Evidence map›Paper›PMID 34531576›Full record

ReviewNature reviews. Cardiology2022

The role of cardiac rehabilitation in improving cardiovascular outcomes.

Rod S Taylor, Hasnain M Dalal, Sinéad T J McDonagh

Registry-linked trialAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06924034 (Early-phase Exercise-based Comprehensive Cardiac Rehabilitation Program After Myocardial Infarction), which is not on this map. Cited by 284 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
284citing papers in PubMed, 12 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.

NCT06924034 nacompletednot on this mapstarted 2023, after this paper: background citation

Early-phase Exercise-based Comprehensive Cardiac Rehabilitation Program After Myocardial Infarction: A Randomized Controlled Trial

TypeinterventionalSponsorDokuz Eylul UniversityRan2023 to 2024Enrolled32ConditionsMyocardial Infarction (MI)ArmsPhase I and Phase II Cardiac Rehabilitation Program
3 · Its place in the literature

Who cites it

284 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  10. Exercise-based cardiac rehabilitation for adults with atrial fibrillation.The Cochrane database of systematic reviews · 2024
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224 more citing papers are in PubMed but not listed here.

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

3 authors.

Rod S TaylorMRC/CSO Social and Public Health Sciences Unit & Robertson Centre for Biostatistics, Institute of Health & Well Being, University of Glasgow, Glasgow, UK. rod.taylor@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-3043-6011
Hasnain M DalalUniversity of Exeter Medical School (Primary Care), Smeall Building, St Luke's Campus, Exeter, UK.ORCID http://orcid.org/0000-0002-7316-7544
Sinéad T J McDonaghUniversity of Exeter Medical School (Primary Care), Smeall Building, St Luke's Campus, Exeter, UK.ORCID http://orcid.org/0000-0002-0283-3095

Funding

Chief Scientist Office SPHSU14Chief Scientist Office SPHSU16Medical Research Council MC_UU_00022/1Medical Research Council MC_UU_12017/14
6 · The paper itself

Abstract

Cardiac rehabilitation is a complex intervention that seeks to improve the functional capacity, wellbeing and health-related quality of life of patients with heart disease. A substantive evidence base supports cardiac rehabilitation as a clinically effective and cost-effective intervention for patients with acute coronary syndrome or heart failure with reduced ejection fraction and after coronary revascularization. In this Review, we discuss the major contemporary challenges that face cardiac rehabilitation. Despite the strong recommendation in current clinical guidelines for the referral of these patient groups, global access to cardiac rehabilitation remains poor. The COVID-19 pandemic has contributed to a further reduction in access to cardiac rehabilitation. An increasing body of evidence supports home-based and technology-based models of cardiac rehabilitation as alternatives or adjuncts to traditional centre-based programmes, especially in low-income and middle-income countries, in which cardiac rehabilitation services are scarce, and scalable and affordable models are much needed. Future approaches to the delivery of cardiac rehabilitation need to align with the growing multimorbidity of an ageing population and cater to the needs of the increasing numbers of patients with cardiac disease who present with two or more chronic diseases. Future research priorities include strengthening the evidence base for cardiac rehabilitation in other indications, including heart failure with preserved ejection fraction, atrial fibrillation and congenital heart disease and after valve surgery or heart transplantation, and evaluation of the implementation of sustainable and affordable models of delivery that can improve access to cardiac rehabilitation in all income settings.

Indexed as

Cardiac RehabilitationCOVID-19HumansPandemicsQuality of LifeSARS-CoV-2

Identifiers

PMID34531576
PMCPMC8445013

What OpenQuestion holds

Textmetadata
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.