Cardiac rehabilitation availability and delivery in Europe: How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology

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Cardiac rehabilitation availability and delivery in Europe : How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology. / Abreu, Ana; Pesah, Ella; Supervia, Marta; Turk-Adawi, Karam; Bjarnason-Wehrens, Birna; Lopez-Jimenez, Francisco; Ambrosetti, Marco; Andersen, Karl; Giga, Vojislav; Vulic, Dusko; Vataman, Eleonora; Gaita, Dan; Cliff, Jacqueline; Kouidi, Evangelia; Yagci, Ilker; Simon, Attila; Hautala, Arto; Tamuleviciute-Prasciene, Egle; Kemps, Hareld; Eysymontt, Zbigniew; Farsky, Stefan; Hayward, Jo; Prescott, Eva; Dawkes, Susan; Pavy, Bruno; Kiessling, Anna; Sovova, Eliska; Grace, Sherry L.

In: European journal of preventive cardiology, 20.02.2019.

Research output: Contribution to journalJournal articlesResearchpeer-review

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Abreu, A, Pesah, E, Supervia, M, Turk-Adawi, K, Bjarnason-Wehrens, B, Lopez-Jimenez, F, Ambrosetti, M, Andersen, K, Giga, V, Vulic, D, Vataman, E, Gaita, D, Cliff, J, Kouidi, E, Yagci, I, Simon, A, Hautala, A, Tamuleviciute-Prasciene, E, Kemps, H, Eysymontt, Z, Farsky, S, Hayward, J, Prescott, E, Dawkes, S, Pavy, B, Kiessling, A, Sovova, E & Grace, SL 2019, 'Cardiac rehabilitation availability and delivery in Europe: How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology', European journal of preventive cardiology. https://doi.org/10.1177/2047487319827453

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@article{70fb63721c8d4684a47c809cf2d1d9d8,
title = "Cardiac rehabilitation availability and delivery in Europe: How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology",
abstract = "AIMS: The aims of this study were to establish cardiac rehabilitation availability and density, as well as the nature of programmes, and to compare these by European region (geoscheme) and with other high-income countries.METHODS: A survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using global burden of disease study ischaemic heart disease incidence estimates. Four high-income countries were selected for comparison ( N = 790 programmes) to European data, and multilevel analyses were performed.RESULTS: Cardiac rehabilitation was available in 40/44 (90.9{\%}) European countries. Data were collected in 37 (94.8{\%} country response rate). A total of 455/1538 (29.6{\%} response rate) programme respondents initiated the survey. Programme volumes (median 300) were greatest in western European countries, but overall were higher than in other high-income countries ( P < 0.001). Across all Europe, there was on average only 1 CR spot per 7 IHD patients, with an unmet regional need of 3,449,460 spots annually. Most programmes were funded by social security ( n = 25, 59.5{\%}; with significant regional variation, P < 0.001), but in 72 (16.0{\%}) patients paid some or all of the programme costs (or ∼18.5{\%} of the ∼€150.0/programme) out of pocket. Guideline-indicated conditions were accepted in 70{\%} or more of programmes (lower for stable coronary disease), with no regional variation. Programmes had a multidisciplinary team of 6.5 ± 3.0 staff (number and type varied regionally; and European programmes had more staff than other high-income countries), offering 8.5 ± 1.5/10 core components (consistent with other high-income countries) over 24.8 ± 26.0 hours (regional differences, P < 0.05).CONCLUSION: European cardiac rehabilitation capacity must be augmented. Where available, services were consistent with guidelines, but varied regionally.",
keywords = "Journal Article",
author = "Ana Abreu and Ella Pesah and Marta Supervia and Karam Turk-Adawi and Birna Bjarnason-Wehrens and Francisco Lopez-Jimenez and Marco Ambrosetti and Karl Andersen and Vojislav Giga and Dusko Vulic and Eleonora Vataman and Dan Gaita and Jacqueline Cliff and Evangelia Kouidi and Ilker Yagci and Attila Simon and Arto Hautala and Egle Tamuleviciute-Prasciene and Hareld Kemps and Zbigniew Eysymontt and Stefan Farsky and Jo Hayward and Eva Prescott and Susan Dawkes and Bruno Pavy and Anna Kiessling and Eliska Sovova and Grace, {Sherry L}",
note = "Online: 20.02.2019",
year = "2019",
month = "2",
day = "20",
doi = "10.1177/2047487319827453",
language = "English",
journal = "European journal of preventive cardiology",
issn = "2047-4881",
publisher = "SAGE Publications Ltd",

}

RIS

TY - JOUR

T1 - Cardiac rehabilitation availability and delivery in Europe

T2 - How does it differ by region and compare with other high-income countries?: Endorsed by the European Association of Preventive Cardiology

