Evidence map›Paper›PMID 36649394›Full record

ReviewCirculation2023

A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities.

Alexis L Beatty, Theresa M Beckie, John Dodson, Carly M Goldstein, Joel W Hughes, William E Kraus, Seth S Martin, Thomas P Olson, Quinn R Pack, Haley Stolp and 3 more

Erratum issuedOpen access · hybridAbstract readReview
In one paragraph

Review in Circulation, 2023. 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 88 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 4 pooled it
35.8field-weighted citation impact, top 1% 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

88 citing papers in PubMed, 4 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. A Confirmatory Factory Analysis of the Exercise Sensitivity Questionnaire (ESQ).Journal of cardiopulmonary rehabilitation and prevention · 2025
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. A cardiac-rehab home-based mHealth program to improve physical activity in patients with coronary artery disease: a randomized controlled trial.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Article
  17. Observational
  18. Article
  19. Article
  20. Article

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 3 countries.

Alexis L BeattyDepartment of Epidemiology and Biostatistics (A.L.B.), University of California, San Francisco.ORCID 0000-0001-8405-7386
Theresa M BeckieCollege of Nursing (T.M.B.), University of South Florida, Tampa.ORCID 0000-0001-8985-2725
John DodsonLeon H. Charney Division of Cardiology, Department of Medicine (J.D.), New York University School of Medicine, New York.
Carly M GoldsteinThe Weight Control and Diabetes Research Center, the Miriam Hospital, Providence, RI (C.M.G.).ORCID 0000-0002-6150-5649
Joel W HughesDepartment of Psychological Sciences, Kent State University, OH (J.W.H.).
William E KrausDepartment of Medicine, Division of Cardiology, Duke University, Durham, NC (W.E.K.).ORCID 0000-0003-1930-9684
Seth S MartinDepartment of Medicine, Division of Cardiology, Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MD (S.S.M.).ORCID 0000-0002-7021-7622
Thomas P OlsonDepartment of Cardiovascular Medicine, Division of Preventive Cardiology, Mayo Clinic, Rochester, MN (T.P.O., R.J.T.).
Quinn R PackDepartment of Healthcare Delivery and Population Science, University of Massachusetts Medical School-Baystate, Springfield (Q.R.P.).
Haley StolpASRT, Inc, Atlanta, GA (H.S.).ORCID 0000-0003-1635-894X
Randal J ThomasDepartment of Cardiovascular Medicine, Division of Preventive Cardiology, Mayo Clinic, Rochester, MN (T.P.O., R.J.T.).
Wen-Chih WuLifespan Cardiovascular Institute (W.-C.W.), Brown University, Providence, RI.ORCID 0000-0002-2834-2024
Barry A FranklinWilliam Beaumont Hospital, Royal Oak, MI (B.A.F.).
Mayo Clinic · USBaystate Health · USBrown University · USCenters for Disease Control and Prevention · USDuke University · USJohns Hopkins University · USKent State University · USNew York University · USOakland University · USProvidence VA Medical Center · USUniversity of California, San Francisco · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac rehabilitation (CR) is a guideline-recommended, multidisciplinary program of exercise training, risk factor management, and psychosocial counseling for people with cardiovascular disease (CVD) that is beneficial but underused and with substantial disparities in referral, access, and participation. The emergence of new virtual and remote delivery models has the potential to improve access to and participation in CR and ultimately improve outcomes for people with CVD. Although data suggest that new delivery models for CR have safety and efficacy similar to traditional in-person CR, questions remain regarding which participants are most likely to benefit from these models, how and where such programs should be delivered, and their effect on outcomes in diverse populations. In this review, we describe important gaps in evidence, identify relevant research questions, and propose strategies for addressing them. We highlight 4 research priorities: (1) including diverse populations in all CR research; (2) leveraging implementation methodologies to enhance equitable delivery of CR; (3) clarifying which populations are most likely to benefit from virtual and remote CR; and (4) comparing traditional in-person CR with virtual and remote CR in diverse populations using multicenter studies of important clinical, psychosocial, and cost-effectiveness outcomes that are relevant to patients, caregivers, providers, health systems, and payors. By framing these important questions, we hope to advance toward a goal of delivering high-quality CR to as many people as possible to improve outcomes in those with CVD.

Indexed as

Cardiac RehabilitationCardiovascular DiseasesCaregiversEvidence GapsHumanscardiac rehabilitationcoronary diseaseheart failuretelemedicine

Identifiers

PMID36649394
PMCPMC9988237
OpenAlexW4317033669

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.