Evidence mapPaperPMID 34069561Full record

ReviewJournal of clinical medicine2021

Cardiac Rehabilitation in German Speaking Countries of Europe-Evidence-Based Guidelines from Germany, Austria and Switzerland LLKardReha-DACH-Part 1.

Bernhard Rauch, Annett Salzwedel, Birna Bjarnason-Wehrens, Christian Albus, Karin Meng, Jean-Paul Schmid, Werner Benzer, Matthes Hackbusch, Katrin Jensen, Bernhard Schwaab and 34 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Bernhard RauchInstitut für Herzinfarktforschung Ludwigshafen, D-67063 Ludwigshafen, Germany.ORCID 0000-0003-2391-8466
Annett SalzwedelDepartment of Rehabilitation Medicine, Faculty of Health Sciences Brandenburg, University of Potsdam, D-14469 Potsdam, Germany.ORCID 0000-0003-2530-2673
Birna Bjarnason-WehrensInstitut für Kreislaufforschung und Sportmedizin, Abt. Präventive und rehabilitative Sport- und Leistungsmedizin, Deutsche Sporthochschule Köln, D-50937 Köln, Germany.
Christian AlbusDepartment of Psychosomatics and Psychotherapy, Faculty of Medicine, University Hospital, D-50937 Köln, Germany.
Karin MengInstitut für Klinische Epidemiologie und Biometrie (IKE-B), Universität Würzburg, D-97078 Würzburg, Germany.
Jean-Paul SchmidKlinik Barmelweid AG, CH-5017 Barmelweid, Switzerland.ORCID 0000-0002-9008-8274
Werner BenzerReha-Klinik Montafon, A-6780 Schruns, Austria.
Matthes HackbuschInstitute of Medical Biometry and Informatics (IMBI), University of Heidelberg, D-69120 Heidelberg, Germany.
Katrin JensenInstitute of Medical Biometry and Informatics (IMBI), University of Heidelberg, D-69120 Heidelberg, Germany.
Bernhard SchwaabCurschmann Klinik Dr. Guth GmbH & Co KG, D-23669 Timmendorfer Strand, Germany.ORCID 0000-0003-4801-1107
Johann AltenbergerRehabilitationszentrum Großgmain, A-5084 Großgmain, Austria.
Nicola BenjaminZentrum für Pulmonale Hypertonie, Thorax-Klinik am Universitätsklinikum Heidelberg, D-69126 Heidelberg, Germany.
Kurt BestehornInstitut für Klinische Pharmakologie, Technische Universität Dresden, Fiedlerstraße 42, D-01307 Dresden, Germany.
Christa BongarthKlinik Höhenried gGmbH, Rehabilitationszentrum am Starnberger See, D-82347 Bernried, Germany.
Gesine DörrAlexianer St. Josefs-Krankenhaus Potsdam-Sanssouci, D-14471 Potsdam, Germany.
Sarah EichlerDepartment of Rehabilitation Medicine, Faculty of Health Sciences Brandenburg, University of Potsdam, D-14469 Potsdam, Germany.
Hans-Peter EinwangKlinik Höhenried gGmbH, Rehabilitationszentrum am Starnberger See, D-82347 Bernried, Germany.
Johannes FalkDeutsche Rentenversicherung Bund (DRV-Bund), D-10709 Berlin, Germany.
Johannes GlatzReha-Zentrum Seehof der Deutschen Rentenversicherung Bund, D-14513 Teltow, Germany.
Stephan GielenKlinikum Lippe, Standort Detmold, D-32756 Detmold, Germany.
Maurizio GrilliUniversitätsbibliothek, Universitätsmedizin Mannheim, D-68167 Mannheim, Germany.ORCID 0000-0001-7649-7242
Ekkehard GrünigZentrum für Pulmonale Hypertonie, Thorax-Klinik am Universitätsklinikum Heidelberg, D-69126 Heidelberg, Germany.
Manju GuhaReha-Zentrum am Sendesaal, D-28329 Bremen, Germany.
Matthias HermannKlinik für Kardiologie, Universitätsspital Zürich, Rämistrasse 100, CH-8091 Zürich, Switzerland.ORCID 0000-0002-0694-7719
Eike HobergWismarstraße 13, D-24226 Heikendorf, Germany.
Stefan HöferUniversitätsklinik für Medizinische Psychologie und Psychotherapie, Medizinische Universität Innsbruck, A-6020 Innsbruck, Austria.ORCID 0000-0002-6128-3687
Harald KaemmererKlinik für Angeborene Herzfehler und Kinderkardiologie, Deutsches Herzzentrum München, Klinik der Technischen Universität München, D-80636 München, Germany.
Karl-Heinz LadwigDepartment of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universität München (TUM) Langerstraße 3, D-81675 Munich, Germany.
