Evidence map›Paper›PMID 34169194›Full record

ArticleKidney international reports2021

Effectiveness and Utilization of Cardiac Rehabilitation Among People With CKD.

Stephanie Thompson, Natasha Wiebe, Ross Arena, Codie Rouleau, Sandeep Aggarwal, Stephen B Wilton, Michelle M Graham, Brenda Hemmelgarn, Matthew T James

Abstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
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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

9 authors.

Stephanie ThompsonDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Natasha WiebeDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Ross ArenaDepartment of Physical Therapy, University of Illinois at Chicago, Chicago, Illinois, USA.
Codie RouleauTotalCardiology Research Network, Calgary, Alberta, Canada.
Sandeep AggarwalTotalCardiology Research Network, Calgary, Alberta, Canada.
Stephen B WiltonLibin Cardiovascular Institute of Alberta and O'Brien Institute of Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Michelle M GrahamDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Brenda HemmelgarnDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Matthew T JamesDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiac rehabilitation (CR) is a proven therapy for reducing cardiovascular death and hospitalization. Whether CR participation is associated with improved outcomes in patients with chronic kidney disease (CKD) is unknown.

methodsWe obtained data on all adult patients in Calgary, Alberta, Canada with angiographically proven coronary artery disease from 1996 to 2016 referred to CR from The Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease and TotalCardiology Rehabilitation. An estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m

resultsOf 23,215 patients referred to CR, 12,084 were eligible for inclusion. Participants with CKD (N = 1322) were older, had more comorbidity, lower exercise capacity on graded treadmill testing, and took longer to be referred and to start CR than those without CKD. CKD predicted not starting CR: odds ratio 0.73 (95% confidence interval [CI] 0.64-0.83). Over a median 1 year follow-up, there were 146 deaths, 40 (0.3%) from CKD and 106 (1.0%) not from CKD. Similar to those without CKD, the risk of death was lower in CR completers (hazard ratio [HR] 0.24 [95% CI 0.06-0.91) and starters (HR 0.56 [95% CI 0.29- 1.10]) with CKD.

conclusionCR participation was associated with comparable benefits in people with moderate CKD as those without who survived to CR. Lower rates of CR attendance in this high-risk population suggest that strategies to increase CR utilization are needed.

Indexed as

cardiac eventscardiac rehabilitationchronic kidney diseaseexercisemortalityobservational study

Identifiers

PMID34169194
PMCPMC8207316

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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.