Observational studyEuropean journal of preventive cardiology2014
Effect of referral strategies on access to cardiac rehabilitation among women.
Observational study in European journal of preventive cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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
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Who cites it
10 citing papers in PubMed, 36 citations in OpenAlex.
- Gender inequalities in secondary prevention of cardiovascular disease: a scoping review.International journal for equity in health · 2024Article
- Tracking Cardiac Rehabilitation Utilization in Medicare Beneficiaries: 2017 UPDATE.Journal of cardiopulmonary rehabilitation and prevention · 2022Article
- Sex Differences in Cardiac Rehabilitation Outcomes.Circulation research · 2022Review
- Current challenges in cardiac rehabilitation: strategies to overcome social factors and attendance barriers.Expert review of cardiovascular therapy · 2020Review
- Article
- Cardiac rehabilitation in patients who underwent primary percutaneous coronary intervention for acute myocardial infarction: determinants of programme participation and completion.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017Article
- Cardiac Rehabilitation Following Acute Coronary Syndrome in Women.Current treatment options in cardiovascular medicine · 2017Review
- Cardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions.Mayo Clinic proceedings · 2017Review
- Insulin Resistance and Diabetes Mellitus in Contemporary Cardiac Rehabilitation.Journal of cardiopulmonary rehabilitation and preventionArticle
- Gender differences in the factors predicting initial engagement at cardiac rehabilitation.Open heartArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDespite its proven benefits and need, women's access to cardiac rehabilitation (CR) is suboptimal. Referral strategies, such as systematic referral, have been advocated to improve access to CR. This study examined sex differences in CR referral and enrollment by referral strategies; and the impact of referral strategies for referral and enrollment concordance among women.
designProspective cohort study.
methodsThis prospective study included 2635 coronary artery disease inpatients from 11 Ontario hospitals that utilized one of four referral strategies. Participants completed a sociodemographic survey, and clinical data were extracted from charts. One year later, 1809 participants (452 (25%) women) completed a mailed survey that assessed CR utilization. Referral strategies were compared among women using generalized estimating equations to control for the effect of hospital.
resultsOverall, significantly more men than women were referred (67.2% and 57.8% respectively, p < 0.001), and enrolled in CR (58.6% and 49.3% respectively, p = 0.001). Of the retained women, combined systematic and liaison-facilitated referral resulted in significantly greater CR referral (OR 10.3, 95% CI 4.11-25.58) and enrollment (OR 6.6, 95% CI 4.34-9.92) among women when compared with usual referral. Conversely, concordance between referral and enrollment was greatest following usual referral (K = 0.85), and decreased with referral intensity.
conclusionsWhile a lower proportion of referred patients enroll, systematic and liaison-facilitated inpatient referral strategies result in the greatest CR enrollment rates among women. Such strategies have the potential to improve access among women, and reduce 'cherry picking' of patients for referral.
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Registered trials
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