ArticleBMJ open2012
Why do so few patients with heart failure participate in cardiac rehabilitation? A cross-sectional survey from England, Wales and Northern Ireland.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 7 of them syntheses that pooled it.
What it found
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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
29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023Pooled it
- A systematic review of provider-and system-level factors influencing the delivery of cardiac rehabilitation for heart failure.BMC health services research · 2021Pooled it
- Mobile Phone Technologies in the Management of Ischemic Heart Disease, Heart Failure, and Hypertension: Systematic Review and Meta-Analysis.JMIR mHealth and uHealth · 2020Pooled it
- Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2017Pooled it
- Exercise-based cardiac rehabilitation in heart transplant recipients.The Cochrane database of systematic reviews · 2017Pooled it
- Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews.The Cochrane database of systematic reviews · 2014Pooled it
- Exercise-based rehabilitation for heart failure.The Cochrane database of systematic reviews · 2014Pooled it
- Trial
- Trial
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- Home-based training program in patients with chronic heart failure and reduced ejection fraction: a randomized pilot study.Clinics (Sao Paulo, Brazil)Trial
- What services are currently provided to people with heart failure with preserved ejection fraction in the UK and what are their components? A systematic scoping review.European journal of cardiovascular nursing · 2026Article
- What services are currently provided to people with heart failure with preserved ejection fraction in the UK, and what are their components? A protocol for a scoping literature review.European journal of cardiovascular nursing · 2025Article
- Clinical Determinants and Barriers to Cardiac Rehabilitation Enrollment of Patients with Heart Failure with Reduced Ejection Fraction: A Single-Center Study in Portugal.Journal of cardiovascular development and disease · 2022Article
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- A pragmatic effectiveness-implementation study comparing trial evidence with routinely collected outcome data for patients receiving the REACH-HF home-based cardiac rehabilitation programme.BMC cardiovascular disorders · 2022Article
- Exercise Training in Patients with Heart Failure: From Pathophysiology to Exercise Prescription.Reviews in cardiovascular medicine · 2022Review
- TraditionalFrontiers in cardiovascular medicine · 2022Article
- The impact of in-hospital cardiac rehabilitation program on medication adherence and clinical outcomes in patients with acute myocardial infarction in the Lazio region of Italy.BMC cardiovascular disorders · 2021Observational
- Assessing Nurses' Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo determine why so few patients with chronic heart failure in England, Wales and Northern Ireland take part in cardiac rehabilitation.
designTwo-stage, postal questionnaire-based national survey. PARTICIPANTS AND
settingStage 1: 277 cardiac rehabilitation centres that provided phase 3 cardiac rehabilitation in England, Wales and Northern Ireland registered on the National Audit of Cardiac Rehabilitation register. Stage 2: 35 centres that indicated in stage 1 that they provide a separate cardiac rehabilitation programme for patients with heart failure.
resultsFull data were available for 224/277 (81%) cardiac rehabilitation centres. Only 90/224 (40%) routinely offered phase 3 cardiac rehabilitation to patients with heart failure. Of these 90 centres that offered rehabilitation, 43% did so only when heart failure was secondary to myocardial infarction or revascularisation. Less than half (39%) had a specific rehabilitation programme for heart failure. Of those 134 centres not providing for patients with heart failure, 84% considered a lack of resources and 55% exclusion from commissioning contracts as the reason for not recruiting patients with heart failure. Overall, only 35/224 (16%) centres provided a separate rehabilitation programme for people with heart failure.
conclusionsPatients with heart failure as a primary diagnosis are excluded from most cardiac rehabilitation programmes in England, Wales and Northern Ireland. A lack of resources and direct exclusion from local commissioning agreements are the main barriers for not offering rehabilitation to patients with heart failure.
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.