Evidence map›Paper›PMID 41177153›Full record

ArticleAnnals of rehabilitation medicine2025

Comparison of Center-Based and Tele-Cardiac Rehabilitation in Coronary Artery Disease: Effects on Functional Capacity, QoL, and Kinesiophobia.

Nihan Burhandağ Solhan, Levent Karataş, Ayça Utkan Karasu, İlknur Onurlu, Salih Topal, Nesrin Demirsoy

Abstract read
In one paragraph

Article in Annals of rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Nihan Burhandağ SolhanDepartment of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Türkiye.
Levent KarataşDepartment of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Türkiye.
Ayça Utkan KarasuDepartment of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Türkiye.
İlknur OnurluDepartment of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Türkiye.
Salih TopalDepartment of Cardiology, Gazi University Faculty of Medicine, Ankara, Türkiye.
Nesrin DemirsoyDepartment of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Türkiye.

Funding

Gazi University Scientific Research Projects Coordination Unit TTU-2022-7615
6 · The paper itself

Abstract

Objective: To compare the efficacy, safety, and patient compliance of tele-cardiac rehabilitation (T-CR) versus center-based cardiac rehabilitation (C-CR) in patients with coronary artery disease (CAD). A secondary aim was to assess the effects of both interventions on quality of life (QoL) and kinesiophobia.

methodsThis nonrandomized, patient-preference controlled trial included 40 CAD patients (83% post-myocardial infarction) at a university hospital. Participants selected either C-CR or T-CR. The four-week intervention included supervised in-hospital exercise (C-CR) or telemonitored exercise with heart rate feedback (T-CR). The primary outcome was peak oxygen uptake (VO2 peak). Secondary outcomes included VO2 at ventilatory anaerobic threshold (VO2 at VAT), time to VAT, oxygen pulse, QoL, Fear of Activity in Patients with Coronary Artery Disease (Fact-CAD) scores, and exercise adherence.

resultsBaseline VO2 peak was higher in the T-CR group (23.2±3.5 vs. 19.4±4.2, p=0.004). Rehabilitation improved VO2 peak (p<0.001), VO2 at VAT (p=0.004), and time to VAT (p<0.001) in both groups. Fact-CAD scores decreased (p=0.004), and QoL improved (p<0.001). However, C-CR led to greater kinesiophobia reduction (p=0.038) and slightly higher QoL improvements (p=0.05). T-CR participants completed more exercise sessions (14.9±2.9 vs. 12.0±0, p<0.001), with no serious adverse events reported. Conclusion: T-CR is a safe and effective alternative to C-CR, providing similar physiological benefits. However, C-CR may be superior in reducing kinesiophobia. Future studies should assess long-term adherence and psychological outcomes in diverse populations.

Indexed as

Cardiac rehabilitationCoronary artery diseaseKinesophobiaTelemedicineTelerehabilitation

Identifiers

PMID41177153
PMCPMC12579990

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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.