Evidence map›Paper›PMID 31560214›Full record

ArticleEuropean journal of cardiovascular nursing2020

Secondary prevention and cardiovascular care across Europe: A survey of European Society of Cardiology members' views.

Donna Fitzsimons, Janina Stępińska, Mary Kerins, Massimo F Piepoli, Loreena Hill, Matthew A Carson, Eva Prescott

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Article in European journal of cardiovascular nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
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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

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

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Donna FitzsimonsEuropean Society of Cardiology Council on Cardiovascular Nursing and Allied Professions, Acute Cardiovascular Care Association, Queen's University Belfast, UK.
Janina StępińskaAcute Cardiovascular Care Association, Institute of Cardiology Warsaw, Poland.
Mary KerinsEuropean Society of Cardiology Council on Cardiovascular Nursing & Allied Professions, Cardiac Rehabilitation Unit, St James's Hospital, Dublin, Ireland.
Massimo F PiepoliEuropean Association of Preventive Cardiology, and Heart Failure Unit, G. da Saliceto Hospital, Piacenza, Italy.
Loreena HillEuropean Society of Cardiology Council on Cardiovascular Nursing and Allied Professions, Acute Cardiovascular Care Association, Queen's University Belfast, UK.
Matthew A CarsonEuropean Society of Cardiology Council on Cardiovascular Nursing and Allied Professions, Acute Cardiovascular Care Association, Queen's University Belfast, UK.
Eva PrescottEuropean Association for Cardiovascular Prevention and Rehabilitation, University of Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSecondary prevention of cardiovascular disease is a significant clinical challenge and despite European Society of Cardiology (ESC) Guidelines, evidence confirms sub-optimal patient care.

aimThe aim of this study was to evaluate ESC members' opinions on the current provision of cardiovascular prevention and rehabilitation services across Europe and explore barriers to guideline implementation.

methodElectronic surveys using a secure web link were sent to members of the ESC in eight purposively selected ESC affiliated countries.

resultsA total of 479 professionals completed the survey, of whom 67% were cardiologists, 8.6% general physicians, 8.2% nurses and 16.2% other healthcare professionals. Respondents were predominantly (91%) practising clinicians, generally highly motivated regarding cardiovascular disease prevention, but most reported that secondary prevention in their country was sub-optimal. The main barriers to prevention were lack of available cardiac rehabilitation programmes and long-term follow-up, patients' disease perception and professional attitudes towards prevention. While knowledge of the prevention guidelines was generally good, practices such as motivational counselling and better educational tools were called for to promote exercise, smoking cessation and for nutritional aspects.

conclusionsThe provision of services focusing on the secondary prevention of cardiovascular disease varies greatly across Europe. Furthermore, despite ESC Guidelines and a strong evidence base supporting the efficacy of secondary prevention, the infrastructure and co-ordination of such care is lacking. In addition patient motivation is considered poor and some professionals remain unconvinced about the merits of prevention. The disappointing results outlined in this survey emphasise that improved tools are urgently required to educate both patients and professionals and confirm the priority of cardiovascular prevention internationally.

Indexed as

Practice Guidelines as TopicAdultAgedAged, 80 and overCardiac RehabilitationCardiovascular DiseasesEuropeExercise TherapyFemaleHumansMaleMiddle AgedSecondary PreventionSurveys and Questionnairescardiac rehabilitationguidelineshealthcare professionalsSecondary preventionsurvey

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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.