Evidence map›Paper›PMID 30205461›Full record

ArticleJournal of clinical medicine2018

Cardiac Rehabilitation Models around the Globe.

Gabriela Lima de Melo Ghisi, Ella Pesah, Karam Turk-Adawi, Marta Supervia, Francisco Lopez Jimenez, Sherry L Grace

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Supporting Physical Activity and Quality of Life in Older Adults with Coronary Heart Disease: Development of a Web-Based Nursing Intervention.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
    Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Availability and nature of cardiac rehabilitation by province in Iran: A 2018 update of ICCPR's global audit.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017.International journal of environmental research and public health · 2019
    Article
  20. Review
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

6 authors.

Gabriela Lima de Melo GhisiCardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, ON M5G2A2, Canada. gabriela.meloghisi@uhn.ca.ORCID 0000-0001-7946-3718
Ella PesahSchool of Kinesiology and Health Science, York University, Toronto, ON M3J1P3, Canada. ellap@my.yorku.ca.
Karam Turk-AdawiPublic Health Department, College of Health Sciences, Qatar University, Al Jamiaa St, Doha, P.O. Box 2713, Qatar. kadawi@brandeis.edu.
Marta SuperviaGregorio Marañón General University Hospital, Gregorio Marañón Health Research Institute, 28007 Madrid, Spain. msuperviapola@gmail.com.
Francisco Lopez JimenezMayo Clinic, Rochester, MN 55905, USA. lopez@mayo.edu.
Sherry L GraceCardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, University of Toronto, Toronto, ON M5G2A2, Canada. sgrace@yorku.ca.ORCID 0000-0001-7063-3610

Funding

York University N/A
6 · The paper itself

Abstract

Alternative models of cardiac rehabilitation (CR) delivery, such as home or community-based programs, have been developed to overcome underutilization. However, their availability and characteristics have never been assessed globally. In this cross-sectional study, a piloted survey was administered online to CR programs globally. CR was available in 111/203 (54.7%) countries globally; data were collected in 93 (83.8% country response rate). 1082 surveys (32.1% program response rate) were initiated. Globally, 85 (76.6%) countries with CR offered supervised programs, and 51 (45.9%; or 25.1% of all countries) offered some alternative model. Thirty-eight (34.2%) countries with CR offered home-based programs, with 106 (63.9%) programs offering some form of electronic CR (eCR). Twenty-five (22.5%) countries with CR offered community-based programs. Where available, programs served a mean of 21.4% ± 22.8% of their patients in home-based programs. The median dose for home-based CR was 3 sessions (Q25-Q75 = 1.0⁻4.0) and for community-based programs was 20 (Q25⁻Q75 = 9.6⁻36.0). Seventy-eight (47.0%) respondents did not perceive they had sufficient capacity to meet demand in their home-based program, for reasons including funding and insufficient staff. Where alternative CR models are offered, capacity is insufficient half the time. Home-based CR dose is insufficient to achieve health benefits. Allocation to program model should be evidence-based.

Indexed as

cardiac rehabilitationinternational healthpatient education as topicsurveys and questionnaires

Identifiers

PMID30205461
PMCPMC6162832

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.