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No significant difference was found between the home based and centre based programmes.
Losses to follow-up varied considerably and were often asymmetric across the home based and centre based cardiac rehabilitation groups.
Jolly et al reported no difference in smoking between home based and centre based arms at 24 months.
Two large randomised controlled trials that compared home based and centre based cardiac rehabilitation in the United Kingdom have recently been completed.
Overall, there were no significant differences in overall health related quality of life outcomes or domain scores at follow-up between home based and centre based cardiac rehabilitation.
In this systematic review we assessed the evidence from randomised controlled trials that compared outcomes with home based and centre based cardiac rehabilitation.
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*Home = centre: no significant difference (P>0.05) in HRQoL (health related quality of life) between home and centre based groups at follow-up; home > centre: significant (P≤0.05) higher HRQoL in home v centre based groups at follow-up; home < centre: significant (P≤0.05) lower HRQoL in home v centre based groups at follow-up.
Home based versus centre based cardiac rehabilitation: Cochrane systematic review and meta-analysis.
We found no evidence of a difference in outcomes in patients with stable coronary heart disease who received home based or centre based cardiac rehabilitation in the short term (3-12 morths) or longer term (up to 24 months).
Objective To compare the effect of home based and supervised centre based cardiac rehabilitation on mortality and morbidity, health related quality of life, and modifiable cardiac risk factors in patients with coronary heart disease.
Comparative trials are needed to assess the relative impact of supervised centre based and home based cardiac rehabilitation in patients with heart failure.
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