Outcomes and Cost of Women-Focused Cardiac Rehabilitation: A Systematic Review and Meta-analysis
| dc.contributor.author | Mamataz, Taslima | |
| dc.contributor.author | Lima de Melo Ghisi, Gabriela | |
| dc.contributor.author | Pakosh, Maureen | |
| dc.contributor.author | Grace, Sherry | |
| dc.date.accessioned | 2023-02-10T22:56:18Z | |
| dc.date.available | 2023-02-10T22:56:18Z | |
| dc.date.issued | 2022-06 | |
| dc.description.abstract | Background: The aim of this systematic review was to investigate the effects of women-focused cardiac rehabilitation (CR) on patient outcomes and cost. Methods: Medline, Pubmed, Embase, PsycINFO, CINAHL, Web of Science, Scopus and Emcare were searched for articles from inception-May 2020. Primary studies of any design were included, with adult females with any cardiac diseases. “Women-focused” CR comprised programs or sessions with >50% females, or 1-1 programming tailored to women’s preferences. No studies were excluded based on outcome. Two independent reviewers rated citations for potential inclusion, and 1 extracted data, including quality, which was checked independently. Random-effects meta-analysis was used where there were ≥3 trials with the same outcome; Certainty of evidence for these was determined based on GRADE. For other outcomes, SWiM was applied. Results: 3498 unique citations were identified, of which 28 (52 papers) studies were included (3,697 participants; 11 trials). No meta-analysis could be performed for outcomes with usual care comparisons. When compared to active comparison, women-focused CR had no meaningful effect on functional capacity. Women-focused CR meaningfully improved physical (mean difference [MD]=6.37, 95% confidence interval [CI]=3.14-9.59; I2=0%; moderate-quality evidence), and mental (MD=4.66, 95% CI=0.21-9.11; I2=36%; low-quality evidence) quality of life, as well as 7/8 SF-36 domains. Qualitatively, results showed women-focused CR was associated with lower morbidity, risk factors, and greater psychosocial well-being. No effect was observed for mortality. One study reported favorable economic impact and another reduced sick days. Conclusions: Women-focused CR is associated with clinical benefit, although there is mixed evidence and more research is needed. | en_US |
| dc.description.sponsorship | S.L.G. is supported in her work by the Toronto General & Toronto Western Hospital Foundation and the Peter Munk Cardiac Centre, University Health Network | en_US |
| dc.identifier.citation | Mamataz, Ghisi, G. L., Pakosh, M., & Grace, S. L. (2022). Outcomes and cost of women-focused cardiac rehabilitation: A systematic review and meta-analysis. Maturitas, 160, 32–60. https://doi.org/10.1016/j.maturitas.2022.01.008 | en_US |
| dc.identifier.issn | 0378-5122 | |
| dc.identifier.uri | https://doi.org/10.1016/j.maturitas.2022.01.008 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10315/40875 | |
| dc.language.iso | en | en_US |
| dc.publisher | Maturitas | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | * |
| dc.rights.article | https://doi.org/10.1016/j.maturitas.2022.01.008 | en_US |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
| dc.subject | Cardiac rehabilitation | en_US |
| dc.subject | Systematic review | en_US |
| dc.subject | Mortality | en_US |
| dc.subject | Heart disease risk factors | en_US |
| dc.subject | Quality of life | en_US |
| dc.title | Outcomes and Cost of Women-Focused Cardiac Rehabilitation: A Systematic Review and Meta-analysis | en_US |
| dc.type | Article | en_US |
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