{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:53:50Z","timestamp":1790855630048,"version":"4.1.0"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Review objective:<\/jats:title>\n The objective of this review was to investigate the effectiveness of nurse-led cardiac rehabilitation programs following coronary artery bypass graft surgery on patients\u2019 health-related quality of life and hospital readmission.<\/jats:p>\n <\/jats:sec>\n \n Introduction:<\/jats:title>\n Coronary heart disease is a major cause of death and disability worldwide, putting a great strain on healthcare resources. For the past two decades, population-wide primary prevention and individual healthcare approaches have resulted in a dramatic decline in overall cardiac mortality. Over the intervening years, surgical techniques in cardiology have also improved substantially. As a result, long-term outcomes in patients treated with coronary artery bypass graft surgery have established the treatment's effectiveness and survival benefit. Furthermore, participating in cardiac rehabilitation following coronary artery bypass graft surgery has also demonstrated a significant decrease in all-cause cardiac mortality in these patients.<\/jats:p>\n <\/jats:sec>\n \n Inclusion criteria:<\/jats:title>\n This review included studies with participants aged 18 years and over, post coronary artery bypass graft surgery that evaluated nurse-led cardiac rehabilitation (CR) programs compared with usual care or other forms of CR. The outcomes of interest were the health-related quality of life and hospital readmissions following coronary artery bypass graft surgery and measured using validated scales. Randomized controlled trials reported in English between 2000 to June 2017 were considered for inclusion.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The search strategy aimed to find both published and unpublished studies using a three-step search strategy. An initial search of MEDLINE, CINAHL and Scopus was undertaken, followed by a search for unpublished studies including Dissertation Abstracts International, ProQuest Dissertations and Theses, Google Scholar, MedNar and ClinicalTrials.gov. Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using the standardized critical appraisal tools from the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI). Quantitative data was extracted from papers included in the review using the standardized data extraction tool from JBI-SUMARI. No meta-analysis was undertaken due to heterogeneity of the outcome measures. All results were subject to double data entry. Effect sizes expressed as risk ratio (for categorical data) and weighted mean differences (for continuous data) and their 95% confidence intervals were calculated for analysis.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Three trials involving 329 patients were included in the final review. The trials that investigated the effect of home based cardiac rehabilitation programs compared to usual care at six weeks, three months and six months follow-up demonstrated no statistically significant difference in health-related quality of life at any of the follow-up periods. However, one study demonstrated significantly higher scores related to health-related quality of life among those who received nurse-led home based cardiac rehabilitation (154.93\u200a\u00b1\u200a4.6) compared to those who received usual care (134.20\u200a\u00b1\u200a8.2) at two months follow-up. No trials were identified that compared the effectiveness of nurse-led cardiac rehabilitation programs following coronary artery bypass graft surgery on readmissions to hospital.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n There is not enough evidence to support or discourage nurse-led cardiac rehabilitation programs on health-related quality of life in patients following coronary artery bypass graft surgery. However, the sparse data available suggests improvements in health-related quality of life at two months follow-up among those who received a nurse-led program. Further large-scale multicenter trials with standardized methodology are needed to determine the effect of nurse-led cardiac rehabilitation programs on health-related quality of life and rates of readmission to hospital following coronary artery bypass graft surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.11124\/jbisrir-2017-003565","type":"journal-article","created":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T15:50:55Z","timestamp":1538581855000},"page":"2304-2329","source":"Crossref","is-referenced-by-count":16,"title":["Effectiveness of nurse-led cardiac rehabilitation programs