Evidence map›Paper›PMID 26653630›Full record

ReviewJournal of the American College of Cardiology2015

Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya.

Cynthia A Binanay, Constantine O Akwanalo, Wilson Aruasa, Felix A Barasa, G Ralph Corey, Susie Crowe, Fabian Esamai, Robert Einterz, Michael C Foster, Adrian Gardner and 16 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02795936 (Feasibility of Cardiac Rehabilitation in Patients With Heart Failure at the Moi Teaching and Referral Hospital), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–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.

NCT02795936 nacompletednot on this mapstarted 2016, after this paper: background citation

Feasibility of Cardiac Rehabilitation in Patients With Heart Failure at the Moi Teaching and Referral Hospital

TypeinterventionalSponsorDuke UniversityRan2016 to 2018Enrolled100ConditionsHeart FailureArmsCardiac rehabilitation
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Review
  6. "medRxiv : the preprint server for health sciences · 2026
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  11. Unmet Needs for Cardiac Rehabilitation in Africa: A Perennial Gap in the Management of Individuals with Cardiac Diseases.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2023
    Review
  12. Review
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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

26 authors.

Cynthia A BinanayDuke Clinical Research Institute, Duke University, Durham, North Carolina; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina.
Constantine O AkwanaloMoi Teaching and Referral Hospital, Eldoret, Kenya.
Wilson AruasaMoi Teaching and Referral Hospital, Eldoret, Kenya.
Felix A BarasaMoi Teaching and Referral Hospital, Eldoret, Kenya.
G Ralph CoreyDuke Clinical Research Institute, Duke University, Durham, North Carolina; Hubert Yeargan Center for Global Health, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina.
Susie CrowePurdue University College of Pharmacy, West Lafayette, Indiana.
Fabian EsamaiCollege of Health Sciences, Moi University, Eldoret, Kenya.
Robert EinterzIndiana University, Indianapolis, Indiana.
Michael C FosterDuke University Medical Center, Durham, North Carolina.
Adrian GardnerIndiana University, Indianapolis, Indiana.
John KibosiaMoi Teaching and Referral Hospital, Eldoret, Kenya.
Sylvester KimaiyoMoi Teaching and Referral Hospital, Eldoret, Kenya; College of Health Sciences, Moi University, Eldoret, Kenya.
Myra KoechMoi Teaching and Referral Hospital, Eldoret, Kenya.
Belinda KorirHubert Yeargan Center for Global Health, Duke University, Durham, North Carolina.
John E LawrenceHubert Yeargan Center for Global Health, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina.
Stephanie LukasPurdue University College of Pharmacy, West Lafayette, Indiana.
Imran ManjiMoi Teaching and Referral Hospital, Eldoret, Kenya.
Peris MaritimMoi Teaching and Referral Hospital, Eldoret, Kenya.
Francis OgaroMoi Teaching and Referral Hospital, Eldoret, Kenya.
Peter ParkHubert Yeargan Center for Global Health, Duke University, Durham, North Carolina; Indiana University, Indianapolis, Indiana.
Sonak D PastakiaPurdue University College of Pharmacy, West Lafayette, Indiana.
Wilson SugutMoi Teaching and Referral Hospital, Eldoret, Kenya.
Rajesh VedanthanIcahn School of Medicine at Mount Sinai, New York, New York.
Reuben YanohMoi Teaching and Referral Hospital, Eldoret, Kenya.
Eric J VelazquezDuke Clinical Research Institute, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina.
Gerald S BloomfieldDuke Clinical Research Institute, Duke University, Durham, North Carolina; Duke University Medical Center, Durham, North Carolina; Duke Global Health Institute, Duke University, Durham, North Carolina. Electronic address: gerald.bloomfield@duke.edu.

Funding

Nurse Management of Hypertension in Rural Western KenyaK01TW009218 · FIC · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI VEDANTHAN, RAJESH · 2011 to 2015
$638k
Risk Factors for Atherosclerosis among Patients with Heart Failure in KenyaK01TW008407 · FIC · DUKE UNIVERSITY · PI BLOOMFIELD, GERALD SAMUEL · 2011 to 2014
$490k
FIC NIH HHS K01 TW008407FIC NIH HHS K01TW008407FIC NIH HHS K01 TW009218NHLBI NIH HHS HHSN268200900031C
6 · The paper itself

Abstract

Cardiovascular disease deaths are increasing in low- and middle-income countries and are exacerbated by health care systems that are ill-equipped to manage chronic diseases. Global health partnerships, which have stemmed the tide of infectious diseases in low- and middle-income countries, can be similarly applied to address cardiovascular diseases. In this review, we present the experiences of an academic partnership between North American and Kenyan medical centers to improve cardiovascular health in a national public referral hospital. We highlight our stepwise approach to developing sustainable cardiovascular services using the health system strengthening World Health Organization Framework for Action. The building blocks of this framework (leadership and governance, health workforce, health service delivery, health financing, access to essential medicines, and health information system) guided our comprehensive and sustainable approach to delivering subspecialty care in a resource-limited setting. Our experiences may guide the development of similar collaborations in other settings.

Indexed as

Program DevelopmentCapacity BuildingCardiac Care FacilitiesDelivery of Health CareHospitals, PublicHumansKenyacardiovascular diseaseglobal health partnershiplimited resourcessub-Saharan Africa

Identifiers

PMID26653630
PMCPMC4680855

What OpenQuestion holds

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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.