{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:56:25Z","timestamp":1788872185289,"version":"build-2803163510"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2016,10,3]]},"abstract":"\n Background<\/jats:title>\n \n Cardiac rehabilitation (\n CR<\/jats:styled-content>\n ) is grossly underused, with major inequities in access. However, use of\n CR<\/jats:styled-content>\n and predictors of initiation in England where\n CR<\/jats:styled-content>\n contracting is available is unknown. The aims were (1) to investigate\n CR<\/jats:styled-content>\n utilization rates in England, and (2) to determine sociodemographic and clinical factors associated with\n CR<\/jats:styled-content>\n initiation including social deprivation.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n Data from the National Audit of\n CR<\/jats:styled-content>\n , between January 2012 and November 2015, were used. Utilization rates overall and by deprivation quintile were derived. Logistic regression was performed to identify predictors of initiation among enrollees, using the Huber\u2013White\u2013sandwich estimator robust standard errors method to account for the nested nature of the data. Of the 234\u00a0736 (81.5%) patients referred to\n CR<\/jats:styled-content>\n , 141\u00a0648 enrolled, 97\u00a0406 initiated\n CR<\/jats:styled-content>\n , and of those initiating, 37.2% completed a program of \u22658\u00a0weeks duration. The significant characteristics associated with\n CR<\/jats:styled-content>\n initiation were younger age (odds ratio [\n OR<\/jats:styled-content>\n ] 0.98, 95%\n CI<\/jats:styled-content>\n 0.98\u20130.99), having a partner (\n OR<\/jats:styled-content>\n 1.31, 95%\n CI<\/jats:styled-content>\n 1.17\u20131.48), not being employed (\n OR<\/jats:styled-content>\n 0.86, 95%\n CI<\/jats:styled-content>\n 0.77\u20130.96), not having diabetes mellitus (\n OR<\/jats:styled-content>\n 0.84, 95%\n CI<\/jats:styled-content>\n 0.77\u20130.92), greater anxiety (\n OR<\/jats:styled-content>\n 1.02, 95%\n CI<\/jats:styled-content>\n 1.003\u20131.04), not being a medically managed myocardial infarction patient (\n OR<\/jats:styled-content>\n 0.57, 95%\n CI<\/jats:styled-content>\n 0.42\u20130.76), and having had coronary artery bypass graft surgery (\n OR<\/jats:styled-content>\n 1.64, 95%\n CI<\/jats:styled-content>\n 1.09\u20132.47).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n CR<\/jats:styled-content>\n enrollment does not meet English National Health Service targets; however it compares with that in other countries. Evidence\u2010based approaches increasing\n CR<\/jats:styled-content>\n enrollment and initiation should be applied, focusing on the identified characteristics associated with\n CR<\/jats:styled-content>\n initiation, specifically older, single, employed individuals with diabetes mellitus and those not revascularized.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.116.003903","type":"journal-article","created":{"date-parts":[[2016,10,22]],"date-time":"2016-10-22T03:40:35Z","timestamp":1477107635000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":57,"title":["Predictors of Cardiac Rehabilitation Utilization in England: Results From the National Audit"],"prefix":"10.1161","volume":"5","author":[{"given":"Jennifer","family":"Sumner","sequence":"first","affiliation":[{"name":"Department of Health Sciences, University of York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry L.","family":"Grace","sequence":"additional","affiliation":[{"name":"School of Kinesiology and Health Science, Faculty of Health, York University, Toronto, Canada"},{"name":"University Health Network University of Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","volume-title":"MI\u2010Secondary Prevention Guideline 172","author":"NICE","year":"2013","unstructured":"NICE . 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