December 25, 2002Circulation JournalOpen Access

Effects of Phase III Cardiac Rehabilitation Programs on Health-Related Quality of Life in Elderly Patients With Coronary Artery Disease. Juntendo Cardiac Rehabilitation Program (J-CARP).

Q: What is the clinical evidence from this study?

Study design: RCT. Population: Coronary Artery Disease (n=38). Intervention: Phase III comprehensive cardiac rehabilitation vs. Standard care. Primary outcome: SF-36 General Health score at 6 months (p=<0.01).

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Key result

Phase III comprehensive cardiac rehabilitation significantly improved health-related quality of life, including general health and mental health, in elderly male patients with coronary artery disease.

Why the study?

Does phase III comprehensive cardiac rehabilitation improve health-related quality of life in elderly male patients with coronary artery disease?

Population

38 elderly males with coronary artery disease (CAD), mean age 70 years

Comparison

Phase III comprehensive cardiac rehabilitation… vs Standard care

Design

RCT, randomized

Follow-up

6 months

Authors

ESEriko SekiTonami General Hospital YWYoshirô WatanabeOcean University of China SSSatoshi SunayamaShowa University

Discussion

Member takes

Implication

Supports phase III cardiac rehabilitation referral in elderly men with CAD; extends prior evidence to this population.

Study Design

Type

RCT (n=38)

Randomization

Envelope method

Multicenter

Structured PICO

Does phase III comprehensive cardiac rehabilitation improve health-related quality of life in elderly male patients with coronary artery disease?

Population

38 elderly males with coronary artery disease (CAD), mean age 70 years

Intervention

Phase III comprehensive cardiac rehabilitation (CR) for 6 months

Comparator

Standard care

Outcome

Health-related quality of life (HRQOL) evaluated using the Medical Outcome Study Short-Form 36 Health Status Survey (SF-36), State-trait anxiety inventory questionnaire (STAI), and Self-rating Depression Scale (SDS) at 6 monthspatient reported

Main Result

p-value: p=<0.01

Phase III comprehensive cardiac rehabilitation significantly improves health-related quality of life and reduces anxiety in elderly male patients with coronary artery disease.

Limitations

Small sample size
Selection bias (only male patients who decided to participate in a formal CR program)
Only one supervised exercise session per week, which might not have been enough to increase exercise capacity
Potential non-compliance with home exercise sessions

Cite This Study

Seki et al. (2002) conducted an RCT in Coronary Artery Disease (n=38). Phase III comprehensive cardiac rehabilitation vs. Standard care was evaluated on SF-36 General Health score at 6 months (p=<0.01). Phase III comprehensive cardiac rehabilitation significantly improved health-related quality of life, including general health and mental health, in elderly male patients with coronary artery disease.

synapsesocial.com/papers/6a0eaa7dfca5c6c9f4479fdc https://doi.org/10.1253/circj.67.73

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Effects of Phase III Cardiac Rehabilitation Programs on Health-Related Quality of Life in Elderly Patients With Coronary Artery Disease. Juntendo Cardiac Rehabilitation Program (J-CARP).

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Effects of Phase III Cardiac Rehabilitation Programs on Health-Related Quality of Life in Elderly Patients With Coronary Artery Disease. Juntendo Cardiac Rehabilitation Program (J-CARP).

Discussion

Member takes

Implication

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider