Research Output
Cardiac Rehabilitation Availability and Density around the Globe
  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

  • Type:

    Article

  • Date:

    03 July 2019

  • Publication Status:

    Published

  • Publisher

    Elsevier BV

  • DOI:

    10.1016/j.eclinm.2019.06.007

  • Cross Ref:

    10.1016/j.eclinm.2019.06.007

  • Funders:

    York University

Citation

Turk-Adawi, K., Supervia, M., Lopez-Jimenez, F., Pesah, E., Ding, R., Britto, R. R., …Grace, S. L. (2019). Cardiac Rehabilitation Availability and Density around the Globe. EClinicalMedicine, 13, 31-45. https://doi.org/10.1016/j.eclinm.2019.06.007

Authors

Keywords

Cardiac rehabilitation, Capacity, Density, Preventive cardiology, Global health, Health services

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