Evidence map›Paper›PMID 28534417›Full record

Trial reportEuropean journal of preventive cardiology2017

Clinical and cost-effectiveness of home-based cardiac rehabilitation compared to conventional, centre-based cardiac rehabilitation: Results of the FIT@Home study.

Jos J Kraal, M Elske Van den Akker-Van Marle, Ameen Abu-Hanna, Wim Stut, Niels Peek, Hareld Mc Kemps

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European journal of preventive cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05532605 (Effects of Mindfulness Based Therapy on Patients Perception of Illness and Depression in Cardiac Rehabilitation Phase-i), which is not on this map. Cited by 121 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 15 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.

NCT05532605 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effects of Mindfulness Based Therapy on Patients Perception of Illness and Depression in Cardiac Rehabilitation Phase-i

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled48ConditionsCoronary Artery StenosisArmscardiac rehabilitation phase I protocols, Cardiac rehab phase I protocols + Mindfullness base therapy
3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  6. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
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  15. Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019
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61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jos J Kraal1 Department of Medical Informatics, Amsterdam Public Health Research Institute, The Netherlands.
M Elske Van den Akker-Van Marle2 Department of Medical Decision Making, Leiden University Medical Center, The Netherlands.
Ameen Abu-Hanna1 Department of Medical Informatics, Amsterdam Public Health Research Institute, The Netherlands.
Wim Stut3 Personal Health Department, Philips Research, The Netherlands.
Niels Peek4 Health eResearch Centre, University of Manchester, UK.
Hareld Mc Kemps5 Department of Cardiology, Máxima Medical Center Veldhoven, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim Although cardiac rehabilitation improves physical fitness after a cardiac event, many eligible patients do not participate in cardiac rehabilitation and the beneficial effects of cardiac rehabilitation are often not maintained over time. Home-based training with telemonitoring guidance could improve participation rates and enhance long-term effectiveness. Methods and results We randomised 90 low-to-moderate cardiac risk patients entering cardiac rehabilitation to three months of either home-based training with telemonitoring guidance or centre-based training. Although training adherence was similar between groups, satisfaction was higher in the home-based group ( p = 0.02). Physical fitness improved at discharge ( p < 0.01) and at one-year follow-up ( p < 0.01) in both groups, without differences between groups (home-based p = 0.31 and centre-based p = 0.87). Physical activity levels did not change during the one-year study period (centre-based p = 0.38, home-based p = 0.80). Healthcare costs were statistically non-significantly lower in the home-based group (€437 per patient, 95% confidence interval -562 to 1436, p = 0.39). From a societal perspective, a statistically non-significant difference of €3160 per patient in favour of the home-based group was found (95% confidence interval -460 to 6780, p = 0.09) and the probability that it was more cost-effective varied between 97% and 75% (willingness-to-pay of €0 and €100,000 per quality-adjusted life-years, respectively). Conclusion We found no differences between home-based training with telemonitoring guidance and centre-based training on physical fitness, physical activity level or health-related quality of life. However, home-based training was associated with a higher patient satisfaction and appears to be more cost-effective than centre-based training. We conclude that home-based training with telemonitoring guidance can be used as an alternative to centre-based training for low-to-moderate cardiac risk patients entering cardiac rehabilitation.

Indexed as

Rehabilitation CentersAcute Coronary SyndromeCardiac RehabilitationCost-Benefit AnalysisExerciseExercise TestExercise TherapyExercise ToleranceFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient CompliancePhysical FitnessQuality-Adjusted Life YearsCardiac rehabilitationhome-based trainingphysical activityphysical fitnesstelemonitoring

Identifiers

PMID28534417
PMCPMC5518918

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.