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Q In patients with coronary artery disease (CAD), what is the effectiveness of secondary cardiac prevention programmes with and without exercise components?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Geriatrics ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Cardiology ★★★★★☆☆
PubMed, CINAHL, EMBASE/Excerpta Medica, SIGLE, Web of Science, and the Cochrane Central Register of Controlled Trials (all to 2004); reference lists; and references provided by the Centers for Medicare & Medicaid Services and content experts.
Study selection and assessment:
randomised controlled trials (RCTs) that were fully published in English, included a usual care group, and reported outcomes for patients with CAD. Exclusion criteria: single modality interventions (except exercise), inpatients, or interventions not delivered by health professionals. 63 studies met the selection criteria. 45 RCTs included patients after acute MI or a coronary revascularisation procedure. Most studies had a quality score of 2 …
For correspondence: Dr F A McAlister, University of Alberta Hospital, Edmonton, Alberta, Canada. Finlay.mcalister.ualberta.ca
Source of funding: Agency for Healthcare Research and Quality.
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