following coronary artery bypass graft surgery: a systematic review"],"prefix":"10.11124","volume":"16","author":[{"given":"Maria A.","family":"Mares","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Western Sydney University, Parramatta, Australia"},{"name":"Centre for Applied Nursing Research, Liverpool, Australia"},{"name":"The New South Wales Centre for Evidence Based Health Care: a Joanna Briggs Institute Centre of Excellence"},{"name":"Ingham Institute for Applied Medical Research, Liverpool, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"McNally","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Western Sydney University, Parramatta, Australia"},{"name":"The New South Wales Centre for Evidence Based Health Care: a Joanna Briggs Institute Centre of Excellence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritin S.","family":"Fernandez","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Wollongong, Wollongong, Australia"},{"name":"Centre for Research in Nursing and Health, St George Hospital, Kogarah, Australia"},{"name":"Centre for Evidence Based Initiatives in Health Care: a Joanna Briggs Institute Centre of Excellence"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"R2-20230825","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1348\/135910705X90127","article-title":"Trajectories of recovery of quality of life in women after an acute cardiac event","volume":"12","author":"Worcester","year":"2007","journal-title":"Br J Health Psychol"},{"issue":"2","key":"R3-20230825","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.hrtlng.2008.04.003","article-title":"Determinants of quality of life five years after coronary artery bypass graft surgery","volume":"38","author":"Lee","year":"2009","journal-title":"Heart Lung"},{"issue":"2","key":"R6-20230825","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.puhe.2007.04.010","article-title":"Coronary artery bypass graft surgery trends in New South Wales, Australia","volume":"122","author":"Weerasinghe","year":"2008","journal-title":"Public Health"},{"issue":"11","key":"R7-20230825","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1111\/j.1445-2197.2012.06262.x","article-title":"Cardiac surgery versus stenting: what is better for the patient?","volume":"82","author":"Edelman","year":"2012","journal-title":"ANZ J Surg"},{"issue":"1","key":"R8-20230825","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.hlc.2011.08.008","article-title":"Coronary artery bypass surgery provides long-term results superior to percutaneous coronary intervention","volume":"21","author":"Rosenfeldt","year":"2012","journal-title":"Heart Lung Circ"},{"issue":"4","key":"R9-20230825","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1177\/1054773812436681","article-title":"Anxiety, depression, and self-management: a systematic review","volume":"21","author":"Fredericks","year":"2012","journal-title":"Clin Nurs Res"},{"issue":"1","key":"R10-20230825","doi-asserted-by":"crossref","DOI":"10.1186\/1749-8090-9-46","article-title":"Health-related quality of life after cardiac surgery \u2013 the effects of age, preoperative conditions and postoperative complications.(Clinical report)","volume":"9","author":"Kurfirst","year":"2014","journal-title":"J Cardiothorac Surg"},{"issue":"3","key":"R11-20230825","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.ijcard.2005.11.002","article-title":"Home-based cardiac rehabilitation compared with centre-based rehabilitation and usual care: A systematic review and meta-analysis","volume":"111","author":"Jolly","year":"2006","journal-title":"Int J Cardiol"},{"issue":"1","key":"R12-20230825","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1111\/j.2044-8260.1995.tb01444.x","article-title":"Depression in male and female patients undergoing cardiac surgery","volume":"34","author":"Burker","year":"1995","journal-title":"Br J Clin Psychol"},{"issue":"6","key":"R13-20230825","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1007\/s11136-015-1173-6","article-title":"Relationship between depression and health-related quality of life in patients undergoing coronary artery bypass grafting: a MOTIV-CABG substudy","volume":"25","author":"Perrotti","year":"2016","journal-title":"Qual Life Res"},{"issue":"14","key":"R14-20230825","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1001\/jama.281.14.1298","article-title":"Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery","volume":"281","author":"Rumsfeld","year":"1999","journal-title":"JAMA"},{"issue":"23","key":"R15-20230825","doi-asserted-by":"crossref","first-page":"1728","DOI":"10.1136\/heartjnl-2012-302532","article-title":"Trends and