Evidence map›Paper›PMID 30522438›Full record

Trial reportBMC cardiovascular disorders2018

"As du Coeur" study: a randomized controlled trial on quality of life impact and cost effectiveness of a physical activity program in patients with cardiovascular disease.

Laurent Bailly, Philippe Mossé, Stéphane Diagana, Marion Fournier, Fabienne d'Arripe-Longueville, Odile Diagana, Jocelyn Gal, Jean Grebet, Mario Moncada, Jean-Jacques Domerego and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01560871 (Effects of a Walking Program and Inspiratory Muscle Training in Individuals With Chronic Heart Failure - A Pilot Study), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01560871 nacompletednot on this map

Effects of a Walking Program and Inspiratory Muscle Training in Individuals With Chronic Heart Failure - A Pilot Study

TypeinterventionalSponsorTexas Woman's UniversityRan2012 to 2018Enrolled16ConditionsHeart Failure NYHA Class II, Heart Failure NYHA Class IIIArmsHigh-intensity IMT plus walking, Low-intensity IMT plus walking
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Home-based versus centre-based cardiac rehabilitation.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Article
  4. Article
  5. Brazilian Cardiovascular Rehabilitation Guideline - 2020.Arquivos brasileiros de cardiologia · 2020
    Article
  6. 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

14 authors.

Laurent BaillyDépartement de Santé Publique, Centre Hospitalier Universitaire de Nice (Public Health Department University Hospital of Nice), F-06202, Nice, France. bailly.l@chu-nice.fr.ORCID 0000-0002-6565-8212
Philippe MosséLEST, Aix-Marseille Université, CNRS, Aix en Provence, France.
Stéphane DiaganaDiagana Sport Santé, Nice, France.
Marion FournierUniversité Côte d'Azur, LAMHESS, Nice, France.
Fabienne d'Arripe-LonguevilleUniversité Côte d'Azur, LAMHESS, Nice, France.
Odile DiaganaDiagana Sport Santé, Nice, France.
Jocelyn GalEpidemiology and Biostatistics Unit, Centre Antoine Lacassagne, Nice, France.
Jean GrebetSécurité Sociale des Indépendants, Nice, France.
Mario MoncadaSécurité Sociale des Indépendants, Nice, France.
Jean-Jacques DomeregoHôpital Privé Gériatrique les Sources, Nice, France.
Rémi RadelUniversité Côte d'Azur, LAMHESS, Nice, France.
Roxane FabreDépartement de Santé Publique, Centre Hospitalier Universitaire de Nice (Public Health Department University Hospital of Nice), F-06202, Nice, France.
Alain FuchAzur Sport Santé, Nice, France.
Christian PradierDépartement de Santé Publique, Centre Hospitalier Universitaire de Nice (Public Health Department University Hospital of Nice), F-06202, Nice, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity programs (PAP) in patients with cardiovascular disease require evidence of cost-utility. To assess improvement in health-related quality of life (QoL) and reduction of health care consumption of patients following PAP, a randomized trial was used.

methodsPatients from a health insurance company who had experienced coronary artery disease or moderate heart failure were invited to participate (N = 1891). Positive responders (N = 50) were randomly assigned to a progressively autonomous physical activity (PAPA) program or to a standard supervised physical activity (SPA) program. The SPA group had two supervised sessions per week over 5 months. PAPA group had one session per week and support to aid habit formation (written tips, exercise program, phone call). To measure health-related quality of life EQ-5D utility score were used, before intervention, 6 months (T6) and 1 year later. Health care costs were provided from reimbursement databases.

resultsMobility, usual activities and discomfort improved significantly in both group (T6). One year later, EQ-5D utility score was improved in the PAPA group only. Total health care consumption in the intervention group decreased, from a mean of 4097 euros per year before intervention to 2877 euros per year after (p = 0.05), compared to a health care consumption of 4087 euros and 4180 euros per year, in the total population of patients (N = 1891) from the health insurance company. The incremental cost effectiveness ratio was 10,928 euros per QALYs.

conclusionA physical activity program is cost-effective in providing a better quality of life and reducing health care consumption in cardiovascular patients.

trial registrationISRCTN77313697 , retrospectively registered on 20 November 2015.

Indexed as

Health Care CostsQuality of LifeAgedCardiac RehabilitationCardiovascular DiseasesCost-Benefit AnalysisExercise TherapyFemaleFranceHealth ResourcesHumansMaleMiddle AgedQuality-Adjusted Life YearsRecovery of FunctionTime FactorsCardiovascular diseaseCost-effectivenessHealth care costsPhysical activityQuality of life

Identifiers

PMID30522438
PMCPMC6284296

What OpenQuestion holds

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LicenceCC BY
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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.