{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:40:46Z","timestamp":1781869246127,"version":"3.54.5"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Cardiac rehabilitation (CR) after percutaneous coronary intervention (PCI) for acute (ACS) or chronic (CCS) coronary syndrome is underutilized worldwide. The determinants of underuse are not fully understood. Using real-world data, this study explored the effect of socio-geographical factors on CR participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Patients from the Aquitaine region (France) who underwent PCI between 2017 and 2019 were selected from a regional PCI register. Their 1-year CR participation was tracked using the French hospital database. Associations between CR participation and socio-geographical factors (social deprivation, general practitioner accessibility, and distance to the nearest CR centre) were assessed through logistic regression mixed models at 1 and 3 months in ACS, and at 3 and 6 months in CCS. Among the 19 002 patients, 5073 (26.7%) participated in CR (ACS: 4071, 33.0%; CCS: 1002, 15.0%). A CR centre distance &amp;gt;25\u2005km reduced participation at 3 months in ACS patients [odds ratio (OR) = 0.83, 95% confidence interval (CI): 0.70\u20130.99, P = 0023] but not at 1 month after PCI. Chronic coronary syndrome patients from most advantaged areas were more likely to participate in CR at 3 (OR = 0.62, 95% CI: 0.44\u20130.88, P = 0.002) and 6 months (OR = 0.59, 95% CI: 0.42\u20130.82, P &amp;lt; 0.001). General practitioner accessibility did not affect participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Post-PCI CR participation was low. Proximity to CR centres promoted participation for ACS patients, while CR usage correlated with higher socioeconomic status for CCS patients. These findings highlight socio-geographical inequalities in CR access, providing a basis for targeted interventions, such as telerehabilitation or expanded coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf087","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T23:20:52Z","timestamp":1739920852000},"page":"931-941","source":"Crossref","is-referenced-by-count":7,"title":["Socio-geographical factors associated with cardiac rehabilitation participation after percutaneous coronary intervention: a registry-based cohort study from France"],"prefix":"10.1093","volume":"33","author":[{"given":"Filippo","family":"Quattrone","sequence":"first","affiliation":[{"name":"Interdisciplinary Center for Health Science, Scuola Superiore Sant'Anna , Pisa 56127 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Cardiologique, Coronary Care Unit , Pessac F-33600 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9217-2533","authenticated-orcid":false,"given":"Thierry","family":"Couffinhal","sequence":"additional","affiliation":[{"name":"University Bordeaux, INSERM, Biologie des maladies cardiovasculaires, U1034, F-33600, Pessac ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Saillour Glenisson","sequence":"additional","affiliation":[{"name":"University Bordeaux, INSERM, Institut Bergoni\u00e9, BPH , U1219, CIC 1401, Bordeaux F-33000 ,","place":["France"]},{"name":"CHU de Bordeaux, P\u00f4le de sant\u00e9 publique, Service d\u2019Information M\u00e9dicale, INSERM, Institut Bergoni\u00e9 , CIC 1401, Bordeaux F-33000 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"ACIRA 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