Evidence map›Paper›PMID 31131157›Full record

ArticleJournal of clinical exercise physiology2019

Experience Implementing Supervised Exercise Therapy for Peripheral Artery Disease.

Dereck L Salisbury, Mary O Whipple, Marsha Burt, Rebecca Brown, Ryan J Mays, Mark Bakken, Diane Treat-Jacobson

Abstract read
In one paragraph

Article in Journal of clinical exercise physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Adherence and exercise mode in supervised exercise therapy for peripheral artery disease.Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing · 2020
    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

7 authors.

Dereck L SalisburyUniversity of Minnesota, School of Nursing, Minneapolis, MN.
Mary O WhippleUniversity of Minnesota, School of Nursing, Minneapolis, MN.
Marsha BurtFairview Health System, Minneapolis, MN.
Rebecca BrownUniversity of Minnesota, School of Nursing, Minneapolis, MN.
Ryan J MaysUniversity of Minnesota, School of Nursing, Minneapolis, MN.
Mark BakkenUniversity of Minnesota Physicians, Minneapolis, MN.
Diane Treat-JacobsonUniversity of Minnesota, School of Nursing, Minneapolis, MN.

Funding

NRSA Training CoreTL1TR002493 · NCATS · UNIVERSITY OF MINNESOTA · PI FULKERSON, JAYNE ALLYN · 2018 to 2022
$3.1M
Role of Diabetes and Sedentary Time in Outcomes of Structured Exercise Therapy for Peripheral Artery DiseaseF31NR016614 · NINR · UNIVERSITY OF MINNESOTA · PI WHIPPLE, MARY OLIVIA · 2017 to 2019
$96k
NCATS NIH HHS TL1 TR002493NINR NIH HHS F31 NR016614
6 · The paper itself

Abstract

backgroundSupervised exercise therapy (SET) is a cornerstone of treatment for improving walking distance for individuals with symptomatic peripheral artery disease and claudication. High quality randomized controlled trials have documented the efficacy of SET as a claudication treatment and led to the recent Centers for Medicare and Medicaid decision to cover supervised exercise therapy (SET). However, to date, the translation of highly controlled, laboratory based SET programs in real world cardiopulmonary rehabilitation settings has been unexplored.

methodsIn this article, we describe our experience integrating SET into existing cardiopulmonary rehabilitation programs, focusing on patient evaluation, exercise prescription, outcome assessments, strategies to maximize program adherence, and transitioning to home and community-based exercise training.

resultsOur team has over 3 years experience successfully implementing SET in cardiac rehabilitation settings. The experiences communicated within can serve as a model for rehabilitation therapists to follow as they begin to incorporate SET in their rehabilitation programs.

conclusionsCMS reimbursement has the potential to change clinical practice and utilization of SET for patients with symptomatic peripheral artery disease. The experience we have gained through implementation of SET programs across the M Health and Fairview Health Systems and in other Minnesota communities, including specific elements in our programs and the lessons learned from our clinical experience, can inform and help to guide development of new programs. BRIEF ABSTRACT: The recent Centers for Medicare and Medicaid decision to cover supervised exercise therapy (SET) for beneficiaries with peripheral artery disease (PAD) has the potential to transform practice. In this article, we describe our experience integrating SET into existing cardiopulmonary rehabilitation programs, which could serve as a model for new programs.

Indexed as

aerobic exercisepatient outcome assessmentperipheral artery disease

Identifiers

PMID31131157
PMCPMC6529193

What OpenQuestion holds

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Registered trials

None linked

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.