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Nature of cardiac rehabilitation around the globe.

Supervia, Marta; Turk-Adawi, Karam; Lopez-Jimenez, Francisco; Dawkes, Susan; Grace, Sherry L.


Marta Supervia

Karam Turk-Adawi

Francisco Lopez-Jimenez

Sherry L. Grace


Background: Cardiac rehabilitation (CR) is a clinically-effective but complex model of care. The purpose of this study was to characterize the nature of CR programs around the world, in relation to guideline recommendations, and compare this by World Health Organization (WHO) region. Methods: In this cross-sectional study, a piloted survey was administered online to CR programs globally. Cardiac associations and local champions facilitated program identification. Quality (benchmark of ≥ 75% of programs in a given country meeting each of 20 indicators) was ranked. Results were compared by WHO region using generalized linear mixed models. Findings: 111/203 (54.7%) countries in the world offer CR; data were collected in 93 (83.8%; N=1082 surveys, 32.1% program response rate). The most commonly-accepted indications were: myocardial infarction (n=832, 97.4%), percutaneous coronary intervention (n=820, 96.1%; 0.10), and coronary artery bypass surgery (n=817, 95.8%). Most programs were led by physicians (n=680; 69.1%). The most common CR providers (mean=5.9±2.8/program) were: nurses (n=816, 88.1%; low in Africa, p


SUPERVIA, M., TURK-ADAWI, K., LOPEZ-JIMENEZ, F., et al. 2019. Nature of cardiac rehabilitation around the globe. EClinialMedicine [online], 13, pages 46-56. Available from:

Journal Article Type Article
Acceptance Date Jun 12, 2019
Online Publication Date Jul 4, 2019
Publication Date Aug 31, 2019
Deposit Date Jun 8, 2021
Publicly Available Date Jun 8, 2021
Journal EClinicalMedicine
Electronic ISSN 2589-5370
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 13
Pages 46-56
Keywords Cardiac rehabilitation; Nature; Preventive cardiology; Global health; Health services; Survey
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