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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/43185
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dc.creatorKaram Turk-Adawipt_BR
dc.creatorMarta Superviapt_BR
dc.creatorFrancisco López Jiménezpt_BR
dc.creatorElla Pesahpt_BR
dc.creatorRongjing Dingpt_BR
dc.creatorRaquel Rodrigues Brittopt_BR
dc.creatorBirna Bjarnason-Wehrenspt_BR
dc.creatorWayne Dermanpt_BR
dc.creatorAna Abreupt_BR
dc.creatorAbraham Samuel Babupt_BR
dc.creatorClaudia Victoria Anchique Santospt_BR
dc.creatorSeng Khiong Jongpt_BR
dc.creatorLucky Cuenzapt_BR
dc.creatorTee Joo Yeopt_BR
dc.creatorDawn Scantleburypt_BR
dc.creatorGraciela Gonzalezpt_BR
dc.creatorVojislav Gigapt_BR
dc.creatorDusko Vulicpt_BR
dc.creatorEleonora Vatamanpt_BR
dc.creatorEvangelia Kouidipt_BR
dc.creatorIlker Yagcipt_BR
dc.creatorChul Kimpt_BR
dc.creatorBriseida Benaimpt_BR
dc.creatorEduardo Rivas Estanypt_BR
dc.creatorRosalia Fernandezpt_BR
dc.creatorBasuni Radipt_BR
dc.creatorDan Gaitapt_BR
dc.creatorAttila Simonpt_BR
dc.creatorSsu-Yuan Chenpt_BR
dc.creatorBrendon Roxburghpt_BR
dc.creatorJuan Castillo Martinpt_BR
dc.creatorLela Maskhuliapt_BR
dc.creatorGerard Burdiatpt_BR
dc.creatorRichard Salmonpt_BR
dc.creatorHermes Ilarraza Lomelípt_BR
dc.creatorMasoumeh Sadeghipt_BR
dc.creatorEliska Sovovapt_BR
dc.creatorArto Hautalapt_BR
dc.creatorEgle Tamuleviciute-Prascienept_BR
dc.creatorMarco Ambrosettipt_BR
dc.creatorLis Neubeckpt_BR
dc.creatorElad Asherpt_BR
dc.creatorHareld Kempspt_BR
dc.creatorZbigniew Eysymonttpt_BR
dc.creatorStefan Farskypt_BR
dc.creatorJo Haywardpt_BR
dc.creatorEva Prescottpt_BR
dc.creatorSusan Dawkespt_BR
dc.creatorClaudio Santibanezpt_BR
dc.creatorCecilia Zeballospt_BR
dc.creatorBruno Pavypt_BR
dc.creatorAnna Kiesslingpt_BR
dc.creatorNizal Sarrafzadeganpt_BR
dc.creatorCarolyn Baerpt_BR
dc.creatorRandal Thomaspt_BR
dc.creatorDayi Hupt_BR
dc.creatorSherry Gracept_BR
dc.date.accessioned2022-07-12T13:41:18Z-
dc.date.available2022-07-12T13:41:18Z-
dc.date.issued2019-07-
dc.citation.volume13pt_BR
dc.citation.spage31pt_BR
dc.citation.epage45pt_BR
dc.identifier.doihttps://doi.org/10.1016/j.eclinm.2019.06.007pt_BR
dc.identifier.issn2589-5370pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/43185-
dc.description.resumoBackground: 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.pt_BR
dc.description.sponsorshipOutra Agênciapt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofeClinicalMedicinept_BR
dc.rightsAcesso Abertopt_BR
dc.subjectCardiac rehabilitationpt_BR
dc.subjectCapacitypt_BR
dc.subjectDensitypt_BR
dc.subjectPreventive cardiologypt_BR
dc.subjectGlobal healthpt_BR
dc.subjectHealth servicespt_BR
dc.subject.otherReabilitação cardíacapt_BR
dc.subject.otherDensidade demográficapt_BR
dc.subject.otherCardiologiapt_BR
dc.subject.otherMedicina preventivapt_BR
dc.subject.otherSaúde mundialpt_BR
dc.subject.otherServiços de saúdept_BR
dc.titleCardiac rehabilitation availability and density around the globept_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S2589537019301002?via%3Dihub#!pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-4162-7761pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-5178-8315pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-5788-9734pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-9533-3654pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8879-177Xpt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-0786-7830pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-1084-0137pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-3554-5583pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-2462-6257pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-1091-4549pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-5023-2542pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-8223-2945pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-5484-6111pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-0320-6779pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8025-6211pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-7178-3239pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-1942-4685pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-7648-0130pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-9878-4565pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0003-0272-4355pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-8645-6073pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-4134-0349pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-6987-3422pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7057-7604pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8352-0540pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0003-1448-7182pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610pt_BR
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