Estimating the health loss due to poor engagement with cardiac rehabilitation in Australia

Driscoll, Andrea; Hinde, Sebastian; Harrison, Alex; Bojke, Laura; Doherty, Patrick

doi:10.1016/j.ijcard.2020.04.088

Cited by 11 publications

(6 citation statements)

References 22 publications

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“…These programs ensure people living with cardiovascular disease are educated and empowered to self-manage their condition long term with the aim of preventing recurrent events. There is Level IA evidence to demonstrate participation in these outpatient programs decreases mortality and morbidity, increases quality of life, and results in broader social and economic benefits [ [2] , [3] , [4] ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Early COVID-19 Waves on Cardiac Rehabilitation Delivery in Australia: A National Survey

Cartledge

Thomas

Murphy

et al. 2023

Heart, Lung and Circulation

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Section: Introductionmentioning

confidence: 99%

Impact of Early COVID-19 Waves on Cardiac Rehabilitation Delivery in Australia: A National Survey

Cartledge

Thomas

Murphy

et al. 2023

Heart, Lung and Circulation

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“…Shierlds et al [31] conducted a systematic review including 19 works, in which most of them showed that CR programs were more cost‐effective when compared with intervention strategies without CR, presenting ICERs ranging from US$ 1065 to US$ 71755 per quality‐adjusted life year (QALY). In another study, Driscoll [32] made a cost‐effectiveness evaluation of CR programs in Australia, using their national database of health system information. The study observed an excellent cost‐effectiveness ratio for CR programs (ICER US$ 6096 by QALY), reinforcing the need for more investments in the implementation of new CR centres with the goal of increasing participation rates, which are usually low.…”

Section: Discussionmentioning

confidence: 99%

Cost‐effectiveness of an exercise‐based cardiovascular rehabilitation program in patients with chronic Chagas cardiomyopathy in Brazil: An analysis from the PEACH study

Simões

Mendes

Avellar

et al. 2022

Tropical Med Int Health

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Objectives: The present study aimed to perform a cost-effectiveness analysis of an exercise-based cardiovascular rehabilitation (CR) program in patients with chronic Chagas cardiomyopathy (CCC). Methods: Cost-effectiveness analysis alongside a randomised clinical trial evaluating the effects of a 6-month exercise-based CR program. The intervention group underwent 3 weekly exercise sessions. The variation of peak oxygen consumption (VO 2peak ) was used as a measurement of clinical outcome. Cost information from all healthcare expenses (examinations, healthcare visits, medication and hospitalisation) were obtained from the medical records in Brazilian reais (R$) and transformed into dollars using the purchasing power parity ($PPP). The longitudinal costs variation was evaluated through linear mixed models, represented by β coefficient, adjusted for the baseline values of the dependent variable. The cost-effectiveness evaluation was determined through an incremental cost-effectiveness ratio using the HEABS package (Stata 15.0). Results: The intervention group presented higher costs with healthcare visits (β = +3317.3; p < 0.001), hospitalisation (β = +2810.4; p = 0.02) and total cost (β = +6407.9; p < 0.001) after 3 months of follow-up. Costs related to healthcare visits (β = +2455.8; p < 0.001) and total cost (β = +4711.4; p < 0.001) remained higher in the intervention group after 6 months. The CR program showed an incremental cost-effectiveness ratio (ICER) of $PPP 1874.3 for each increase of 1.0 ml kg À1 min À1 of VO 2peak . Conclusions: The CR program can be considered a cost-effective alternative and should be included as an intervention strategy in the care of patients with CCC.

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“…Furthermore, it might also be connected with a reduction in the number of uncontrolled risk factors [ 20 ]. Different studies have confirmed the importance of cardiac rehabilitation as a part of secondary prevention strategies and demonstrated a reduction in CVD mortality and better quality of life [ 7 , 21 , 22 ]. The general uptake of cardiac rehabilitation in our study was 56% and it was similar to that reported in other studies [ 7 , 9 , 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Prevalence of Risk Factors for Coronary Artery Disease in Patients after Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting

Matysek

Wójcicki

Tokarek³

et al. 2022

Healthcare

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Background: Percutaneous coronary intervention (PCI) is associated with a short hospital stay and fast recovery. However, it might be related to insufficient implementation of lifestyle changes after the procedure. Conversely, coronary artery bypass grafting (CABG) is a highly invasive technique that requires a prolonged hospital stay and long rehabilitation with more opportunities for education. This study aimed to evaluate the impact of CABG on adherence to lifestyle modifications and knowledge about coronary artery disease (CAD) in comparison with PCI. We also evaluated the level of education and tried to define groups of patients that might require targeted education. Methods: Data was collected using a self-designed 56-item questionnaire. Questions assessed the knowledge of CAD risk factors and the level of their control. Results: The study group consisted of 155 consecutive patients admitted to the Cardiology Department. Patients with a history of PCI (68%) (at least 8 weeks before) were included in the prior-PCI group, and patients with previous surgical revascularization (also at least 8 weeks before) were assigned to the prior-CABG group (32%). The knowledge score was higher in the prior-CABG group. The median (IQR) results in the prior-PCI vs. prior-CABG group were, respectively: 20 (12–24) vs. 22 (19–25) [points, per 31 max.]; p = 0.01. Similar results were obtained in the level of risk control (prior-PCI vs. prior-CABG, respectively: 6 (4–7) vs. 7 (6–8) [points, per 15 max.]; p = 0.002). Conclusions: The method of treatment of CAD might impact the implementation of lifestyle modifications after the procedure. More effort is required to improve secondary prevention, especially in PCI patients.

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Estimating the health loss due to poor engagement with cardiac rehabilitation in Australia

Cited by 11 publications

References 22 publications

Impact of Early COVID-19 Waves on Cardiac Rehabilitation Delivery in Australia: A National Survey

Impact of Early COVID-19 Waves on Cardiac Rehabilitation Delivery in Australia: A National Survey

Cost‐effectiveness of an exercise‐based cardiovascular rehabilitation program in patients with chronic Chagas cardiomyopathy in Brazil: An analysis from the PEACH study

Knowledge and Prevalence of Risk Factors for Coronary Artery Disease in Patients after Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting

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