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Cardiac Rehabilitation Availability and Density around the Globe

K. Turk-Adawi, M. Supervia, F. Lopez-Jimenez, E. Pesah, R. Ding, RR. Britto, B. Bjarnason-Wehrens, W. Derman, A. Abreu, AS. Babu, CA. Santos, SK. Jong, L. Cuenza, TJ. Yeo, D. Scantlebury, K. Andersen, G. Gonzalez, V. Giga, D. Vulic, E. Vataman,...

. 2019 ; 13 (-) : 31-45. [pub] 20190703

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc19035690

Background: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation (CR), availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. Methods: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density (i.e. annual ischemic heart disease [IHD] incidence estimate from Global Burden of Disease study divided by national CR capacity) was computed. Findings: CR was available in 111/203 (54.7%) countries; data were collected in 93 (83.8% country response; N = 1082 surveys, 32.1% program response rate). Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa (p < .001). There were 5753 programs globally that could serve 1,655,083 patients/year, despite an estimated 20,279,651 incident IHD cases globally/year. Volume was significantly greater where patients were systematically referred (odds ratio [OR] = 1.36, 95% confidence interval [CI] = 1.35-1.38) and programs offered alternative models (OR = 1.05, 95%CI = 1.04-1.06), and significantly lower with private (OR = .92, 95%CI = .91-.93) or public (OR = .83, 95%CI = .82-84) funding compared to hybrid sources.Median capacity (i.e., number of patients a program could serve annually) was 246/program (Q25-Q75 = 150-390). The absolute density was one CR spot per 11 IHD cases in countries with CR, and 12 globally. Interpretation: CR is available in only half of countries globally. Where offered, capacity is grossly insufficient, such that most patients will not derive the benefits associated with participation.

ASCARDIO 17 Callejón 12 Barquisimeto 3001 Lara Venezuela

Beijing United Family Hospital 2 Jiangtai Rd Chaoyang Qu Beijing Shi China 100096

Betsi Cadwaladr University Health Board Wrexham Maelor Hospital Croesnewydd Road Wrexham LL13 7TD Wales United Kingdom

Bispebjerg Frederiksberg Hospital Bispebjerg Bakke 23 2400 København NV Copenhagen Denmark

Cardiac Rehabilitation Research Centre Cardiovascular Research Institute Isfahan University of Medical Sciences Hezar Jerib Ave Isfahan IR 81746 73461 Iran

Cardiac Rehabilitation Research Centre Cardiovascular Research Institute Isfahan University of Medical Sciences Hezar Jerib Ave Isfahan IR 81746 73461 Iran University of British Columbia 2206 East Mall Vancouver BC V6T 1Z3 Canada

Cardiovascular Institute of Buenos Aires Av del Libertador 6302 1428 Buenos Aires Argentina

Cardiovascular Research Group Division of Cardiology Oulu University Hospital University of Oulu Finland

Central Hospital of Social Security Institute Asuncion Paraguay

Department of Physiotherapy Manipal College of Health Professions Manipal Academy of Higher Education Manipal 576104 Karnataka

Edinburgh Napier University 9 Sighthill Ct Edinburgh EH11 4BN Scotland United Kingdom

Fu Jen Catholic University Hospital and School of Medicine College of Medicine Fu Jen Catholic University No 69 Guizi Road Taishan District New Taipei City 24352 Taiwan

Gregorio Marañón General University Hospital Gregorio Marañón Health Research Institute Dr Esquerdo 46 28007 Madrid Spain Mayo Clinic Rochester 200 1st St SW Rochester MN 55905 USA

Heart House Martin Bagarova 30 Martin Slovakia

Hospital Raja Isteri Pengiran Anak Saleha Bandar Seri Begawan BA1710 Brunei

Hospital Santa Marta 1169 024 R de Santa Marta 50 Lisbon Portugal

ICCCV Instituto de Cardiología y Cirugía Cardiovascular No 702 entre A y Paseo Vedado Calle 17 La Habana Cuba

INCOR Instituto Nacional Cardiovascular Jirón Coronel Zegarra Jesus Maria Lima 11 Peru

Institute for Cardiology and Sports Medicine Dep Preventive and Rehabilitative Sport Medicine and Exercise Physiology German Sport University Cologne Am Sportpark Müngersdorf 6 50933 Cologne Germany

Institute of Cardiology Str Testemitanu 20 Chisinau Republic of Moldova

Institute of Cardiovascular Diseases Clinical Center of Serbia Dr Koste Todorovića 8 11000 Beograd Serbia

Instituto Nacional de Cardiología Belisario Domínguez Sección 16 Belisario Domínguez Secc 16 14080 Tlalpan CDMX Mexico

