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Sex Differences in Cardiac Rehabilitation Enrollment: A Meta-analysis
- Source :
- Canadian Journal of Cardiology. (7):793-800
- Publisher :
- Canadian Cardiovascular Society. Published by Elsevier Inc.
-
Abstract
- BackgroundThe present systematic review and meta-analysis examines studies published in the past 10 years that described cardiac rehabilitation (CR) enrollment among women and men, to determine whether a significant sex difference persists despite the evidence supporting the benefits of CR to women as well as men.MethodsScopus, MEDLINE, CINAHL, PsycINFO, PubMed, and The Cochrane Library databases were systematically searched for peer-reviewed articles published from July 2000 to July 2011. Titles and abstracts were screened, and the 623 selected full-text articles were independently screened based on predefined inclusion/exclusion criteria (guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses; PRISMA) and assessed for quality using the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) statement form. The meta-analysis was undertaken using Review Manager software.ResultsTwenty-six eligible observational studies reporting data for 297,719 participants (128,499 [43.2%] women) were included. On average, 45.0% of men and 38.5% of women enrolled in CR. In the pooled analysis, men were more likely to be enrolled in CR compared with women (female enrollment vs male enrollment odds ratio, 0.64; 95% confidence interval, 0.57-0.72; P < 0.00001). Heterogeneity was considered high (I2 = 78%). In the subgroup analyses, systematic CR referral during inpatient tertiary care resulted in significantly greater enrollment among women than nonsystematic referral.ConclusionsOverall, rates of CR enrollment among women are significantly lower compared with men, with women being 36% less likely to enroll in a rehabilitation program.
- Subjects :
- Gerontology
medicine.medical_specialty
Referral
MEDLINE
Strengthening the reporting of observational studies in epidemiology
Cochrane Library
Global Health
Risk Assessment
Sex Factors
Patient Education as Topic
Risk Factors
Secondary Prevention
Medicine
Humans
Sex Distribution
Referral and Consultation
Cardiac Rehabilitation
business.industry
Odds ratio
Exercise Therapy
Systematic review
Cardiovascular Diseases
Meta-analysis
Family medicine
Observational study
Morbidity
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 0828282X
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Canadian Journal of Cardiology
- Accession number :
- edsair.doi.dedup.....3495b69143849b5acba210bf7617d7c8
- Full Text :
- https://doi.org/10.1016/j.cjca.2013.11.007