ArticleEnvironmental health and preventive medicine2020
The use of geographical analysis in assessing the impact of patients' home addresses on their participation in outpatient cardiac rehabilitation: a prospective cohort study.
Article in Environmental health and preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Home-based cardiac rehabilitation using information and communication technology for heart failure patients with frailty.ESC heart failure · 2022Trial
- Real-World Diagnostic Performance for Heart Failure Events of TriageHFInternational journal of heart failure · 2026Article
- Impact of Geographic Factors on Outpatient Cardiac Rehabilitation Adherence After Transcatheter Aortic Valve Implantation.Circulation reports · 2026Article
- Effect of Comprehensive Outpatient Cardiac Rehabilitation on All-Cause Mortality After Transcatheter Aortic Valve Implantation.Circulation reports · 2026Article
- Association of Geographical Distance and Residential Population Density With Clinical Outcomes in Acute Decompensated Heart Failure: Insights From the Kyoto Congestive Heart Failure (KCHF) Registry.Circulation reports · 2026Article
- Comparing disparities in geographic proximity to exercise-based cardiac rehabilitation before and after decentralisation of services: a repeated cross-sectional study using individual-level register data.International journal for equity in health · 2025Article
- Article
- The effect of WeChat-based brisk walking on kinesiophobia in patients after percutaneous coronary intervention: a randomised controlled trial.Frontiers in cardiovascular medicine · 2025Article
- Relationship Between Participation of In-Hospital Cardiac Rehabilitation and Regional Characteristics in Japan - Insight From the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination.Circulation reports · 2024Article
- Distribution of catheterisation laboratories in Indonesia 2017-2022: a nationwide survey.The Lancet regional health. Southeast Asia · 2024Article
- Remote Cardiac Rehabilitation With Wearable Devices.Korean circulation journal · 2023Review
- Efficacy and Safety of Home-Based Cardiac Telemonitoring Rehabilitation in Patients After Transcatheter Aortic Valve Implantation: Single-Center Usability and Feasibility Study.JMIR rehabilitation and assistive technologies · 2023Article
- Disparities in Geographic Access to Cardiac Rehabilitation in Los Angeles County.Journal of the American Heart Association · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGeographical analysis is becoming a powerful tool for evaluating the quality of medical services and acquiring fundamental data for medical decision-making. Using geographical analysis, we evaluated the impact of the distance from patients' homes to the hospital on their participation in outpatient cardiac rehabilitation (OCR).
methodsAll patients hospitalized for percutaneous coronary intervention, coronary artery bypass grafting, valvular surgery, congestive heart failure, and aortic diseases were advised to participate in an OCR program after discharge. Using the dataset of our cohort study of OCR from 2004 to 2015 (n = 9,019), we used geographical analysis to investigate the impact of the distance from patients' homes to hospital on their participation in our OCR program.
resultsPatients whose road distance from home to hospital was 0-10 km, 10-20 km, and 20-30 km participated more in OCR than those whose road distance was ≧ 30 km (OR 4.34, 95% CI 3.80-4.96; OR 2.98, 95% CI 2.61-3.40; and OR 1.90, 95% CI 1.61-2.23, respectively). Especially in patients with heart failure, the longer the distance, the lesser the participation rate (P < .001).
conclusionsUsing geographical analysis, we successfully evaluated the factors influencing patients' participation in OCR. This illustrates the importance of using geographical analysis in future epidemiological and clinical studies.
trial registrationUMIN000028435.
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