Cardiac rehabilitation
Authors: Van Vlaenderen Ilse , Worrall Jodie , Raza Syed , Colle An , De Vos Cedric , Strens Danielle , Saka Ömer R. , Moore Brigitte , Eyssen Marijke , Paulus Dominique 
Published: January 2025

GLOSSARY 3 -- 1 BACKGROUND AND RESEARCH QUESTIONS 4 -- 1.1 BACKGROUND 4 -- 1.1.1 Cardiac rehabilitation 4 -- 1.1.2 Different approaches to cardiac rehabilitation 4 -- 1.1.3 Heart disease and treatment goals 4 -- 1.1.4 Organisation of multidisciplinary cardiac rehabilitation in Belgium 5 -- 1.1.5 Treatment access 5 -- 1.2 RESEARCH QUESTIONS 6 -- 1.3 PARTS OF THE STUDY 6 -- 2 SYSTEMATIC LITERATURE REVIEW 7 -- 2.1 RESEARCH QUESTION 7 -- 2.2 METHODS 7 -- 2.2.1 Selection of studies 7 -- 2.2.2 Project Outline 8 -- 2.2.3 Literature search strategy 9 -- 2.2.4 Assessing methodological quality and risk of bias 9 -- 2.2.5 Data extraction 10 -- 2.3 RESULTS 10 -- 2.3.1 Phase I: systematic reviews and meta-analyses 10 -- 2.3.2 Phase II: original RCTs 17 -- 2.3.3 Multidisciplinary cardiac rehabilitation versus exercise 22 -- 2.4 HTA DOCUMENTS 22 -- 2.5 SUMMARY OF RESULTS AND DISCUSSION 24 -- 2.5.1 Summary of results 24 -- 2.5.2 Additional Cochrane reviews published in 2010 25 -- 2.5.3 Discussion of results 26 -- 2.5.4 Systematic review of the economic literature 27 -- 2.5.5 Comparison of the current results with guidance documents 28 -- 3 REHABILITATION AFTER DEFINED CARDIAC PROCEDURES IN BELGIUM: -- DATA ANALYSIS 32 -- 3.1 METHODOLOGY 32 -- 3.1.1 Data source 32 -- 3.1.2 Study period and observation period 32 -- 3.1.3 Target population and patient selection procedure 33 -- 3.1.4 Data collection 34 -- 3.1.5 Patient classification 35 -- 3.1.6 Data analysis 38 -- 3.2 RESULTS 39 -- 3.2.1 Patients selected for analysis. 39 -- 3.2.2 Patient Geographical Spread 40 -- 3.2.3 Type of Rehabilitation 41 -- 3.2.4 Rehabilitation related data 45 -- 3.2.5 Utilisation of rehabilitation types per socio-demographic patient characteristics 53 -- 3.2.6 Cardiac centre related data 60 -- 3.2.7 Multivariate analysis 61 -- 3.2.8 Cardiac disease related resource use: outpatient visits and diagnostic tests 65 -- 3.3 SUMMARY AND LIMITATIONS 69 -- 3.3.1 Summary of the descriptive statistics 69 -- 3.3.2 Summary of the multivariate analyses 70 -- 3.3.3 Strengths and limitations of the data analysis 70 -- 4 PATIENT SURVEY 71 -- 4.1 METHODOLOGY 71 -- 4.1.1 Study design 71 -- 4.1.2 Study population 71 -- 4.1.3 Time horizon 71 -- 4.1.4 Patient recruitment 72 -- 4.1.5 Data management & privacy 72 -- 4.1.6 Data collection 72 -- 4.1.7 Data analysis 73 -- 4.2 RESULTS 74 -- 4.2.1 Cardiologists 74 -- 4.2.2 Characteristics of the patients. 74 -- 4.2.3 Participation to the cardiac rehabilitation programme 75 -- 4.3 SUMMARY OF RESULTS AND LIMITATIONS OF THE SURVEY 86 -- 4.3.1 Main results 86 -- 4.3.2 Limitations of the survey 87 -- 5 GENERAL DISCUSSION AND CONCLUSIONS 88 -- 5.1 DEFINITIONS OF MULTIDISCIPLINARY REHABILITATION 88 -- 5.2 EVIDENCE ABOUT EXERCISE AND MULTIDISCIPLINARY CARDIAC REHABILITATION -- INCLUDING EXERCISE 88 -- 5.3 LACK OF PRECISION ABOUT TARGET POPULATIONS AND OTHER FEATURES OF -- CARDIAC REHABILITATION 89 -- 5.4 PARTICIPATION IN REHABILITATION PROGRAMMES IN BELGIUM 89 -- 5.4.1 Influence of patient characteristics 89 -- 5.4.2 Other factors that influence the participation in cardiac rehabilitation programmes 91 -- 5.4.3 Limits in the comparison between this study and the data from the literature 91 -- 6 REFERENCES 93