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Systematic review with meta-analysis
Systematic review finds no difference in effect between home and centre-based cardiac rehabilitation on mortality, morbidity and modifiable risk factors in patients with CHD
  1. Monica Parry
  1. Correspondence to Monica Parry
    Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Suite 130, Toronto, Ontario M5T 1P8, Canada; monica.parry{at}utoronto.ca

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The physical and psychosocial benefits of centre-based cardiac rehabilitation programmes are well established.1 2 Unfortunately, only one-third of individuals referred participate, and only one-third of participants continue to attend after 6 months.3 Barriers to participation in and adherence to centre-based cardiac rehabilitation programmes include issues surrounding family responsibilities, employment, social support, self-esteem, geographical distance, transportation and parking.3,,6

The systematic review by Dalal and colleagues suggests that home-based cardiac rehabilitation programmes are as effective as centre-based programmes in improving clinical …

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