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Title: | Do clinicians prescribe exercise similarly in patients with different cardiovascular diseases? Findings from the EAPC EXPERT working group survey | Authors: | HANSEN, Dominique ROVELO RUIZ, Gustavo Doherty, Patrick Iliou, Marie-Christine Vromen, Tom Hinton, Sally FREDERIX, Ines Wilhelm, Matthias Schmid, Jean-Paul Abreu, Ana Ambrosetti, Marco Garcia-Porrero, Esteban CONINX, Karin DENDALE, Paul |
Issue Date: | 2018 | Source: | European journal of preventive cardiology, 25 (7), pag. 682-691 | Status: | In Press | 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 exercise intensity (median (interquartile range (IQR)): 83 (13) % of HRpeak), frequency (median (IQR): 4 (2) days/week), session duration (median (IQR): 45 (18) min/session), programme duration (median (IQR): 12 (18) weeks), total exercise volume (median (IQR): 1215 (1961) peak-effort training hours) and prescription of strength training exercises (prescribed in 78% of all cases). Moreover, clinicians’ exercise prescriptions were significantly different from those of the EXPERT tool (p < 0.001). Conclusions: This study reveals significant inter-clinician variance in exercise prescription for patients with different CVDs and disagreement with an integrated state-of-the-art system for exercise prescription, justifying the need for standardization efforts regarding integrated exercise prescription in CV rehabilitation. | Notes: | Hansen, D (reprint author), Hasselt Univ, Fac Med & Life Sci, Rehabil Res Ctr, REVAL, Agoralaan,Bldg, B-3590 Diepenbeek, Belgium. dominique.hansen@uhasselt.be | Keywords: | cardiovascular disease; exercise prescription; EXPERT tool | Document URI: | http://hdl.handle.net/1942/25650 | ISSN: | 2047-4873 | e-ISSN: | 2047-4881 | DOI: | 10.1177/2047487318760888 | ISI #: | 000432062700003 | Rights: | (C) The European Society of Cardiology 2018 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
paper EXPERT survey revision1.pdf | Peer-reviewed author version | 631.03 kB | Adobe PDF | View/Open |
eurjpc0682.pdf Restricted Access | Published version | 336.16 kB | Adobe PDF | View/Open Request a copy |
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