Evidence map›Paper›PMID 40932109›Full record

SynthesisJournal of the American Heart Association2025

Patient Needs Regarding Cardiac Rehabilitation: A Systematic Review and Meta-Ethnographic Synthesis.

Niek Koenders, Roel van Oorsouw, Daniëlle Conijn, Mariëtte Verbakel, Thijs M H Eijsvogels, Philip J van der Wees

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. 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.

Niek KoendersDepartment of Rehabilitation Radboud University Medical Center Nijmegen the Netherlands.ORCID 0000-0002-7142-9811
Roel van OorsouwDepartment of Rehabilitation Radboud University Medical Center Nijmegen the Netherlands.ORCID 0000-0002-8328-4277
Daniëlle ConijnRoyal Dutch Society of Physical Therapy Amersfoort the Netherlands.
Mariëtte VerbakelRadboud University Medical Center, Patient Advisory Board HARt Nijmegen the Netherlands.ORCID 0000-0002-7119-7416
Thijs M H EijsvogelsDepartment of Physiology Radboud University Medical Center Nijmegen the Netherlands.ORCID 0000-0003-0747-4471
Philip J van der WeesDepartment of Rehabilitation Radboud University Medical Center Nijmegen the Netherlands.ORCID 0000-0003-2881-5159

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo improve uptake and completion of cardiac rehabilitation, it is important to identify needs and tailor cardiac rehabilitation accordingly. Therefore, the aim of this study was to synthesize the needs of patients with coronary heart disease, heart failure, or thoracic aortic dissection regarding cardiac rehabilitation.

methodsWe performed a systematic review and meta-ethnographic synthesis of qualitative studies. We synthesized lines of argument and assessed the confidence of evidence using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence From Reviews of Qualitative Research approach. Ultimately, we integrated our findings into a conceptual model with recommendations for cardiac rehabilitation professionals.

resultsNinety-four studies were included and provided data from 1731 patients, 185 significant others (eg, partners or family members), and 105 cardiac rehabilitation professionals. We have synthesized 5 lines of argument that explained the needs of patients: (1) Patients need safety but not overprotection (high confidence); (2) patients need significant others to be involved (high confidence); (3) patients need support from people with whom they can identify (moderate confidence); (4) patients need personalized care (moderate confidence); and (5) patients need help to redesign a meaningful future (high confidence).

conclusionsThere is a need for innovation of current cardiac rehabilitation programs. Overprotection of significant others must be addressed within a safe environment and by thorough involvement of significant others. Cardiac rehabilitation professionals can begin adapting cardiac rehabilitation by organizing peer support, providing personalized care, and helping to redesign a meaningful future. Meeting patients' needs may improve uptake and completion of cardiac rehabilitation.

Indexed as

Aortic DissectionCardiac RehabilitationHealth Services Needs and DemandHeart FailureNeeds AssessmentAnthropology, CulturalHumanscardiac rehabilitationcoronary diseaseexperiencesheart failureneedsqualitative researchsystematic reviewthoracic aortic dissection

Identifiers

PMID40932109
PMCPMC12554424

What OpenQuestion holds

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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.