Cardiac rehabilitation availability and density around the globe
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2022-07-12T13:41:18Z2022-07-12T13:41:18Z2019-07133145https://doi.org/10.1016/j.eclinm.2019.06.0072589-5370http://hdl.handle.net/1843/43185https://orcid.org/ 0000-0002-4162-7761https://orcid.org/ 0000-0002-5178-8315https://orcid.org/ 0000-0001-5788-9734https://orcid.org/0000-0002-9533-3654https://orcid.org/ 0000-0002-8879-177Xhttps://orcid.org/ 0000-0003-0786-7830https://orcid.org/ 0000-0003-1084-0137https://orcid.org/ 0000-0002-3554-5583https://orcid.org/ 0000-0002-2462-6257https://orcid.org/ 0000-0002-1091-4549https://orcid.org/ 0000-0002-5023-2542https://orcid.org/ 0000-0001-8223-2945https://orcid.org/ 0000-0002-5484-6111https://orcid.org/ 0000-0003-0320-6779https://orcid.org/ 0000-0002-8025-6211https://orcid.org/0000-0002-7178-3239https://orcid.org/ 0000-0002-1942-4685https://orcid.org/ 0000-0002-7648-0130https://orcid.org/ 0000-0002-9878-4565https://orcid.org/0000-0003-0272-4355https://orcid.org/ 0000-0001-8645-6073https://orcid.org/ 0000-0002-4134-0349https://orcid.org/ 0000-0001-6987-3422https://orcid.org/ 0000-0001-7057-7604https://orcid.org/ 0000-0002-8352-0540https://orcid.org/ 0000-0003-1448-7182https://orcid.org/ 0000-0001-7063-3610Outra AgênciaBackground: 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.engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIAeClinicalMedicineReabilitação cardíacaDensidade demográficaCardiologiaMedicina preventivaSaúde mundialServiços de saúdeCardiac rehabilitationCapacityDensityPreventive cardiologyGlobal healthHealth servicesCardiac rehabilitation availability and density around the globeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.sciencedirect.com/science/article/pii/S2589537019301002?via%3Dihub#!Karam Turk-AdawiMarta SuperviaFrancisco López JiménezElla PesahRongjing DingRaquel Rodrigues BrittoBirna Bjarnason-WehrensWayne DermanAna AbreuAbraham Samuel BabuClaudia Victoria Anchique SantosSeng Khiong JongLucky CuenzaTee Joo YeoDawn ScantleburyGraciela GonzalezVojislav GigaDusko VulicEleonora VatamanEvangelia KouidiIlker YagciChul KimBriseida BenaimEduardo Rivas EstanyRosalia FernandezBasuni RadiDan GaitaAttila SimonSsu-Yuan ChenBrendon RoxburghJuan Castillo MartinLela MaskhuliaGerard BurdiatRichard SalmonHermes Ilarraza LomelíMasoumeh SadeghiEliska SovovaArto HautalaEgle Tamuleviciute-PrascieneMarco AmbrosettiLis NeubeckElad AsherHareld KempsZbigniew EysymonttStefan FarskyJo HaywardEva PrescottSusan DawkesClaudio SantibanezCecilia ZeballosBruno PavyAnna KiesslingNizal SarrafzadeganCarolyn BaerRandal ThomasDayi HuSherry Graceapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/43185/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALCardiac rehabilitation availability and density around the globe.pdfCardiac rehabilitation availability and density around the globe.pdfapplication/pdf1579973https://repositorio.ufmg.br/bitstream/1843/43185/2/Cardiac%20rehabilitation%20availability%20and%20density%20around%20the%20globe.pdfb06742f6a33ff65b1b5a9b9e0c179e0eMD521843/431852022-07-12 10:41:18.934oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-07-12T13:41:18Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
| dc.title.pt_BR.fl_str_mv |
Cardiac rehabilitation availability and density around the globe |
| title |
Cardiac rehabilitation availability and density around the globe |
| spellingShingle |
