Evidence map›Paper›PMID 12964946›Full record

Trial reportBMC cardiovascular disorders2003

Home-based versus hospital-based cardiac rehabilitation after myocardial infarction or revascularisation: design and rationale of the Birmingham Rehabilitation Uptake Maximisation Study (BRUM): a randomised controlled trial [ISRCTN72884263].

Kate Jolly, Gregory Y H Lip, Josie Sandercock, Sheila M Greenfield, James P Raftery, Jonathan Mant, Rod Taylor, Deirdre Lane, Kaeng Wai Lee, A J Stevens

Registry-linked trialOpen access · goldAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05532605 (Effects of Mindfulness Based Therapy on Patients Perception of Illness and Depression in Cardiac Rehabilitation Phase-i), which is not on this map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05532605 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effects of Mindfulness Based Therapy on Patients Perception of Illness and Depression in Cardiac Rehabilitation Phase-i

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled48ConditionsCoronary Artery StenosisArmscardiac rehabilitation phase I protocols, Cardiac rehab phase I protocols + Mindfullness base therapy
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2010
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Feasibility and effectiveness of remote, telephone-based delivery of cardiac rehabilitation.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
    Trial
  9. Trial
  10. Trial
  11. Cardiac rehabilitation in the Northwest.Irish journal of medical science · 2011
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Kate JollyDepartment of Public Health & Epidemiology, Public Health Building, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom. C.B.Jolly@bham.ac.uk
Gregory Y H Lip
Josie Sandercock
Sheila M Greenfield
James P Raftery
Jonathan Mant
Rod Taylor
Deirdre Lane
Kaeng Wai Lee
A J Stevens
University of Birmingham · GBBirmingham City Hospital · GB

Funding

Department of Health 99/32/09
6 · The paper itself

Abstract

backgroundCardiac rehabilitation following myocardial infarction reduces subsequent mortality, but uptake and adherence to rehabilitation programmes remains poor, particularly among women, the elderly and ethnic minority groups. Evidence of the effectiveness of home-based cardiac rehabilitation remains limited. This trial evaluates the effectiveness and cost-effectiveness of home-based compared to hospital-based cardiac rehabilitation. METHODS/

designA pragmatic randomised controlled trial of home-based compared with hospital-based cardiac rehabilitation in four hospitals serving a multi-ethnic inner city population in the United Kingdom was designed. The home programme is nurse-facilitated, manual-based using the Heart Manual. The hospital programmes offer comprehensive cardiac rehabilitation in an out-patient setting. PATIENTS: We will randomise 650 adult, English or Punjabi-speaking patients of low-medium risk following myocardial infarction, coronary angioplasty or coronary artery bypass graft who have been referred for cardiac rehabilitation.

main outcome measuresSerum cholesterol, smoking cessation, blood pressure, Hospital Anxiety and Depression Score, distance walked on Shuttle walk-test measured at 6, 12 and 24 months. Adherence to the programmes will be estimated using patient self-reports of activity.In-depth interviews with non-attendees and non-adherers will ascertain patient views and the acceptability of the programmes and provide insights about non-attendance and aims to generate a theory of attendance at cardiac rehabilitation. The economic analysis will measure National Health Service costs using resource inputs. Patient costs will be established from the qualitative research, in particular how they affect adherence. DISCUSSION: More data are needed on the role of home-based versus hospital-based cardiac rehabilitation for patients following myocardial infarction and revascularisation, which would be provided by the Birmingham Rehabilitation Uptake Maximisation Study (BRUM) study and has implications for the clinical management of these patients. A novel feature of this study is the inclusion of non-English Punjabi speakers.

Indexed as

Cardiology Service, HospitalHome Care ServicesCost-Benefit AnalysisHumansMulticenter Studies as TopicMyocardial InfarctionMyocardial RevascularizationOutcome Assessment, Health CareRandomized Controlled Trials as TopicResearch DesignTreatment OutcomeUnited Kingdom

Identifiers

PMID12964946
PMCPMC200974
OpenAlexW2108010330

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.