predictors of rehospitalisation following an acute coronary syndrome: report from the Australian and New Zealand population of the Global Registry of Acute Coronary Events (GRACE)","volume":"98","author":"Sangu","year":"2012","journal-title":"Heart"},{"issue":"4","key":"R16-20230825","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/01.JCN.0000278955.44759.73","article-title":"The effects of a collaborative peer advisor\/advanced practice nurse intervention: cardiac rehabilitation participation and rehospitalization in older adults after a cardiac event","volume":"22","author":"Carroll","year":"2007","journal-title":"J Cardiovasc Nurs"},{"issue":"4","key":"R17-20230825","doi-asserted-by":"crossref","first-page":"31","DOI":"10.37464\/2010.274.1702","article-title":"Attendance at outpatient cardiac rehabilitation: is it enhanced by specialist nurse referral?","volume":"27","author":"Johnson","year":"2010","journal-title":"Aust J Adv Nurs"},{"issue":"5","key":"R19-20230825","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1111\/j.1365-2648.2004.03327.x","article-title":"Improving uptake and adherence in cardiac rehabilitation: literature review","volume":"49","author":"Beswick","year":"2005","journal-title":"J Adv Nurs"},{"issue":"60","key":"R20-20230825","article-title":"The effect of an educational intervention on coronary artery bypass graft surgery patients\u2019 participation rate in cardiac rehabilitation programs: A controlled health care trial","volume":"11","author":"Dankner","year":"2011","journal-title":"BMC Cardiovasc Disord"},{"issue":"3","key":"R21-20230825","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1097\/HJR.0b013e3282f5ffab","article-title":"Cost-effectiveness of cardiac rehabilitation program delivery models in patients at varying cardiac risk, reason for referral, and sex","volume":"15","author":"Papadakis","year":"2008","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"R22-20230825","doi-asserted-by":"crossref","first-page":"b5631","DOI":"10.1136\/bmj.b5631","article-title":"Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis","volume":"340","author":"Dalal","year":"2010","journal-title":"BMJ"},{"issue":"9","key":"R23-20230825","doi-asserted-by":"crossref","first-page":"659","DOI":"10.7326\/0003-4819-143-9-200511010-00010","article-title":"Meta-analysis: secondary prevention programs for patients with coronary artery disease","volume":"143","author":"Clark","year":"2005","journal-title":"Ann Intern Med"},{"issue":"4","key":"R24-20230825","first-page":"370","article-title":"Effectiveness of brief structured interventions on risk factor modification for patients with coronary heart disease: A systematic review","volume":"5","author":"Fernandez","year":"2007","journal-title":"Int J Evid Based Health"},{"issue":"3","key":"R25-20230825","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.jamcollsurg.2012.11.009","article-title":"Risk analysis for readmission after coronary artery bypass surgery: developing a strategy to reduce readmissions","volume":"216","author":"Price","year":"2013","journal-title":"J Am Coll Surg"},{"issue":"6","key":"R26-20230825","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.ijnurstu.2011.11.019","article-title":"Cardiac rehabilitation and quality of life: A systematic review","volume":"49","author":"Shepherd","year":"2012","journal-title":"Int J Nurs Stud"},{"issue":"2","key":"R27-20230825","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.ejcnurse.2007.09.002","article-title":"Development and preliminary testing of the Cardiac Rehabilitation Enrolment Obstacles (CREO) scale: implications for service development","volume":"7","author":"Fernandez","year":"2008","journal-title":"Eur J Cardiovasc Nurs"},{"issue":"3","key":"R28-20230825","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/HJR.0b013e32832a4e7a","article-title":"Telehealth interventions for the secondary prevention of coronary heart disease: a systematic review","volume":"16","author":"Neubeck","year":"2009","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"issue":"1","key":"R29-20230825","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/2047487313501093","article-title":"Alternative models of cardiac rehabilitation: a systematic review","volume":"22","author":"Clark","year":"2015","journal-title":"Eur J Prev Cardiol"},{"issue":"28","key":"R30-20230825","doi-asserted-by":"crossref","first-page":"46","DOI":"10.7748\/ns.20.28.46.s59","article-title":"Nurse-led cardiac clinics for adults with coronary heart disease","volume":"20","year":"2006","journal-title":"Nurs Stand"},{"issue":"7","key":"R31-20230825","first-page":"CD007131","article-title":"Promoting