Cardiac rehabilitation availability and density around the globe Karam Turk-Adawi Cardiac rehabilitation Capacity Density Preventive cardiology Global health Health services Reabilitação cardíaca Densidade demográfica Cardiologia Medicina preventiva Saúde mundial Serviços de saúde |
| title_short |
Cardiac rehabilitation availability and density around the globe |
| title_full |
Cardiac rehabilitation availability and density around the globe |
| title_fullStr |
Cardiac rehabilitation availability and density around the globe |
| title_full_unstemmed |
Cardiac rehabilitation availability and density around the globe |
| title_sort |
Cardiac rehabilitation availability and density around the globe |
| author |
Karam Turk-Adawi |
| author_facet |
Karam Turk-Adawi Marta Supervia Francisco López Jiménez Ella Pesah Rongjing Ding Raquel Rodrigues Britto Birna Bjarnason-Wehrens Wayne Derman Ana Abreu Abraham Samuel Babu Claudia Victoria Anchique Santos Seng Khiong Jong Lucky Cuenza Tee Joo Yeo Dawn Scantlebury Graciela Gonzalez Vojislav Giga Dusko Vulic Eleonora Vataman Evangelia Kouidi Ilker Yagci Chul Kim Briseida Benaim Eduardo Rivas Estany Rosalia Fernandez Basuni Radi Dan Gaita Attila Simon Ssu-Yuan Chen Brendon Roxburgh Juan Castillo Martin Lela Maskhulia Gerard Burdiat Richard Salmon Hermes Ilarraza Lomelí Masoumeh Sadeghi Eliska Sovova Arto Hautala Egle Tamuleviciute-Prasciene Marco Ambrosetti Lis Neubeck Elad Asher Hareld Kemps Zbigniew Eysymontt Stefan Farsky Jo Hayward Eva Prescott Susan Dawkes Claudio Santibanez Cecilia Zeballos Bruno Pavy Anna Kiessling Nizal Sarrafzadegan Carolyn Baer Randal Thomas Dayi Hu Sherry Grace |
| author_role |
author |
| author2 |
Marta Supervia Francisco López Jiménez Ella Pesah Rongjing Ding Raquel Rodrigues Britto Birna Bjarnason-Wehrens Wayne Derman Ana Abreu Abraham Samuel Babu Claudia Victoria Anchique Santos Seng Khiong Jong Lucky Cuenza Tee Joo Yeo Dawn Scantlebury Graciela Gonzalez Vojislav Giga Dusko Vulic Eleonora Vataman Evangelia Kouidi Ilker Yagci Chul Kim Briseida Benaim Eduardo Rivas Estany Rosalia Fernandez Basuni Radi Dan Gaita Attila Simon Ssu-Yuan Chen Brendon Roxburgh Juan Castillo Martin Lela Maskhulia Gerard Burdiat Richard Salmon Hermes Ilarraza Lomelí Masoumeh Sadeghi Eliska Sovova Arto Hautala Egle Tamuleviciute-Prasciene Marco Ambrosetti Lis Neubeck Elad Asher Hareld Kemps Zbigniew Eysymontt Stefan Farsky Jo Hayward Eva Prescott Susan Dawkes Claudio Santibanez Cecilia Zeballos Bruno Pavy Anna Kiessling Nizal Sarrafzadegan Carolyn Baer Randal Thomas Dayi Hu Sherry Grace |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Karam Turk-Adawi Marta Supervia Francisco López Jiménez Ella Pesah Rongjing Ding Raquel Rodrigues Britto Birna Bjarnason-Wehrens Wayne Derman Ana Abreu Abraham Samuel Babu Claudia Victoria Anchique Santos Seng Khiong Jong Lucky Cuenza Tee Joo Yeo Dawn Scantlebury Graciela Gonzalez Vojislav Giga Dusko Vulic Eleonora Vataman Evangelia Kouidi Ilker Yagci Chul Kim Briseida Benaim Eduardo Rivas Estany Rosalia Fernandez Basuni Radi Dan Gaita Attila Simon Ssu-Yuan Chen Brendon Roxburgh Juan Castillo Martin Lela Maskhulia Gerard Burdiat Richard Salmon Hermes Ilarraza Lomelí Masoumeh Sadeghi Eliska Sovova Arto Hautala Egle Tamuleviciute-Prasciene Marco Ambrosetti Lis Neubeck Elad Asher Hareld Kemps Zbigniew Eysymontt Stefan Farsky Jo Hayward Eva Prescott Susan Dawkes Claudio Santibanez Cecilia Zeballos Bruno Pavy Anna Kiessling Nizal Sarrafzadegan Carolyn Baer Randal Thomas Dayi Hu Sherry Grace |
| dc.subject.por.fl_str_mv |