Istituti Clinici Scientifici Maugeri Care and Research Institute Department of Cardiac Rehabilitation Pavia Italy

Karolinska Institutet Department of Clinical Sciences Danderyd Hospital Stockholm Sweden

Laboratory of Sports Medicine Aristotle University of Thessaloniki Thessaloniki 57001 Greece

Lithuanian University of Health Sciences A Mickevičiaus g 9 Kaunas 44307 Lithuania

Loire Vendée Océan hospital Boulevard des Régents 44270 Machecoul France

Marmara University School of Medicine Department of Physical Medicine and Rehabilitation Fevzi Çakmak Mah Muhsin Yazıcıoğlu Cad No 10 Üst Kaynarca Pendik İstanbul Turkey

Maxima Medical Centre De Run 4600 5504 DB Veldhoven Netherlands

Mayo Clinic Rochester 200 1st St SW Rochester MN 55905 USA

Mediagnóstica Duitama Cra16 14 68 oficina 201 Duitama Boyacá Colombia

Moncton Hospital 135 Macbeath Ave Moncton NB E1C 6Z8 Canada

National Cardiovascular Center Harapan Kita Kav 87 Jl Letjen S Parman Jakarta Indonesia

National University Heart Centre Singapore National University Health System Tower Block 1E Kent Ridge Road Level 9 Cardiac Department Singapore 119228 Singapore

Norfolk and Norwich University Hospital Colney Lane Norwich NR4 7UY United Kingdom

Octubre Universitary Hospital Av Cordoba s n 28041 Madrid Spain

Peiking University People' Hospital 11 Xizhimen S St Xicheng Qu Beijing Shi China

Philippine Heart Center East Avenue Quezon City Philippines 1100

PHYSIS Prevencion Cardiovascular Cdla Bolivariana Av del Libertador Mz 1 Villa 5 Guayaquil Ecuador

QU Health Qatar University Al Jamiaa St Doha Qatar

Sanggye Paik Hospital Inje University Dongil ro 1342 Nowon gu Seoul Republic of Korea

Shaare Zedek Medical Center the Hebrew University Jerusalem Israel

Ślaskie Centrum Rehabilitacji w Ustroniu Zdrojowa 6 43 450 Ustroń Poland

Sociedad Chilena de Cardiología Alfredo Barros Errázuriz 1954 Providencia Región Metropolitana Chile

Spanish Association Hospital 11200 Bulevar Gral Artigas 1471 Montevideo Uruguay

State Hospital for Cardiology Balatonfüred Gyógy tér 2 8230 Hungary

Stellenbosch University and International Olympic Committee Research Center South Africa Francie Van Zijl Drive Stellenbosch 7599 South Africa

Tbilisi State Medical University 33 Vazha Pshavela Ave Tbilisi Georgia

The University of Auckland 71 Merton Road Private Bag 92019 Auckland 1142 New Zealand

Universidade Federal de Minas Gerais Av Pres Antônio Carlos 6627 Pampulha Belo Horizonte MG 31270 901 Brazil

University of Banja Luka Faculty of Medicine Save Mrkalja 14 78000 Banja Luka Bosnia and Herzegovina

University of Iceland Saemundargata 2 IS 101 Reykjavik Iceland

University of Medicine and Pharmacy Victor Babes Cardiovascular Prevention and Rehabilitation Clinic Bvd CD Loga 49 300020 Timisoara Romania

University of Palacky University Hospital Olomouc 1 P Pavlova 185 6 Nová Ulice 779 00 Olomouc Czech Republic

University of the West Indies at Cave Hill St Michael Barbados

York University 4700 Keele Street Toronto Ontario M3J1P3 Canada

York University 4700 Keele Street Toronto Ontario M3J1P3 Canada KITE University Health Network 399 Bathurst St Toronto ON M5T 2S8 Canada

