Do clinicians prescribe exercise similarly in patients with different cardiovascular diseases? Findings from the EAPC EXPERT working group survey

European Journal of Preventive Cardiology
Dominique HansenEAPC EXPERT working group

Abstract

Background Although disease-specific exercise guidelines for cardiovascular disease (CVD) are widely available, it remains uncertain whether these different exercise guidelines are integrated properly for patients with different CVDs. The aim of this study was to assess the inter-clinician variance in exercise prescription for patients with various CVDs and to compare these prescriptions with recommendations from the EXercise Prescription in Everyday practice and Rehabilitative Training (EXPERT) tool, a digital decision support system for integrated state-of-the-art exercise prescription in CVD. Design The study was a prospective observational survey. Methods Fifty-three CV rehabilitation clinicians from nine European countries were asked to prescribe exercise intensity (based on percentage of peak heart rate (HRpeak)), frequency, session duration, programme duration and exercise type (endurance or strength training) for the same five patients. Exercise prescriptions were compared between clinicians, and relationships with clinician characteristics were studied. In addition, these exercise prescriptions were compared with recommendations from the EXPERT tool. Results A large inter-clinician variance was found for prescribed exe...Continue Reading

References

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Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Jul 18, 2002·Irish Journal of Medical Science·H M McGeeUNKNOWN Irish Association of Cardiac Rehabilitation
Dec 3, 2009·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Massimo Francesco PiepoliUNKNOWN Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation
Mar 20, 2010·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Birna Bjarnason-WehrensUNKNOWN Cardiac Rehabilitation Section European Association of Cardiovascular Prevention and Rehabilitation
Jan 23, 2013·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·T VromenH M C Kemps
Jun 30, 2016·European Journal of Preventive Cardiology·Kym Joanne PriceAmanda Clare Benson
Sep 8, 2016·BMC Health Services Research·Abraham Samuel BabuUNKNOWN in conjunction with the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR)
Nov 1, 2016·European Journal of Preventive Cardiology·Bernhard RauchUNKNOWN ‘Cardiac Rehabilitation Section’, European Association of Preventive Cardiology (EAPC), in cooperation with the Institute of
Aug 16, 2017·European Heart Journal·Dominique HansenPaul Dendale

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Citations

Feb 13, 2019·European Journal of Preventive Cardiology·Massimo F Piepoli
Oct 26, 2018·European Journal of Preventive Cardiology·Dominique HansenWolfram Doehner
Jun 6, 2019·European Journal of Preventive Cardiology·Birna Bjarnason-Wehrens
Dec 29, 2019·European Journal of Heart Failure·Markus S AnkerStefan D Anker
Jun 6, 2020·International Journal of Environmental Research and Public Health·Kelly MorganGraham Moore
Aug 11, 2018·Current Sports Medicine Reports·Ann Blair Kennedy, Sarah B Hales
Dec 19, 2018·Journal of the American Heart Association·Orjan EkblomMats Börjesson
Mar 4, 2020·European Journal of Preventive Cardiology·Wei-Guang LiXin-An Zhang
Aug 14, 2019·European Journal of Preventive Cardiology·Antonio Mazza, Mara Paneroni
Apr 10, 2020·European Journal of Preventive Cardiology·Massimo F Piepoli
Jan 28, 2021·Multiple Sclerosis and Related Disorders·Charly KeytsmanBert O Eijnde
Feb 22, 2021·European Journal of Preventive Cardiology·Wei-Guang LiXin-An Zhang
Mar 16, 2021·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Linda S PescatelloMargaux Guidry
Aug 31, 2021·European Heart Journal·Frank L J VisserenUNKNOWN ESC Scientific Document Group
Sep 25, 2021·European Journal of Preventive Cardiology·Frank L J VisserenUNKNOWN ESC Scientific Document Group

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

EAPC EXPERT
SPSS
EXPERT
EXercise Prescription in Everyday practice and Rehabilitative ...

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