Evidence map›Paper›PMID 25887433›Full record

Trial reportTrials2015

Update to the study protocol, including statistical analysis plan for a randomized clinical trial comparing comprehensive cardiac rehabilitation after heart valve surgery with control: the CopenHeartVR trial.

Kirstine Laerum Sibilitz, Selina Kikkenborg Berg, Tina Birgitte Hansen, Signe Stelling Risom, Trine Bernholdt Rasmussen, Christian Hassager, Lars Køber, Christian Gluud, Lau Caspar Thygesen, Jane Lindschou and 3 more

2 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% of its field
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.

NCT01558765 phase2completednot on this map

CopenHeartVR - A Randomized Clinical Trial Investigating the Effect of Integrated Rehabilitation Versus Usual Care Without Physical Exercise After Heart Valve Surgery.

TypeinterventionalSponsorRigshospitalet, DenmarkRan2012 to 2015Enrolled147ConditionsHeart Valve DiseaseArmsIntegrated rehabilitation
NCT04556994 nacompletednot on this mapstarted 2020, after this paper: background citation

Comparison of Phase 1 Cardiac Rehabilitation With and Without Lower Limb Paddling Effects in Post CABG Patients.

TypeinterventionalSponsorRiphah International UniversityRan2020 to 2020Enrolled54ConditionsCoronary Artery DiseaseArmsPhase 1 Cardiac Rehabilitation, Phase 1 Cardiac Rehabilitation with Lower Limb Paddling
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Exercise-based cardiac rehabilitation for adults after heart valve surgery.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Article
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

13 authors at 5 institutions in 2 countries.

Kirstine Laerum SibilitzThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. kirstine.laerum.sibilitz@rh.regionh.dk.
Selina Kikkenborg BergThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. selina.kikkenborg.berg@rh.regionh.dk.
Tina Birgitte HansenDepartment of Cardiology, Roskilde Hospital, Roskilde, Denmark. tbh@regionsjaelland.dk.
Signe Stelling RisomThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. signe.stelling.risom@rh.regionh.dk.
Trine Bernholdt RasmussenThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. trine.b.rasmussen@rh.regionh.dk.
Christian HassagerThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. christian.hassager@rh.regionh.dk.
Lars KøberThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. lars.koeber@regionh.dk.
Christian GluudCopenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. cgluud@ctu.dk.
Lau Caspar ThygesenNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. lct@si-folkesundhed.dk.
Jane LindschouCopenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. jl@ctu.dk.
Jean Paul SchmidCardiology Clinic, Tiefenau Hospital and University of Bern, Bern, Switzerland. jean-paul.schmid@spitalnetzbern.ch.
Rod S TaylorNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark. r.taylor@exeter.ac.uk.
Ann-Dorthe ZwislerThe Heart Centre, Department of Cardiology, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark. ann.dorthe.zwisler@rh.regionh.dk.
Copenhagen University Hospital · DKUniversity of Southern Denmark · DKGentofte Hospital · DKRoskilde Sygehus · DKUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart valve diseases are common with an estimated prevalence of 2.5% in the Western world. The number is rising because of an ageing population. Once symptomatic, heart valve diseases are potentially lethal, and heavily influence daily living and quality of life. Surgical treatment, either valve replacement or repair, remains the treatment of choice. However, post-surgery, the transition to daily living may become a physical, mental and social challenge. We hypothesize that a comprehensive cardiac rehabilitation program can improve physical capacity and self-assessed mental health and reduce hospitalization and healthcare costs after heart valve surgery.

methodsThis randomized clinical trial, CopenHeartVR, aims to investigate whether cardiac rehabilitation in addition to usual care is superior to treatment as usual after heart valve surgery. The trial will randomly allocate 210 patients 1:1 to an intervention or a control group, using central randomization, and blinded outcome assessment and statistical analyses. The intervention consists of 12 weeks of physical exercise and a psycho-educational intervention comprising five consultations. The primary outcome is peak oxygen uptake (VO2 peak) measured by cardiopulmonary exercise testing with ventilatory gas analysis. The secondary outcome is self-assessed mental health measured by the standardized questionnaire Short Form-36. Long-term healthcare utilization and mortality as well as biochemistry, echocardiography and cost-benefit will be assessed. A mixed-method design will be used to evaluate qualitative and quantitative findings, encompassing a survey-based study before the trial and a qualitative pre- and post-intervention study.

conclusionThis randomized clinical trial will contribute with evidence of whether cardiac rehabilitation should be provided after heart valve surgery. The study is approved by the local regional Research Ethics Committee (H-1-2011-157), and the Danish Data Protection Agency (j.nr. 2007-58-0015).

trial registrationTrial registered 16 March 2012; ClinicalTrials.gov ( NCT01558765 ).

Indexed as

Clinical ProtocolsData Interpretation, StatisticalExerciseHeart Valve DiseasesHumansPatient Education as Topic

Identifiers

PMID25887433
PMCPMC4326522
OpenAlexW2158380114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.