Citace poskytuje Crossref.org

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$a Background: Despite the epidemic of cardiovascular disease and the benefits of cardiac rehabilitation (CR), availability is known to be insufficient, although this is not quantified. This study ascertained CR availability, volumes and its drivers, and density. Methods: A survey was administered to CR programs globally. Cardiac associations and local champions facilitated program identification. Factors associated with volumes were assessed using generalized linear mixed models, and compared by World Health Organization region. Density (i.e. annual ischemic heart disease [IHD] incidence estimate from Global Burden of Disease study divided by national CR capacity) was computed. Findings: CR was available in 111/203 (54.7%) countries; data were collected in 93 (83.8% country response; N = 1082 surveys, 32.1% program response rate). Availability by region ranged from 80.7% of countries in Europe, to 17.0% in Africa (p < .001). There were 5753 programs globally that could serve 1,655,083 patients/year, despite an estimated 20,279,651 incident IHD cases globally/year. Volume was significantly greater where patients were systematically referred (odds ratio [OR] = 1.36, 95% confidence interval [CI] = 1.35-1.38) and programs offered alternative models (OR = 1.05, 95%CI = 1.04-1.06), and significantly lower with private (OR = .92, 95%CI = .91-.93) or public (OR = .83, 95%CI = .82-84) funding compared to hybrid sources.Median capacity (i.e., number of patients a program could serve annually) was 246/program (Q25-Q75 = 150-390). The absolute density was one CR spot per 11 IHD cases in countries with CR, and 12 globally. Interpretation: CR is available in only half of countries globally. Where offered, capacity is grossly insufficient, such that most patients will not derive the benefits associated with participation.
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$a Derman, Wayne $u Stellenbosch University & International Olympic Committee Research Center South Africa, Francie Van Zijl Drive, Stellenbosch 7599, South Africa.
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$a Abreu, Ana $u Hospital Santa Marta, 1169-024, R. de Santa Marta 50, Lisbon, Portugal.
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$a Babu, Abraham S $u Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal - 576104, Karnataka.
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$a Santos, Claudia Anchique $u Mediagnóstica Duitama, Cra16 #14- 68 oficina 201, Duitama, Boyacá, Colombia.
700    1_
$a Jong, Seng Khiong $u Hospital Raja Isteri Pengiran Anak Saleha, Bandar Seri Begawan BA1710, Brunei.
700    1_
$a Cuenza, Lucky $u Philippine Heart Center, East Avenue, Quezon City, Philippines 1100.
700    1_
$a Yeo, Tee Joo $u National University Heart Centre Singapore, National University Health System (NUHS) Tower Block, 1E Kent Ridge Road, Level 9, Cardiac Department, Singapore 119228, Singapore.
700    1_
$a Scantlebury, Dawn $u University of the West Indies at Cave Hill, St. Michael, Barbados.
700    1_
$a Andersen, Karl $u University of Iceland, Saemundargata 2, IS-101, Reykjavik, Iceland.
700    1_
$a Gonzalez, Graciela $u Central Hospital of Social Security Institute, Asuncion, Paraguay.
700    1_
$a Giga, Vojislav $u Institute of Cardiovascular Diseases, Clinical Center of Serbia, Dr. Koste Todorovića 8, 11000 Beograd, Serbia.
700    1_
$a Vulic, Dusko $u University of Banja Luka, Faculty of Medicine, Save Mrkalja 14, 78000 Banja Luka, Bosnia and Herzegovina.
700    1_
$a Vataman, Eleonora $u Institute of Cardiology, Str. Testemitanu, 20, Chisinau, Republic of Moldova.
700    1_
$a Cliff, Jacqueline $u Betsi Cadwaladr University Health Board, Wrexham Maelor Hospital, Croesnewydd Road, Wrexham LL13 7TD, Wales, United Kingdom.
700    1_
$a Kouidi, Evangelia $u Laboratory of Sports Medicine, Aristotle University of Thessaloniki, Thessaloniki 57001, Greece.
700    1_
$a Yagci, Ilker $u Marmara University, School of Medicine, Department of Physical Medicine and Rehabilitation, Fevzi Çakmak Mah Muhsin Yazıcıoğlu Cad. No:10 Üst Kaynarca Pendik / İstanbul, Turkey.
700    1_
$a Kim, Chul $u Sanggye Paik Hospital, Inje University, Dongil-ro 1342, Nowon-gu, Seoul, Republic of Korea.
700    1_
$a Benaim, Briseida $u ASCARDIO, 17 Callejón 12, Barquisimeto 3001, Lara, Venezuela.
700    1_
