Evidence map›Paper›PMID 8978226›Full record

Trial reportBMJ (Clinical research ed.)1996

Psychological rehabilitation after myocardial infarction: multicentre randomised controlled trial.

D A Jones, R R West

Registry-linked trialOpen access · greenAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00981253 (Enhancing Standard Cardiac Rehabilitation With Stress Management Training in Patients With Heart Disease), which is not on this map. Cited by 41 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 10 pooled it
9.3field-weighted citation impact, top 2% 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.

NCT00981253 nacompletednot on this mapstarted 2009, after this paper: background citation

Enhancing Standard Cardiac Rehabilitation With Stress Management Training in Patients With Heart Disease

TypeinterventionalSponsorDuke UniversityRan2009 to 2016Enrolled164ConditionsCoronary Heart DiseaseArmsSMT-enhanced Cardiac Rehabilitation, Standard Cardiac Rehabilitation
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 10 syntheses or guidelines pooled it, 244 citations in OpenAlex.

  1. Pooled it
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  3. Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2017
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  6. Psychological interventions for coronary heart disease.The Cochrane database of systematic reviews · 2004
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  7. Pooled it
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  9. Cardiac rehabilitation.Quality in health care : QHC · 1999
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

D A JonesUniversity of Wales College of Medicine, Llandough Hospital, Cardiff.
R R West
University of Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate rehabilitation after myocardial infarction.

designRandomised controlled trial of rehabilitation in unselected myocardial infarction patients in six centres, baseline data being collected on admission and by structured interview (of patients and spouses) shortly after discharge and outcome being assessed by structured interview at six months and clinical examination at 12 months.

settingSix district general hospitals. SUBJECTS: All 2328 eligible patients admitted over two years with confirmed myocardial infarction and discharged home within 28 days.

interventionsRehabilitation programmes comprising psychological therapy, counselling, relaxation training, and stress management training over seven weekly group outpatient sessions for patients and spouses.

main outcome measuresAnxiety, depression, quality of life, morbidity, use of medication, and mortality.

resultsAt six months there were no significant differences between rehabilitation patients and controls in reported anxiety (prevalence 33%) or depression (19%). Rehabilitation patients reported a lower frequency of angina (median three versus four episodes a week), medication, and physical activity. At 12 months there were no differences in clinical complications, clinical sequelae, or mortality.

conclusionsRehabilitation programmes based on psychological therapy, counselling, relaxation training, and stress management seem to offer little objective benefit to patients who have experienced myocardial infarction compared with previous reports of smaller trials.

Indexed as

Angina PectorisAnxietyDepressionFollow-Up StudiesHumansMyocardial InfarctionNitroglycerinPatient Acceptance of Health CareSmokingSurvival RateTreatment OutcomeNitroglycerin

Identifiers

PMID8978226
PMCPMC2353074
OpenAlexW2036636602

What OpenQuestion holds

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Registered trials

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.