Evidence map›Paper›PMID 21894568›Full record

ArticleInternational journal of public health2012

Inequalities in therapeutic treatment during cardiac inpatient rehabilitation in Germany.

Thomas Altenhöner, Carolin Baczkiewicz, Heide Weishaar, Marcus Kutschmann

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Article in International journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Thomas AltenhönerDepartment of Health and Nursing, University of Applied Sciences of the Saarland, Saarbrücken, Germany. taltenhoener@htw-saarland.de
Carolin Baczkiewicz
Heide Weishaar
Marcus Kutschmann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCardiac patients of low socio-economic status (SES) display low health status and increased need for rehabilitation. This study's objective was to examine whether and to what extent inequalities in the provision of rehabilitative health care occur in Germany.

methodsWe conducted an observational study with two points of measurement on 543 patients in cardiac inpatient rehabilitation. We used logistic regression and analysis of covariance to explore whether patients experience unequal therapeutic rehabilitative treatment.

resultsPatients of low SES were less frequently physically active, more likely to smoke and displayed a higher number of physical and psychological symptoms when entering rehabilitation. They were less likely to receive a number of therapies with differences being significant for core therapies of cardiovascular rehabilitation. Patients of higher SES received fewer hours of dietary counselling on average.

conclusionsWhile the latter difference might be in line with the needs of different socio-economic groups, most differences are unlikely to be tailored to patients' needs. Potential causes of inequalities in service provision like structural factors and aspects of the doctor-patient encounter should be further investigated.

Indexed as

Healthcare DisparitiesInpatientsAgedFemaleGermanyHumansLogistic ModelsMaleMiddle AgedMyocardial InfarctionSocial ClassSurveys and Questionnaires

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Registered trials

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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.