 Participants
n=8 Participants
Race (NIH/OMB)
White
142 Participants
n=5 Participants
154 Participants
n=7 Participants
141 Participants
n=5 Participants
157 Participants
n=4 Participants
190 Participants
n=21 Participants
784 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=5 Participants
11 Participants
n=7 Participants
9 Participants
n=5 Participants
10 Participants
n=4 Participants
13 Participants
n=21 Participants
49 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
9 Participants
n=5 Participants
10 Participants
n=7 Participants
17 Participants
n=5 Participants
12 Participants
n=4 Participants
10 Participants
n=21 Participants
58 Participants
n=8 Participants
Region of Enrollment
United States
183 participants
n=5 Participants
194 participants
n=7 Participants
192 participants
n=5 Participants
209 participants
n=4 Participants
241 participants
n=21 Participants
1019 participants
n=8 Participants

PRIMARY outcome

Timeframe: 1 day

The outcome variable will be a measure of binary choice between two hospitals: one with a selective donor-heart acceptance strategy and one with a non-selective donor heart acceptance strategy. Participants will respond to the question "Which Hospital is a better choice for patients? Please click on one of the two tables below to indicate which hospital is the better choice." Participants will choose been two outcome tables featuring the selective and non-selective hospital (counterbalanced, such that each of the two choices is equally likely to be presented at top of the choice scenario in each condition). The number of participants that choose each hospital will be the measured outcome variable used in analyses.

Outcome measures

Outcome measures
Measure
Condition 1: Combined Only
n=183 Participants
Participants randomized to baseline (control) arm Condition 1 will view only combined transplant survival outcome information (e.g. transplant survival rate not stratified by number and quality of donor hearts accepted at each center) when making a choice between the two hospitals.
Condition 2: Combined Plus Total
n=194 Participants
Participants randomized to Condition 2 will view combined transplant survival and total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\].
Condition 3: Stratified Only
n=192 Participants
Participants randomized to Condition 3 will view only stratified transplant survival outcome information when making a choice between the two hospitals. Stratified Transplant Survival: The transplant survival rate in the table of outcome statistics is stratified into two groups: (i) patients who received excellent donor organs and (ii) patients who received less than optimal donor organs. Stratified transplant survival is computed from survival rates of transplant patients who received each quality category of organ. excellent transplant survival = \[number of patients surviving after transplant with excellent organ\]/\[number of patients for whom excellent organ was accepted for transplant\] marginal transplant survival = \[number of patients surviving after transplant with marginal organ\]/\[number of patients for whom marginal organ was accepted for transplant\]
Condition 4: Stratified Plus Total
n=209 Participants
Participants randomized to Condition 4 will view stratified transplant survival and total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\]. Stratified Transplant Survival: The transplant survival rate in the table of outcome statistics is stratified into two groups: (i) patients who received excellent donor organs and (ii) patients who received less than optimal donor organs. Stratified transplant survival is computed from survival rates of transplant patients who received each quality category of organ. excellent transplant survival = \[number of patients surviving after transplant with excellent organ\]/\[number of patients for whom excellent organ was accepted for transplant\] marginal transplant survival = \[number of patients surviving after transplant with marginal organ\]/\[number of patients for whom marginal organ was accepted for transplant\]
Condition 5: Total Only
n=241 Participants
Participants randomized to Condition 5 will view only total survival outcome information when making a choice between the two hospitals. Total Survival: The overall or "total" survival rate at each center is displayed in the table of outcome statistics. Total survival is computed from survival rates of both transplant and waitlist patients: \[(number of patients surviving after transplant at end of year + number of patients alive on waitlist at end of year)\] / \[number of patients alive on waitlist at start of year\].
Hospital Choice
Proportion choosing non-selective center
64 Participants
125 Participants
163 Participants
192 Participants
224 Participants
Hospital Choice
Proportion choosing selective center
119 Participants
69 Participants
29 Participants
17 Participants
17 Participants

Adverse Events

Condition 1: Combined Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Condition 2: Combined Plus Total

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Condition 3: Stratified Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Condition 4: Stratified Plus Total

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Condition 5: Total Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Gretchen Chapman

Carnegie Mellon University

Phone: 412-268-3665

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place