Evidence map›Paper›PMID 35227258›Full record

ArticleBMC health services research2022

Assessing the quality of cardiac rehabilitation programs by measuring adherence to the Australian quality indicators.

C M Astley, A Beleigoli, R Tavella, J Hendriks, C Gallagher, R Tirimacco, G Wilson, T Barry, R A Clark

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

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

7 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

C M AstleyCaring Futures Institute, College of Nursing and Health Science, Flinders University, University Drive, South Australia (SA), 5042, Bedford Park, Australia. Carolyn.astley@flinders.edu.au.
A BeleigoliCaring Futures Institute, College of Nursing and Health Science, Flinders University, University Drive, South Australia (SA), 5042, Bedford Park, Australia.
R TavellaAdelaide Medical School, University Adelaide, The Queen Elizabeth Hospital Campus, SA, 5011, Woodville South, Australia.
J HendriksCaring Futures Institute, College of Nursing and Health Science, Flinders University, University Drive, South Australia (SA), 5042, Bedford Park, Australia.
C GallagherCentre for Heart Rhythm Disorders, University Adelaide and Royal Adelaide Hospital, SA, 5000, Adelaide, Australia.
R TirimaccoIntegrated Cardiovascular Clinical Network SA, iCCnet, level 1 Administration Building, 1 Tonsley Boulevard, SA, 5042, Tonsley, Australia.
G WilsonIntegrated Cardiovascular Clinical Network SA, iCCnet, level 1 Administration Building, 1 Tonsley Boulevard, SA, 5042, Tonsley, Australia.
T BarryIntegrated Cardiovascular Clinical Network SA, iCCnet, level 1 Administration Building, 1 Tonsley Boulevard, SA, 5042, Tonsley, Australia.
R A ClarkCaring Futures Institute, College of Nursing and Health Science, Flinders University, University Drive, South Australia (SA), 5042, Bedford Park, Australia.
Flinders University · AURoyal Adelaide Hospital · AUQueen Elizabeth Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvery year, over 65,000 Australians experience an acute coronary syndrome (ACS) and around one-third occur in people with prior coronary heart disease. Cardiac rehabilitation (CR) aims to prevent a repeat ACS by supporting patients' return to an active and fulfilling lifestyle. CR programs are efficacious, but audits of clinical practice show variability of program delivery, which may compromise patient outcomes. Core components, quality indicators and accreditation of programs have been introduced internationally to increase program standardisation. With Australian quality indicators (QIs) for cardiac rehabilitation recently introduced, we aimed to conduct a survey in one state of Australia to assess the extent to which programs adhere to the measurement of QIs comparing country, metropolitan, telephone and face to face programs.

methodsA cross- sectional survey design with face validity testing was used to formulate questions to evaluate cardiac rehabilitation program and personnel characteristics and QI adherence. Between October 2020- December 2021, 23 cardiac rehabilitation programs across country and metropolitan areas were invited to participate. Quality improvement was defined as adherence to the Australian Quality Indicators, and we developed an objective score to calculate program performance categorised by quartiles. Significance of CR completion and time to enrolment between program type (telephone versus face to face) and location (country versus metropolitan were compared using Pearson's Chi-square and Mann-Whitney U tests.

resultsAmong the 23 CR programs, 15 were country and 8 metropolitan-based and 22 were face to face and 1 telephone-based. Median wait time from discharge was 27.0 days, (interquartile range 19.3-46.0) across all programs and country completions of enrolled were 76.9% versus metropolitan 56.5%, p < 0.001 and telephone versus face to face 92.9% versus 59.6% p < 0.001. Pre-program QI adherence was higher than post program for depression, medication adherence, health-related quality of life and comprehensive re-assessment. Seventy four percent of programs were ranked at a medium level of performance (mean score: 11.4/16, SD ± 0.79).

conclusionsA survey of 23 cardiac rehabilitation programs, showed variability in adherence to measurement of the Australian Cardiovascular and Rehabilitation Association and Australian Heart Foundation Cardiac Rehabilitation Quality Indicators.

trial registrationAustralia New Zealand Clinical Trials Registry (ANZCTR), ACTRN12621000222842 , registered 03/03/2021.

Indexed as

Cardiac RehabilitationCoronary DiseaseAustraliaHumansQuality Indicators, Health CareQuality of LifeAccreditationAcute coronary syndromesCardiac rehabilitationCoronary heart diseaseQuality improvement

Identifiers

PMID35227258
PMCPMC8883249
OpenAlexW4214710756

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.