$a Estany, Eduardo Rivas $u ICCCV Instituto de Cardiología y Cirugía Cardiovascular, No. 702 entre A y Paseo, Vedado, Calle 17, La Habana, Cuba.
700    1_
$a Fernandez, Rosalia $u INCOR Instituto Nacional Cardiovascular, Jirón Coronel Zegarra, Jesus Maria, Lima 11, Peru.
700    1_
$a Radi, Basuni $u National Cardiovascular Center Harapan Kita, Kav 87, Jl. Letjen. S. Parman, Jakarta, Indonesia.
700    1_
$a Gaita, Dan $u University of Medicine & Pharmacy "Victor Babes "Cardiovascular Prevention & Rehabilitation Clinic, Bvd CD Loga 49, 300020 Timisoara, Romania.
700    1_
$a Simon, Attila $u State Hospital for Cardiology, Balatonfüred, Gyógy tér 2, 8230, Hungary.
700    1_
$a Chen, Ssu-Yuan $u Fu Jen Catholic University Hospital and School of Medicine, College of Medicine, Fu Jen Catholic University, No. 69, Guizi Road, Taishan District, New Taipei City 24352, Taiwan.
700    1_
$a Roxburgh, Brendon $u The University of Auckland, 71 Merton Road, Private Bag 92019, Auckland 1142, New Zealand.
700    1_
$a Martin, Juan Castillo $u 12 Octubre Universitary Hospital, Av. Cordoba, s/n, 28041 Madrid, Spain.
700    1_
$a Maskhulia, Lela $u Tbilisi State Medical University, 33 Vazha Pshavela Ave, Tbilisi, Georgia.
700    1_
$a Burdiat, Gerard $u Spanish Association Hospital, 11200, Bulevar Gral. Artigas, 1471 Montevideo, Uruguay.
700    1_
$a Salmon, Richard $u PHYSIS Prevencion Cardiovascular, Cdla Bolivariana Av. del Libertador - Mz I Villa 5, Guayaquil, Ecuador.
700    1_
$a Lomelí, Hermes $u Instituto Nacional de Cardiología, Belisario Domínguez Sección 16, Belisario Domínguez Secc 16, 14080 Tlalpan, CDMX, Mexico.
700    1_
$a Sadeghi, Masoumeh $u Cardiac Rehabilitation Research Centre, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Hezar-Jerib Ave., Isfahan, IR 81746 73461, Iran.
700    1_
$a Sovova, Eliska $u University of Palacky, University Hospital Olomouc, I.P. Pavlova 185/6, Nová Ulice, 779 00 Olomouc, Czech Republic.
700    1_
$a Hautala, Arto $u Cardiovascular Research Group, Division of Cardiology, Oulu University Hospital, University of Oulu, Finland.
700    1_
$a Tamuleviciute-Prasciene, Egle $u Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, Kaunas 44307, Lithuania.
700    1_
$a Ambrosetti, Marco $u Istituti Clinici Scientifici Maugeri, Care and Research Institute, Department of Cardiac Rehabilitation, Pavia, Italy.
700    1_
$a Neubeck, Lis $u Edinburgh Napier University, 9 Sighthill Ct, Edinburgh EH11 4BN, Scotland, United Kingdom.
700    1_
$a Asher, Elad $u Shaare Zedek Medical Center, the Hebrew University, Jerusalem, Israel.
700    1_
$a Kemps, Hareld $u Maxima Medical Centre, De Run 4600, 5504, DB, Veldhoven, Netherlands.
700    1_
$a Eysymontt, Zbigniew $u Ślaskie Centrum Rehabilitacji w Ustroniu, Zdrojowa 6, 43-450 Ustroń, Poland.
700    1_
$a Farsky, Stefan $u Heart House Martin, Bagarova 30, Martin (Podháj), Slovakia.
700    1_
$a Hayward, Jo $u Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, United Kingdom.
700    1_
$a Prescott, Eva $u Bispebjerg Frederiksberg Hospital, Bispebjerg Bakke 23, 2400 København, NV, Copenhagen, Denmark.
700    1_
$a Dawkes, Susan $u Edinburgh Napier University, 9 Sighthill Ct, Edinburgh EH11 4BN, Scotland, United Kingdom.
700    1_
$a Santibanez, Claudio $u Sociedad Chilena de Cardiología, Alfredo Barros Errázuriz 1954, Providencia, Región Metropolitana, Chile.
700    1_
$a Zeballos, Cecilia $u Cardiovascular Institute of Buenos Aires, Av. del Libertador 6302, 1428 Buenos Aires, Argentina.
700    1_
$a Pavy, Bruno $u Loire-Vendée-Océan hospital, Boulevard des Régents, 44270 Machecoul, France.
700    1_
$a Kiessling, Anna $u Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden.
700    1_
$a Sarrafzadegan, Nizal $u Cardiac Rehabilitation Research Centre, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Hezar-Jerib Ave., Isfahan, IR 81746 73461, Iran. University of British Columbia,2206 East Mall, Vancouver, BC V6T 1Z3, Canada.
700    1_
$a Baer, Carolyn $u Moncton Hospital, 135 Macbeath Ave, Moncton, NB E1C 6Z8, Canada.
700    1_
$a Thomas, Randal $u Mayo Clinic, Rochester, 200 First St. SW, Rochester, MN 55905, USA.
700    1_
$a Hu, Dayi $u Beijing United Family Hospital, 2 Jiangtai Rd, Chaoyang Qu, Beijing Shi, China, 100096.
700    1_
$a Grace, Sherry L $u York University, 4700 Keele Street, Toronto, Ontario M3J1P3, Canada. KITE-University Health Network, 399 Bathurst St, Toronto, ON M5T 2S8, Canada.
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