AU - Abreu, Ana

AU - Pesah, Ella

AU - Supervia, Marta

AU - Turk-Adawi, Karam

AU - Bjarnason-Wehrens, Birna

AU - Lopez-Jimenez, Francisco

AU - Ambrosetti, Marco

AU - Andersen, Karl

AU - Giga, Vojislav

AU - Vulic, Dusko

AU - Vataman, Eleonora

AU - Gaita, Dan

AU - Cliff, Jacqueline

AU - Kouidi, Evangelia

AU - Yagci, Ilker

AU - Simon, Attila

AU - Hautala, Arto

AU - Tamuleviciute-Prasciene, Egle

AU - Kemps, Hareld

AU - Eysymontt, Zbigniew

AU - Farsky, Stefan

AU - Hayward, Jo

AU - Prescott, Eva

AU - Dawkes, Susan

AU - Pavy, Bruno

AU - Kiessling, Anna

AU - Sovova, Eliska

AU - Grace, Sherry L

N1 - Online: 20.02.2019

PY - 2019/2/20

Y1 - 2019/2/20

N2 - AIMS: The aims of this study were to establish cardiac rehabilitation availability and density, as well as the nature of programmes, and to compare these by European region (geoscheme) and with other high-income countries.METHODS: A survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using global burden of disease study ischaemic heart disease incidence estimates. Four high-income countries were selected for comparison ( N = 790 programmes) to European data, and multilevel analyses were performed.RESULTS: Cardiac rehabilitation was available in 40/44 (90.9%) European countries. Data were collected in 37 (94.8% country response rate). A total of 455/1538 (29.6% response rate) programme respondents initiated the survey. Programme volumes (median 300) were greatest in western European countries, but overall were higher than in other high-income countries ( P < 0.001). Across all Europe, there was on average only 1 CR spot per 7 IHD patients, with an unmet regional need of 3,449,460 spots annually. Most programmes were funded by social security ( n = 25, 59.5%; with significant regional variation, P < 0.001), but in 72 (16.0%) patients paid some or all of the programme costs (or ∼18.5% of the ∼€150.0/programme) out of pocket. Guideline-indicated conditions were accepted in 70% or more of programmes (lower for stable coronary disease), with no regional variation. Programmes had a multidisciplinary team of 6.5 ± 3.0 staff (number and type varied regionally; and European programmes had more staff than other high-income countries), offering 8.5 ± 1.5/10 core components (consistent with other high-income countries) over 24.8 ± 26.0 hours (regional differences, P < 0.05).CONCLUSION: European cardiac rehabilitation capacity must be augmented. Where available, services were consistent with guidelines, but varied regionally.

AB - AIMS: The aims of this study were to establish cardiac rehabilitation availability and density, as well as the nature of programmes, and to compare these by European region (geoscheme) and with other high-income countries.METHODS: A survey was administered to cardiac rehabilitation programmes globally. Cardiac associations were engaged to facilitate programme identification. Density was computed using global burden of disease study ischaemic heart disease incidence estimates. Four high-income countries were selected for comparison ( N = 790 programmes) to European data, and multilevel analyses were performed.RESULTS: Cardiac rehabilitation was available in 40/44 (90.9%) European countries. Data were collected in 37 (94.8% country response rate). A total of 455/1538 (29.6% response rate) programme respondents initiated the survey. Programme volumes (median 300) were greatest in western European countries, but overall were higher than in other high-income countries ( P < 0.001). Across all Europe, there was on average only 1 CR spot per 7 IHD patients, with an unmet regional need of 3,449,460 spots annually. Most programmes were funded by social security ( n = 25, 59.5%; with significant regional variation, P < 0.001), but in 72 (16.0%) patients paid some or all of the programme costs (or ∼18.5% of the ∼€150.0/programme) out of pocket. Guideline-indicated conditions were accepted in 70% or more of programmes (lower for stable coronary disease), with no regional variation. Programmes had a multidisciplinary team of 6.5 ± 3.0 staff (number and type varied regionally; and European programmes had more staff than other high-income countries), offering 8.5 ± 1.5/10 core components (consistent with other high-income countries) over 24.8 ± 26.0 hours (regional differences, P < 0.05).CONCLUSION: European cardiac rehabilitation capacity must be augmented. Where available, services were consistent with guidelines, but varied regionally.

KW - Journal Article

U2 - 10.1177/2047487319827453

DO - 10.1177/2047487319827453

M3 - Journal articles

C2 - 30782007

JO - European journal of preventive cardiology

JF - European journal of preventive cardiology

SN - 2047-4881

SN - 2047-4873

ER -

ID: 3632287