Evidence map›Paper›PMID 38541338›Full record

ArticleInternational journal of environmental research and public health2024

Barriers to Cardiac Rehabilitation among Patients Diagnosed with Cardiovascular Diseases-A Scoping Review.

Pupalan Iyngkaran, Pavithra Yapa Appuhamilage, Gayani Patabandige, Prasadi Saubhagya Sarathchandra Peru Kandage, Wania Usmani, Fahad Hanna

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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.

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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. 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

6 authors.

Pupalan IyngkaranTorrens University Australia, Melbourne, VIC 3000, Australia.ORCID 0000-0003-3169-3762
Pavithra Yapa AppuhamilageProgram of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia.
Gayani PatabandigeProgram of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia.
Prasadi Saubhagya Sarathchandra Peru KandageProgram of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia.
Wania UsmaniProgram of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia.
Fahad HannaProgram of Public Health, Department of Health and Education, Torrens University Australia, Melbourne, VIC 3000, Australia.ORCID 0000-0002-0494-9585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular diseases (CVDs) are a rising global burden. Preventative strategies such as cardiac rehabilitation (CR) have shown a marked reduction in disease burden. Despite this, CR is underutilized worldwide. This study aims to identify the barriers to CR among patients diagnosed with CVD.

methodsA scoping review of the literature was conducted following the Joanna Briggs Institute (JBI) guidelines. Four major databases, including CINAHL, PubMed, EBSCOhost, and Scopus, were used to obtain studies published between 2010 and 2023. Search terms such as "Cardiac rehab*", "Barrier*", "Cardiovascular", "Disease", and "diagnosis*" were utilized in order to obtain subject-specific studies relevant to the research question.

resultsFrom the initial 2098 studies, only 14 were included in the final analysis, consisting of both qualitative and quantitative designs. The thematic analysis included "healthcare system-related factors", "Socioeconomic factors", and "individual characteristics". Healthcare system-related factors were mostly related to the poor availability of CR programs, lack of proper referral strategies, inadequate knowledge of CR provider and inter-provider communication issues, and lack of alternative methods of CR delivery. The socioeconomic barriers were lack of education, longer distance to CR facilities, high cost of care, unemployment, and poor income status. The identified individual characteristics were female gender, older age, and comorbidities.

conclusionsLack of resources, poor access, educational attainment, and high cost of care were some of the barriers to CR, particularly in low- and middle-income countries (LMICs). Health policymakers and healthcare providers should implement strategies incorporating the issues identified in this scoping review. Systematic reviews may be required to confirm these findings.

Indexed as

Cardiac RehabilitationCardiovascular DiseasesDelivery of Health CareFemaleHealth PersonnelHumansMaleRehabilitation Centersbarrierscardiac rehabilitationcardiovascular diseasespreventionscoping review

Identifiers

PMID38541338
PMCPMC10970436

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.