Clinical practice guideline for cardiac rehabilitation in Korea [online only]

Chul Kim, Jidong Sung, Jong Hwa Lee, Won Seok Kim, Goo Joo Lee, Sungju Jee, Il Young Jung, Ueon Woo Rah, Byung Ok Kim, Kyoung Hyo Choi, Bum Sun Kwon, Seung Don Yoo, Heui Je Bang, Hyung Ik Shin, Yong Wook Kim, Heeyoune Jung, Eung Ju Kim, Jung Hwan Lee, In Hyun Jung, Jae Seung JungJong Young Lee, Jae Young Han, Eun Young Han, Yu Hui Won, Woosik Han, Sora Baek, Kyung Lim Joa, Sook Joung Lee, Ae Ryoung Kim, So Young Lee, Jihee Kim, Hee Eun Choi, Byeong Ju Lee, Soon Kim

Research output: Contribution to journalArticle

Abstract

Objective Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

Original languageEnglish
Pages (from-to)355-356
Number of pages2
JournalAnnals of Rehabilitation Medicine
Volume43
Issue number3
DOIs
Publication statusPublished - 2019 Jun 1

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Korea
Practice Guidelines
Cardiac Rehabilitation
Rehabilitation
Guidelines
Sports Medicine
Preventive Medicine
Nutritionists
Mortality
Evidence-Based Practice
Physical Therapists
Practice Management
Insurance Benefits
Consultants
Research
General Hospitals
Hearing
Libraries
Coronary Disease
Life Style

Keywords

  • Acute coronary syndrome
  • Cardiac rehabilitation
  • Clinical practice guidelines
  • Mortality
  • Secondary prevention

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Kim, C., Sung, J., Lee, J. H., Kim, W. S., Lee, G. J., Jee, S., ... Kim, S. (2019). Clinical practice guideline for cardiac rehabilitation in Korea [online only]. Annals of Rehabilitation Medicine, 43(3), 355-356. https://doi.org/10.5535/arm.2019.43.3.355

Clinical practice guideline for cardiac rehabilitation in Korea [online only]. / Kim, Chul; Sung, Jidong; Lee, Jong Hwa; Kim, Won Seok; Lee, Goo Joo; Jee, Sungju; Jung, Il Young; Rah, Ueon Woo; Kim, Byung Ok; Choi, Kyoung Hyo; Kwon, Bum Sun; Yoo, Seung Don; Bang, Heui Je; Shin, Hyung Ik; Kim, Yong Wook; Jung, Heeyoune; Kim, Eung Ju; Lee, Jung Hwan; Jung, In Hyun; Jung, Jae Seung; Lee, Jong Young; Han, Jae Young; Han, Eun Young; Won, Yu Hui; Han, Woosik; Baek, Sora; Joa, Kyung Lim; Lee, Sook Joung; Kim, Ae Ryoung; Lee, So Young; Kim, Jihee; Choi, Hee Eun; Lee, Byeong Ju; Kim, Soon.

In: Annals of Rehabilitation Medicine, Vol. 43, No. 3, 01.06.2019, p. 355-356.

Research output: Contribution to journalArticle

Kim, C, Sung, J, Lee, JH, Kim, WS, Lee, GJ, Jee, S, Jung, IY, Rah, UW, Kim, BO, Choi, KH, Kwon, BS, Yoo, SD, Bang, HJ, Shin, HI, Kim, YW, Jung, H, Kim, EJ, Lee, JH, Jung, IH, Jung, JS, Lee, JY, Han, JY, Han, EY, Won, YH, Han, W, Baek, S, Joa, KL, Lee, SJ, Kim, AR, Lee, SY, Kim, J, Choi, HE, Lee, BJ & Kim, S 2019, 'Clinical practice guideline for cardiac rehabilitation in Korea [online only]', Annals of Rehabilitation Medicine, vol. 43, no. 3, pp. 355-356. https://doi.org/10.5535/arm.2019.43.3.355
Kim, Chul ; Sung, Jidong ; Lee, Jong Hwa ; Kim, Won Seok ; Lee, Goo Joo ; Jee, Sungju ; Jung, Il Young ; Rah, Ueon Woo ; Kim, Byung Ok ; Choi, Kyoung Hyo ; Kwon, Bum Sun ; Yoo, Seung Don ; Bang, Heui Je ; Shin, Hyung Ik ; Kim, Yong Wook ; Jung, Heeyoune ; Kim, Eung Ju ; Lee, Jung Hwan ; Jung, In Hyun ; Jung, Jae Seung ; Lee, Jong Young ; Han, Jae Young ; Han, Eun Young ; Won, Yu Hui ; Han, Woosik ; Baek, Sora ; Joa, Kyung Lim ; Lee, Sook Joung ; Kim, Ae Ryoung ; Lee, So Young ; Kim, Jihee ; Choi, Hee Eun ; Lee, Byeong Ju ; Kim, Soon. / Clinical practice guideline for cardiac rehabilitation in Korea [online only]. In: Annals of Rehabilitation Medicine. 2019 ; Vol. 43, No. 3. pp. 355-356.
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abstract = "Objective Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.",
keywords = "Acute coronary syndrome, Cardiac rehabilitation, Clinical practice guidelines, Mortality, Secondary prevention",
author = "Chul Kim and Jidong Sung and Lee, {Jong Hwa} and Kim, {Won Seok} and Lee, {Goo Joo} and Sungju Jee and Jung, {Il Young} and Rah, {Ueon Woo} and Kim, {Byung Ok} and Choi, {Kyoung Hyo} and Kwon, {Bum Sun} and Yoo, {Seung Don} and Bang, {Heui Je} and Shin, {Hyung Ik} and Kim, {Yong Wook} and Heeyoune Jung and Kim, {Eung Ju} and Lee, {Jung Hwan} and Jung, {In Hyun} and Jung, {Jae Seung} and Lee, {Jong Young} and Han, {Jae Young} and Han, {Eun Young} and Won, {Yu Hui} and Woosik Han and Sora Baek and Joa, {Kyung Lim} and Lee, {Sook Joung} and Kim, {Ae Ryoung} and Lee, {So Young} and Jihee Kim and Choi, {Hee Eun} and Lee, {Byeong Ju} and Soon Kim",
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AU - Kim, Chul

AU - Sung, Jidong

AU - Lee, Jong Hwa

AU - Kim, Won Seok

AU - Lee, Goo Joo

AU - Jee, Sungju

AU - Jung, Il Young

AU - Rah, Ueon Woo

AU - Kim, Byung Ok

AU - Choi, Kyoung Hyo

AU - Kwon, Bum Sun

AU - Yoo, Seung Don

AU - Bang, Heui Je

AU - Shin, Hyung Ik

AU - Kim, Yong Wook

AU - Jung, Heeyoune

AU - Kim, Eung Ju

AU - Lee, Jung Hwan

AU - Jung, In Hyun

AU - Jung, Jae Seung

AU - Lee, Jong Young

AU - Han, Jae Young

AU - Han, Eun Young

AU - Won, Yu Hui

AU - Han, Woosik

AU - Baek, Sora

AU - Joa, Kyung Lim

AU - Lee, Sook Joung

AU - Kim, Ae Ryoung

AU - Lee, So Young

AU - Kim, Jihee

AU - Choi, Hee Eun

AU - Lee, Byeong Ju

AU - Kim, Soon

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N2 - Objective Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

AB - Objective Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

KW - Acute coronary syndrome

KW - Cardiac rehabilitation

KW - Clinical practice guidelines

KW - Mortality

KW - Secondary prevention

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