ReviewHeart, lung & circulation2015
Narrative review comparing the benefits of and participation in cardiac rehabilitation in high-, middle- and low-income countries.
Review in Heart, lung & circulation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06575764 (The Heart Priority Programme for Patients at Risk of Dropout From Cardiac Rehabilitation - a Development- and Feasibility Study), which is not on this map. Cited by 54 papers, 1 of them a synthesis that pooled 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.
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.
The Heart Priority Programme for Patients at Risk of Dropout From Cardiac Rehabilitation - a Development- and Feasibility Study
Who cites it
54 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019Pooled it
- Optimizing Digital Cardiac Rehabilitation Using the Multiphase Optimization Strategy: Mixed Methods Feasibility Study.JMIR formative research · 2026Trial
- Trial
- Wearable Devices in Remote Cardiac Rehabilitation With and Without Weekly Online Coaching for Patients With Coronary Artery Disease: Randomized Controlled Trial.JMIR mHealth and uHealth · 2025Trial
- Reducing dropout rates in cardiac rehabilitation among cardiac patients in a vulnerable situation: systematic development and feasibility testing of the Heart Priority Programme.BMC health services research · 2024Trial
- Effectiveness of Family-Centered Empowerment Model on Psychological Improvement of Patients With Myocardial Infarction: A Bayesian Multivariate Approach.Frontiers in public health · 2022Trial
- Evaluation of a Web-Based Self-Management Program for Patients With Cardiovascular Disease: Explorative Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Text Message and Internet Support for Coronary Heart Disease Self-Management: Results From the Text4Heart Randomized Controlled Trial.Journal of medical Internet research · 2015Trial
- Depression As an Independent Predictor of Nonadherence to Cardiac Rehabilitation in a Latin American Country.CJC open · 2026Article
- Incongruent virtual reality attenuates breathlessness and leg fatigue during stationary cycling.Virtual reality · 2026Article
- Dose Response of Incidental Physical Activity Against Cardiovascular Events and Mortality.Circulation · 2025Article
- Barriers and Facilitators of Cardiac Rehabilitation in a Middle-Income Country: A Qualitative Study from China.International journal of environmental research and public health · 2025Article
- Article
- A common-sense model-based nursing intervention improves exercise compliance in coronary heart disease: a randomized controlled trial and a pilot study.Frontiers in cardiovascular medicine · 2025Article
- Observational
- Article
- Optimisation of Remote Monitoring Programmes in Heart Failure: Evaluation of Patient Drop-Out Behaviour and Healthcare Professionals' Perspectives.Healthcare (Basel, Switzerland) · 2024Article
- Chagas heart disease is associated with decreased physical activity levels: A cross-sectional analysis.International journal of cardiology. Heart & vasculature · 2024Article
- Knowledge, attitudes, and practices of cardiac rehabilitation among physiotherapists in Morocco.Global cardiology science & practice · 2024Article
- Barriers to Cardiac Rehabilitation Enrollment and Secondary Prevention Adherence in Patients with Coronary Heart Disease Following Percutaneous Coronary Intervention: A Cross-sectional Survey.Journal of the Saudi Heart Association · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
backgroundCardiovascular disease is a leading cause of morbidity worldwide. Cardiac rehabilitation (CR) is a comprehensive secondary prevention approach, with established benefits in reducing morbidity in high-income countries (HICs). The objectives of this review were to summarise what is known about the benefits of CR, including consideration of cost-effectiveness, in addition to rates of CR participation and adherence in high-, as well as low- and middle-income countries (LMICs).
methodsA literature search of Medline, Excerpta Medica Database (EMBASE), and Google Scholar was conducted for published articles from database inception to October 2013. The search was first directed to identify meta-analyses and reviews reporting on the benefits of CR. Then, the search was focussed to identify articles reporting CR participation and dropout rates. Full-text versions of relevant abstracts were summarised qualitatively.
resultsBased on meta-analysis, CR significantly reduced all-cause mortality by 13%-26%, cardiac mortality by 20%-36%, myocardial re-infarction by 25%-47%, and risk factors. CR is cost-effective in HICs. In LMICs, CR is demonstrated to reduce risk factors, with no studies on mortality or cost-effectiveness. Based on available data, CR participation rates are <50% in the majority of countries, with documented dropout rates up to 56% and 82% in high- and middle-income countries, respectively.
conclusionsCR is a beneficial intervention for heart patients in high and LMICs, but is underutilised with low participation and adherence rates worldwide. While more research is needed in LMICs, strategies shown to increase participation and program adherence should be implemented.
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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.