ArticleNature clinical practice. Cardiovascular medicine2008
Contribution of patient and physician factors to cardiac rehabilitation referral: a prospective multilevel study.
Article in Nature clinical practice. Cardiovascular medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed.
- Successful Implementation and Development of a Phase II Cardiac Rehabilitation Program: A China-Wide Cross-Sectional Study Tracking In-service Training Clinical Staff.Frontiers in public health · 2021Trial
- Article
- Disparities in Geographic Access to Cardiac Rehabilitation in Los Angeles County.Journal of the American Heart Association · 2022Article
- Cardiac Rehabilitation in Advanced aGE after PCI for acute coronary syndromes: predictors of exercise capacity improvement in the CR-AGE ACS study.Aging clinical and experimental research · 2022Article
- Referral and participation in cardiac rehabilitation of patients following acute coronary syndrome; lessons learned.International journal of cardiology. Heart & vasculature · 2021Article
- Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients.BMC health services research · 2019Article
- High intensity interval training exercise as a novel protocol for cardiac rehabilitation program in ischemic Egyptian patients with mild left ventricular dysfunction.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2018Article
- Inequalities in access to cardiac rehabilitation after an acute coronary syndrome: the EPiHeart cohort.BMJ open · 2018Article
- In the modern era of percutaneous coronary intervention: Is cardiac rehabilitation engagement purely a patient or a service level decision?European journal of preventive cardiology · 2017Observational
- Sociodemographic Predictors in Failure to Complete Outpatient Cardiac Rehabilitation.Annals of rehabilitation medicine · 2015Article
- How do hospital administrators perceive cardiac rehabilitation in a publicly-funded health care system?BMC health services research · 2013Article
- The role of clinical and geographic factors in the use of hospital versus home-based cardiac rehabilitation.International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation · 2012Article
- A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients.Anxiety, stress, and coping · 2011Article
- Geographic issues in cardiac rehabilitation utilization: a narrative review.Health & place · 2010Article
- Drive time to cardiac rehabilitation: at what point does it affect utilization?International journal of health geographics · 2010Article
- Effects of cardiac rehabilitation referral strategies on referral and enrollment rates.Nature reviews. Cardiology · 2010Review
- Equity of access to cardiac rehabilitation: the role of system factors.International journal for equity in health · 2010Article
- Association between Participation in Outpatient Cardiac Rehabilitation and Self-Reported Receipt of Lifestyle Advice from a Healthcare Provider: Results of a Population-Based Cross-Sectional Survey.Rehabilitation research and practice · 2010Article
- The association among depressive symptoms, smoking status and antidepressant use in cardiac outpatients.Journal of behavioral medicine · 2009Article
- Predictors of cardiac rehabilitation referral in coronary artery disease patients: findings from the American Heart Association's Get With The Guidelines Program.Journal of the American College of Cardiology · 2009Article
Corrections and comments
- Comment on
Authors and funding
7 authors.
Funding
Abstract
backgroundCardiac rehabilitation (CR), in most developed countries, is a proven means of reducing mortality but it is grossly underutilized owing to factors involving both the health system and patients. These issues have not been investigated concurrently. To this end, we employed a hierarchical design to investigate physician and patient factors that affect verified CR referral.
methodsThis study was prospective with a multilevel design. We assessed 1,490 outpatients with coronary artery disease attending 97 cardiology practices. Cardiologists completed a survey about attitudes to CR referral. Outpatients were surveyed prospectively to assess sociodemographic, clinical, behavioral, psychosocial and health system factors that affected CR referral. Responses were analyzed by mixed logistic regression analyses. After 9 months, CR referral was verified at 40 centers.
resultsHealth-care providers referred 550 (43.4%) outpatients to CR. Factors affecting verified referral included positive physician perceptions of CR (P = 0.03), short distance to the closest CR site (P = 0.003), the perception of fewer barriers to CR (P < 0.001) and a sense of personal control over their condition by the patient (P = 0.001).
conclusionsPhysician-related and patient-related factors both contribute to CR referral. The most relevant physician perceptions of such programs are program quality and perceived benefit. For patients, the most relevant factors are perceived barriers to CR, which might be conveyed during prereferral discussions. Work to improve physicians' perceptions and patients' understanding might improve use of rehabilitation services.
Indexed as
Identifiers
What OpenQuestion holds
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.