patient uptake and adherence in cardiac rehabilitation","author":"Davies","year":"2010","journal-title":"Cochrane Db Syst Rev"},{"issue":"1","key":"R32-20230825","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.pec.2013.12.020","article-title":"Healthcare providers\u2019 awareness of the information needs of their cardiac rehabilitation patients throughout the program continuum","volume":"95","author":"de Melo Ghisi","year":"2014","journal-title":"Patient Educ Couns"},{"issue":"11","key":"R33-20230825","doi-asserted-by":"crossref","first-page":"21","DOI":"10.11124\/jbisrir-2013-1055","article-title":"The effectiveness of nurse-led cardiac rehabilitation programs following coronary artery bypass graft surgery: a systematic review protocol","volume":"11","author":"Mares","year":"2013","journal-title":"JBI Database System Rev Implement Reps"},{"issue":"7","key":"R34-20230825","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"issue":"1","key":"R35-20230825","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/imj.12020","article-title":"Coronary artery revascularisation: selecting the appropriate strategy","volume":"43","author":"Adams","year":"2013","journal-title":"Intern Med J"},{"issue":"19","key":"R37-20230825","first-page":"1490","article-title":"Grading quality of evidence and strength of recommendations","volume":"328","author":"Oxman","year":"2004","journal-title":"BMJ"},{"issue":"2","key":"R38-20230825","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s11136-008-9438-y","article-title":"Health-related quality of life after coronary artery bypass grafting. The impact of a randomised controlled home-based intervention program","volume":"18","author":"Lie","year":"2009","journal-title":"Qual Life Res"},{"issue":"2","key":"R39-20230825","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/HCR.0b013e3182a528ba","article-title":"Health-related Quality of Life Outcomes in Coronary Artery Bypass Surgery Patients and Partners","volume":"34","author":"Macken","year":"2014","journal-title":"J Cardiopulm Rehabil Prev"},{"issue":"4","key":"R40-20230825","doi-asserted-by":"crossref","first-page":"196","DOI":"10.5539\/gjhs.v8n4p196","article-title":"Comparison Between Effects of Home Based Cardiac Rehabilitation Programs Versus Usual Care on the Patients\u2019 Health Related Quality of Life After Coronary Artery Bypass Graft","volume":"8","author":"Salavati","year":"2016","journal-title":"Glob J Health Sci"},{"issue":"9","key":"R41-20230825","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1111\/j.1365-2648.2009.05056.x","article-title":"Health-related quality of life after coronary artery bypass grafting","volume":"65","author":"Rantanen","year":"2009","journal-title":"J Adv Nurs"},{"issue":"13","key":"R42-20230825","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1111\/j.1365-2702.2007.02195.x","article-title":"Factors associated with health-related quality of life in patients and significant others one month after coronary artery bypass grafting","volume":"17","author":"Rantanen","year":"2008","journal-title":"J Clin Nurs"},{"issue":"3","key":"R43-20230825","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/HJR.0b013e32833090ef","article-title":"A meta-analysis of randomized control trials of home-based secondary prevention programs for coronary artery disease","volume":"17","author":"Clark","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"issue":"4","key":"R45-20230825","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/HCR.0000000000000142","article-title":"Patient-reported outcomes in cardiac rehabilitation: what do we know about program satisfaction? a review","volume":"36","author":"Taherzadeh","year":"2016","journal-title":"J Cardiopulm Rehabil Prev"},{"issue":"11","key":"R46-20230825","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1016\/j.clinthera.2014.10.003","article-title":"Depression, Coronary Artery Disease, and Physical Activity: How Much Exercise Is Enough?","volume":"36","author":"Peterson","year":"2014","journal-title":"Clin Ther"}],"container-title":["JBI Database of Systematic Reviews and Implementation Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01938924-201812000-00009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T12:58:21Z","timestamp":1786453101000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01938924-201812000-00009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12]]},"references-count":40,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.11124\/jbisrir-2017-003565","relation":{},"ISSN":["2202-4433"],"issn-type":[{"value":"2202-4433","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12]]}}}