Wolfgang Mayer-BergerKlinik Roderbirken der Deutschen Rentenversicherung Rheinland, D-42799 Leichlingen, Germany.
Maria-Inti MetzendorfCochrane Metabolic and Endocrine Disorders Group, Institute of General Practice (ifam), Medical Faculty of the Heinrich-Heine University, Werdener Straße. 4, D-40227 Düsseldorf, Germany.
Roland NebelHermann-Albrecht-Klinik METTNAU, Medizinische Reha-Einrichtungen der Stadt Radolfzell, D-73851 Radolfzell, Germany.
Rhoia Clara NeidenbachInstitut für Sportwissenschaft, Universität Wien, Auf der Schmelz 6 (USZ I), AU-1150 Wien, Austria.
Josef NiebauerUniversitätsinstitut für Präventive und Rehabilitative Sportmedizin, Uniklinikum Salzburg Paracelsus Medizinische Privatuniversität, A-5020 Salzburg, Austria.ORCID 0000-0002-2811-9041
Uwe NixdorffEPC GmbH, European Prevention Center, Medical Center Düsseldorf, D-40235 Düsseldorf, Germany.ORCID 0000-0001-6689-4922
Renate OberhofferLehrstuhl für Präventive Pädiatrie, Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, D-80992 München, Germany.
Rona ReibisKardiologische Gemeinschaftspraxis Am Park Sanssouci, D-14471 Potsdam, Germany.
Nils ReissSchüchtermann-Schiller'sche Kliniken, Ulmenallee 5-12, D-49214 Bad Rothenfelde, Germany.
Daniel SaureInstitute of Medical Biometry and Informatics (IMBI), University of Heidelberg, D-69120 Heidelberg, Germany.
Axel SchlittParacelsus Harz-Klinik Bad Suderode GmbH, D-06485 Quedlinburg, Germany.
Heinz VöllerDepartment of Rehabilitation Medicine, Faculty of Health Sciences Brandenburg, University of Potsdam, D-14469 Potsdam, Germany.
Roland von KänelKlinik für Konsiliarpsychiatrie und Psychosomatik, Universitätsspital Zürich, CH-8091 Zürich, Switzerland.ORCID 0000-0002-8929-5129
Susanne WeinbrennerDeutsche Rentenversicherung Bund (DRV-Bund), D-10709 Berlin, Germany.
Ronja WestphalHerzzentrum Segeberger Kliniken, D-23795 Bad Segeberg, Germany.
On Behalf Of The Cardiac Rehabilitation Guideline Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough cardiovascular rehabilitation (CR) is well accepted in general, CR-attendance and delivery still considerably vary between the European countries. Moreover, clinical and prognostic effects of CR are not well established for a variety of cardiovascular diseases.

methodsThe guidelines address all aspects of CR including indications, contents and delivery. By processing the guidelines, every step was externally supervised and moderated by independent members of the "

resultsMultidisciplinary CR is associated with a significant reduction in all-cause mortality in patients after ACS and after CABG, whereas HFrEF-patients (left ventricular ejection fraction <40%) especially benefit in terms of exercise capacity and health-related quality of life. Patients with other cardiovascular diseases also benefit from CR-participation, but the scientific evidence is less clear. There is increasing evidence that the beneficial effect of CR strongly depends on "treatment intensity" including medical supervision, treatment of cardiovascular risk factors, information and education, and a minimum of individually adapted exercise volume. Additional psychologic interventions should be performed on the basis of individual needs.

conclusionsThese guidelines reinforce the substantial benefit of CR in specific clinical indications, but also describe remaining deficits in CR-delivery in clinical practice as well as in CR-science with respect to methodology and presentation.

Indexed as

adults with congenital heart diseasecardiac rehabilitation standardschronic heart failurecoronary artery diseaseheart transplantationheart valve repairICD-CRTmyocarditisperipheral artery diseasepulmonary hypertensionscientific guidelinessecondary preventionventricular assist device

Identifiers

PMID34069561
PMCPMC8161282

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.