Cardiac rehabilitation availability and density around the globe

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dc.creatorKaram Turk-Adawi
dc.creatorMarta Supervia
dc.creatorFrancisco López Jiménez
dc.creatorElla Pesah
dc.creatorRongjing Ding
dc.creatorRaquel Rodrigues Britto
dc.creatorBirna Bjarnason-Wehrens
dc.creatorWayne Derman
dc.creatorAna Abreu
dc.creatorAbraham Samuel Babu
dc.creatorClaudia Victoria Anchique Santos
dc.creatorSeng Khiong Jong
dc.creatorLucky Cuenza
dc.creatorTee Joo Yeo
dc.creatorDawn Scantlebury
dc.creatorGraciela Gonzalez
dc.creatorVojislav Giga
dc.creatorDusko Vulic
dc.creatorEleonora Vataman
dc.creatorEvangelia Kouidi
dc.creatorIlker Yagci
dc.creatorChul Kim
dc.creatorBriseida Benaim
dc.creatorEduardo Rivas Estany
dc.creatorRosalia Fernandez
dc.creatorBasuni Radi
dc.creatorDan Gaita
dc.creatorAttila Simon
dc.creatorSsu-Yuan Chen
dc.creatorBrendon Roxburgh
dc.creatorJuan Castillo Martin
dc.creatorLela Maskhulia
dc.creatorGerard Burdiat
dc.creatorRichard Salmon
dc.creatorHermes Ilarraza Lomelí
dc.creatorMasoumeh Sadeghi
dc.creatorEliska Sovova
dc.creatorArto Hautala
dc.creatorEgle Tamuleviciute-Prasciene
dc.creatorMarco Ambrosetti
dc.creatorLis Neubeck
dc.creatorElad Asher
dc.creatorHareld Kemps
dc.creatorZbigniew Eysymontt
dc.creatorStefan Farsky
dc.creatorJo Hayward
dc.creatorEva Prescott
dc.creatorSusan Dawkes
dc.creatorClaudio Santibanez
dc.creatorCecilia Zeballos
dc.creatorBruno Pavy
dc.creatorAnna Kiessling
dc.creatorNizal Sarrafzadegan
dc.creatorCarolyn Baer
dc.creatorRandal Thomas
dc.creatorDayi Hu
dc.creatorSherry Grace
dc.date.accessioned2022-07-12T13:41:18Z
dc.date.accessioned2025-09-08T23:54:16Z
dc.date.available2022-07-12T13:41:18Z
dc.date.issued2019-07
dc.description.sponsorshipOutra Agência
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/j.eclinm.2019.06.007
dc.identifier.issn2589-5370
dc.identifier.urihttps://hdl.handle.net/1843/43185
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofeClinicalMedicine
dc.rightsAcesso Aberto
dc.subjectReabilitação cardíaca
dc.subjectDensidade demográfica
dc.subjectCardiologia
dc.subjectMedicina preventiva
dc.subjectSaúde mundial
dc.subjectServiços de saúde
dc.subject.otherCardiac rehabilitation
dc.subject.otherCapacity
dc.subject.otherDensity
dc.subject.otherPreventive cardiology
dc.subject.otherGlobal health
dc.subject.otherHealth services
dc.titleCardiac rehabilitation availability and density around the globe
dc.typeArtigo de periódico
local.citation.epage45
local.citation.spage31
local.citation.volume13
local.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.
local.identifier.orcidhttps://orcid.org/ 0000-0002-4162-7761
local.identifier.orcidhttps://orcid.org/ 0000-0002-5178-8315
local.identifier.orcidhttps://orcid.org/ 0000-0001-5788-9734
local.identifier.orcidhttps://orcid.org/0000-0002-9533-3654
local.identifier.orcidhttps://orcid.org/ 0000-0002-8879-177X
local.identifier.orcidhttps://orcid.org/ 0000-0003-0786-7830
local.identifier.orcidhttps://orcid.org/ 0000-0003-1084-0137
local.identifier.orcidhttps://orcid.org/ 0000-0002-3554-5583
local.identifier.orcidhttps://orcid.org/ 0000-0002-2462-6257
local.identifier.orcidhttps://orcid.org/ 0000-0002-1091-4549
local.identifier.orcidhttps://orcid.org/ 0000-0002-5023-2542
local.identifier.orcidhttps://orcid.org/ 0000-0001-8223-2945
local.identifier.orcidhttps://orcid.org/ 0000-0002-5484-6111
local.identifier.orcidhttps://orcid.org/ 0000-0003-0320-6779
local.identifier.orcidhttps://orcid.org/ 0000-0002-8025-6211
local.identifier.orcidhttps://orcid.org/0000-0002-7178-3239
local.identifier.orcidhttps://orcid.org/ 0000-0002-1942-4685
local.identifier.orcidhttps://orcid.org/ 0000-0002-7648-0130
local.identifier.orcidhttps://orcid.org/ 0000-0002-9878-4565
local.identifier.orcidhttps://orcid.org/0000-0003-0272-4355
local.identifier.orcidhttps://orcid.org/ 0000-0001-8645-6073
local.identifier.orcidhttps://orcid.org/ 0000-0002-4134-0349
local.identifier.orcidhttps://orcid.org/ 0000-0001-6987-3422
local.identifier.orcidhttps://orcid.org/ 0000-0001-7057-7604
local.identifier.orcidhttps://orcid.org/ 0000-0002-8352-0540
local.identifier.orcidhttps://orcid.org/ 0000-0003-1448-7182
local.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S2589537019301002?via%3Dihub#!

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