Women and Referral to Outpatient Cardiac Rehabilitation: Does the Gender Bias Still Exist?, a Meta-Analysis

2.50
Hdl Handle:
http://hdl.handle.net/10755/304507
Category:
Abstract
Type:
Presentation
Title:
Women and Referral to Outpatient Cardiac Rehabilitation: Does the Gender Bias Still Exist?, a Meta-Analysis
Author(s):
Colella, Tracey J. F.
Lead Author STTI Affiliation:
Non-member
Author Details:
Tracey J. F. Colella, ACNP, PhD, Colella.Tracey@TorontoRehab.on.ca
Abstract:

Session presented on: Monday, July 22, 2013

Purpose:

Cardiovascular disease continues to be among the leading causes of morbidity, mortality, and health care costs among men and women globally. There is compelling evidence that women are significantly underrepresented in Cardiac Rehabilitation (CR) programs, which have been shown to reduce recurrent cardiac events and related premature death. CR typically includes structured exercise, education, support, and risk reduction to effect positive change in health behaviors. The preponderance of evidence shows that approximately 15-30% of eligible patients participate in CR, with the rate for women being much lower at 11-20%. Building upon elements of a prior systematic review (Benz Scott 2002), the aim of this study was to critically appraise published studies that examined factors and referral rates by gender as they relate to women’s referral to outpatient CR Programs.  

 Methods:

 A systematic search of 6 databases (2001-July 2011) was conducted according to the PRISMA reporting protocol, using STROBE (observational) and CONSORT (interventional) guidelines for quality assessment. Selected studies were analyzed by two independent reviewers.

Results:

 The search yielded 6022 abstracts, of which 623 were assessed for eligibility and 19 met  inclusion/exclusion criteria for meta-analysis. One was a non-randomized controlled trial while the remaining were observational studies. Preliminary results reveal consistency in factors associated with under-referral as well as significant differences in referral rates according by gender (despite much study heterogeneity).

Conclusion:

Ten years later, women continue to be under-referred to CR programs. While there has been much growth in the body of research, there remains a dearth of intervention studies. The gender disparity in CR utilization must be addressed, and these findings demonstrate the need for intervention research to successfully overcome identified barriers for women to access and participate in CR.

Keywords:
gender differences; Meta-analysis; cardiac rehabilitation
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleWomen and Referral to Outpatient Cardiac Rehabilitation: Does the Gender Bias Still Exist?, a Meta-Analysisen_GB
dc.contributor.authorColella, Tracey J. F.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsTracey J. F. Colella, ACNP, PhD, Colella.Tracey@TorontoRehab.on.caen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304507-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b> <p>Cardiovascular disease continues to be among the leading causes of morbidity, mortality, and health care costs among men and women globally. There is compelling evidence that women are significantly underrepresented in Cardiac Rehabilitation (CR) programs, which have been shown to reduce recurrent cardiac events and related premature death. CR typically includes structured exercise, education, support, and risk reduction to effect positive change in health behaviors. The preponderance of evidence shows that approximately 15-30% of eligible patients participate in CR, with the rate for women being much lower at 11-20%. Building upon elements of a prior systematic review (Benz Scott 2002), the aim of this study was to critically appraise published studies that examined factors and referral rates by gender as they relate to women’s referral to outpatient CR Programs.  <b></b><p> <b>Methods: </b> <p> A systematic search of 6 databases (2001-July 2011) was conducted according to the PRISMA reporting protocol, using STROBE (observational) and CONSORT (interventional) guidelines for quality assessment. Selected studies were analyzed by two independent reviewers. <p><b>Results: </b> <p> The search yielded 6022 abstracts, of which 623 were assessed for eligibility and 19 met  inclusion/exclusion criteria for meta-analysis. One was a non-randomized controlled trial while the remaining were observational studies. Preliminary results reveal consistency in factors associated with under-referral as well as significant differences in referral rates according by gender (despite much study heterogeneity). <p><b>Conclusion: </b> <p>Ten years later, women continue to be under-referred to CR programs. While there has been much growth in the body of research, there remains a dearth of intervention studies. The gender disparity in CR utilization must be addressed, and these findings demonstrate the need for intervention research to successfully overcome identified barriers for women to access and participate in CR.en_GB
dc.subjectgender differencesen_GB
dc.subjectMeta-analysisen_GB
dc.subjectcardiac rehabilitationen_GB
dc.date.available2013-10-22T20:37:30Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:37:30Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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