Cardiac rehabilitation Capacity Density Preventive cardiology Global health Health services |
| topic |
Cardiac rehabilitation Capacity Density Preventive cardiology Global health Health services Reabilitação cardíaca Densidade demográfica Cardiologia Medicina preventiva Saúde mundial Serviços de saúde |
| dc.subject.other.pt_BR.fl_str_mv |
Reabilitação cardíaca Densidade demográfica Cardiologia Medicina preventiva Saúde mundial Serviços de saúde |
| description |
Outra Agência |
| publishDate |
2019 |
| dc.date.issued.fl_str_mv |
2019-07 |
| dc.date.accessioned.fl_str_mv |
2022-07-12T13:41:18Z |
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2022-07-12T13:41:18Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/1843/43185 |
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https://doi.org/10.1016/j.eclinm.2019.06.007 |
| dc.identifier.issn.pt_BR.fl_str_mv |
2589-5370 |
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https://orcid.org/ 0000-0002-4162-7761 https://orcid.org/ 0000-0002-5178-8315 https://orcid.org/ 0000-0001-5788-9734 https://orcid.org/0000-0002-9533-3654 https://orcid.org/ 0000-0002-8879-177X https://orcid.org/ 0000-0003-0786-7830 https://orcid.org/ 0000-0003-1084-0137 https://orcid.org/ 0000-0002-3554-5583 https://orcid.org/ 0000-0002-2462-6257 https://orcid.org/ 0000-0002-1091-4549 https://orcid.org/ 0000-0002-5023-2542 https://orcid.org/ 0000-0001-8223-2945 https://orcid.org/ 0000-0002-5484-6111 https://orcid.org/ 0000-0003-0320-6779 https://orcid.org/ 0000-0002-8025-6211 https://orcid.org/0000-0002-7178-3239 https://orcid.org/ 0000-0002-1942-4685 https://orcid.org/ 0000-0002-7648-0130 https://orcid.org/ 0000-0002-9878-4565 https://orcid.org/0000-0003-0272-4355 https://orcid.org/ 0000-0001-8645-6073 https://orcid.org/ 0000-0002-4134-0349 https://orcid.org/ 0000-0001-6987-3422 https://orcid.org/ 0000-0001-7057-7604 https://orcid.org/ 0000-0002-8352-0540 https://orcid.org/ 0000-0003-1448-7182 https://orcid.org/ 0000-0001-7063-3610 |
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https://doi.org/10.1016/j.eclinm.2019.06.007 http://hdl.handle.net/1843/43185 https://orcid.org/ 0000-0002-4162-7761 https://orcid.org/ 0000-0002-5178-8315 https://orcid.org/ 0000-0001-5788-9734 https://orcid.org/0000-0002-9533-3654 https://orcid.org/ 0000-0002-8879-177X https://orcid.org/ 0000-0003-0786-7830 https://orcid.org/ 0000-0003-1084-0137 https://orcid.org/ 0000-0002-3554-5583 https://orcid.org/ 0000-0002-2462-6257 https://orcid.org/ 0000-0002-1091-4549 https://orcid.org/ 0000-0002-5023-2542 https://orcid.org/ 0000-0001-8223-2945 https://orcid.org/ 0000-0002-5484-6111 https://orcid.org/ 0000-0003-0320-6779 https://orcid.org/ 0000-0002-8025-6211 https://orcid.org/0000-0002-7178-3239 https://orcid.org/ 0000-0002-1942-4685 https://orcid.org/ 0000-0002-7648-0130 https://orcid.org/ 0000-0002-9878-4565 https://orcid.org/0000-0003-0272-4355 https://orcid.org/ 0000-0001-8645-6073 https://orcid.org/ 0000-0002-4134-0349 https://orcid.org/ 0000-0001-6987-3422 https://orcid.org/ 0000-0001-7057-7604 https://orcid.org/ 0000-0002-8352-0540 https://orcid.org/ 0000-0003-1448-7182 https://orcid.org/ 0000-0001-7063-3610 |
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eng |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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EEF - DEPARTAMENTO DE FISIOTERAPIA |
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Universidade Federal de Minas Gerais |
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