The Comparative Effectiveness of Heart Disease Prevention and Treatment Strategies

Kottke, Thomas E.; Faith, Dennis; Jordan, Courtney; Pronk, Nicolaas P.; Thomas, Randal J.; Capewell, Simon

doi:10.1016/j.amepre.2008.09.010

Cited by 55 publications

(35 citation statements)

References 59 publications

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“…Indeed, even short-term training, of less than 10 hours, is successful in improving HCP communication skills (Dwamena et al, 2012). While time is certainly limited in the current era of short hospital stays (Mitoff et al, 2005), given the substantive benefits of CR (Taylor et al, 2004), and that adoption of other secondary prevention measures post-hospitalization are much higher than they are for CR (Kottke et al, 2009), it is imperative that we develop some proven strategies to ensure CR referral and enrollmentenhancing patient communication before every indicated patient is discharged.…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

et al. 2014

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Cardiovascular rehabilitation (CR) has been designed to decrease the burden of cardiovascular disease. This study described (1) patient-healthcare provider (HCP) interactions regarding CR, and (2) which discussion elements were related to patient referral. This was a prospective study of cardiovascular patients and their HCPs. Discussion utterances were coded using the Roter Interaction Analysis System. Discussion between 26 HCPs and 50 patients were recorded. CR referral was related to greater HCP interactivity (Odds Ratio [OR]=2.82, 95% CI 1.01-7.86), and less patient concern and worry (OR=0.64, 95% CI 0.45-0.89). Taking time for reciprocal discussion and allaying patient anxiety may promote greater referral.

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Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

et al. 2014

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“…Physical fitness, as defined in this article, has strong relationships with positive health outcomes, including reduced risk for preventable deaths (59,70,72) and chronic conditions such as cardiovascular disease, type 2 diabetes, certain cancers, back pain, and high cholesterol (18,31,57,61,92,93,95,122,130), as well as reduced health care spending (3,4,43,45,91,97,127), productivity loss (15,18,29,45,96), absenteeism (2, 10), short-term disability, and workdays lost (15) and enhanced mood and work performance (30,93). Fitness is also associated with other non-health-related benefits, such as increased worker income and overall family earnings (27,58), lower debt (74), lower long-term unemployment (30), low turnover rates, job satisfaction, and recruitment and retention of workers (9,63,90).…”

Section: Why Does Fitness Matter?mentioning

confidence: 99%

Fitness of the US Workforce

Pronk

2015

Annu. Rev. Public Health

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Fitness matters for the prevention of premature death, chronic diseases, productivity loss, excess medical care costs, loss of income or family earnings, and other social and economic concerns. The workforce may be viewed as a corporate strategic asset, yet its fitness level appears to be relatively low and declining. Over the past half-century, obesity rates have doubled, physical activity levels are below par, and cardiorespiratory fitness often does not meet minimum acceptable job standards. During this time, daily occupational energy expenditure has decreased by more than 100 calories. Employers should consider best practices and design workplace wellness programs accordingly. Particular attention should be paid to human-centered cultures. Research should address ongoing surveillance needs regarding fitness of the US workforce and close gaps in the evidence base for fitness and business-relevant outcomes. Policy priorities should consider the impact of both state and federal regulations, adherence to current regulations that protect and promote worker health, and the introduction of incentives that allow employers to optimize the fitness of their workforce through supportive legislation and organizational policies.

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“…107 Moreover, a study from the United States showed that after revascularization, provision of CR would prevent or postpone the greatest number of deaths following myocardial infarction; while CR was the intervention which would prevent or postpone the greatest number of deaths in patients with unstable angina and heart failure. 108 Middle-income countries are now starting to provide these expensive cardiac procedures. While this is appropriate given the epidemic of CVD in these contexts, resources are highly limited.…”

Section: Cr Availability In Comparison To Other Evidence-based Intervmentioning

confidence: 99%

Global availability of cardiac rehabilitation

2014

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The most prevalent non-communicable disease globally, namely cardiovascular disease (CVD), is also the leading cause of mortality, with over 80% of the deaths occurring in low-and middleincome countries. To lessen the impact of CVDs on individuals and societies, a comprehensive approach is needed. Cardiac rehabilitation (CR) involves delivery of structured exercise, education and risk reduction, in a cost-effective manner. Robust evidence demonstrates it reduces mortality up to 25%, improves functional capacity, as well as decreases re-hospitalization. Despite its benefits, and clinical practice guideline recommendations to refer cardiac patients, CR programs are grossly under-used. Worldwide, there is low availability of CR; only 38.8% of countries globally have CR programs. Specifically, 68.0% of high-income and 23% of LMICs (28.2% for middle-and 8.3% for low-income countries) have CR. CR density estimates ranged from 1 program per 0.1-6.4 million inhabitants. CR availability is much lower than that of other evidencebased secondary prevention therapies, such as revascularization and pharmacological therapies. Multi-level strategies to augment CR capacity and availability at national and international levels such as supportive public health policies, systematic referral strategies, and alternative models of delivery are needed.

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The Comparative Effectiveness of Heart Disease Prevention and Treatment Strategies

Cited by 55 publications

References 59 publications

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

Elements of patient–health-care provider communication related to cardiovascular rehabilitation referral

Fitness of the US Workforce

Global availability of cardiac rehabilitation

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