Evidence map›Paper›PMID 33380480›Full record

ArticleBMJ open2020

Quality indicators for cardiac rehabilitation after myocardial infarction in China: a consensus panel and practice test.

Xianghui Zheng, Maomao Zhang, Yang Zheng, Yongxiang Zhang, Junnan Wang, Ping Zhang, Xuwen Yang, Shan Li, Rongjing Ding, Gaowa Siqin and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03528382 (The Impact of Early Cardiac Rehabilitation Quality Improvement System on the Incidence of Post-infarction HF), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 43% of its field
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.

NCT03528382 nacompletednot on this map

The Impact of Early Cardiac Rehabilitation Quality Improvement System on the Incidence of Post-infarction HF: an Interventional Study

TypeinterventionalSponsorYu BoRan2018 to 2021Enrolled3,103ConditionsAcute Myocardial InfarctionArmsCardiac rehabilitation quality improvement system
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

16 authors at 7 institutions in 1 country.

Xianghui Zheng *Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Maomao Zhang *Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Yang ZhengDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Yongxiang ZhangDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Junnan WangDepartment of Cardiology, the Second Hospital of Jilin University, Changchun, Jilin Province, China.ORCID 0000-0003-1788-989X
Ping ZhangDepartment of Cardiology, Beijing Tsinghua Changgung Hospital, Beijing, China.
Xuwen YangDepartment of Cardiology, Tianjin Chest Hospital, Tianjin, China.
Shan LiDepartment of Cardiology, Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China.
Rongjing DingDepartment of Cardiology, Peking University People's Hospital, Beijing, China.
Gaowa SiqinDepartment of Cardiology, Inner Mongolia People's Hospital, Huhhot, Inner Mongolia, China.
Xinyu HouDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Liangqi ChenDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Min ZhangDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Yong SunDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Jian WuDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China wujian780805@163.com.ORCID 0000-0002-1192-321X
Bo YuDepartment of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Harbin Medical University · CNBeijing Tsinghua Chang Gung Hospital · CNInner Mongolia People's Hospital · CNPeking University · CNQingdao University · CNSecond Affiliated Hospital of Jilin University · CNTianjin Chest Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCardiac rehabilitation (CR) improves outcomes after myocardial infarction (MI), but it is underused in China. The purpose of this study was to develop a set of quality indicators (QIs) to improve clinical practices and to confirm the measurability and performance of the developed QIs for CR in Chinese patients after MI. DESIGN AND

settingThe QIs were developed by a Chinese expert consensus panel during in-person meetings. The five QIs most in need of improvement were selected using a national questionnaire. Finally, the completion rate and feasibility of the QIs were verified in a group of MI survivors at university hospitals in China.

participantsSeventeen professionals participated in the consensus panel, 89 personnel in the field of CR participated in the national questionnaire and 165 MI survivors participated in the practice test.

resultsA review of 17 eligible articles generated 26 potential QIs, among which 17 were selected by the consensus panel after careful evaluation. The 17 QIs were divided into two domains: (1) improving participation and adherence and (2) CR process standardisation. Nationwide telephone and WeChat surveys identified the five QIs most in need of improvement. A multicenter practice test (n=165) revealed that the mean performance value of the proposed QIs was 43.9% (9.9%-86.1%) according to patients with post-MI.

conclusionsThe consensus panel identified a comprehensive set of QIs for CR in patients with post-MI. A nationwide questionnaire survey was used to identify the QIs that need immediate attention to improve the quality of CR. Although practice tests confirmed the measurability of the proposed QIs in clinical practice, the implementation of the QIs needs to be improved. TRIAL REGISTRATION NUMBER: This study is part of a study registered in ClinicalTrials.gov (NCT03528382).

Indexed as

Cardiac RehabilitationChinaConsensusConsensus Statements as TopicHumansNon-ST Elevated Myocardial InfarctionQuality Indicators, Health Carecoronary heart diseasemyocardial infarctionrehabilitation medicine

Identifiers

PMID33380480
PMCPMC7780554
OpenAlexW3117687941

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.