Current state of cardiac rehabilitation in Portugal: Results of the 2019 national survey

Adherence, safety, and satisfaction of a cardio-oncology rehabilitation program framework versus community exercise training for cancer survivors: findings from the CORE trial

“…Although the present study derives from a pre-specified secondary analysis, this point should be further considered when interpreting the data, which should be viewed, at this point, as hypothesis generating. Albeit this, in view of the major hurdles related to both the implementation and adherence to exercise-based programs (encompassing CR) which have been previously reported in different clinical contexts, specifically addressing these secondary outcomes in detail could be of substantial importance, as to try to optimize and overcome some of these potential barriers [23,25,33]. In addition, given the specificities associated with the survivorship continuum (namely when considering different types of cancers, treatments, and comorbidities), assessing the safety of these approaches based on a framework reflective of clinical practice can also provide important ancillary data [16,33].…”

“…Moreover, there is still a need for more data on the feasibility, acceptability, and safety of this approach in specific subgroups of cancer survivors and in different settings. Indeed, when addressing the current paradigm concerning CR (as related specifically to CV patients, without a primary focus on cancer survivors), and even when considering the plethora of data attesting to its central role in different CVD, reports have nonetheless underscored several barriers to this intervention, leading to pitfalls such as low adherence rates [23][24][25]. As such, the question of whether cardio-oncology rehabilitation would be a feasible and acceptable model in different oncological settings is of pivotal importance.…”

Qual é o Cenário Atual da Reabilitação Cardíaca no Brasil e em Portugal?

“…Neste cenário, o Grupo de Estudos de Fisiologia de Esforço e Reabilitação Cardíaca da Sociedade Portuguesa de Cardiologia tem realizado questionários recorrentes aos Centros de RC para avaliar a evolução da RC em Portugal. [9][10][11][12][13] No último inquérito, datado de 2019, 13 foram registrados 25 centros (33% de aumento do número em relação a 2014) 12 com programas de RC, assim considerados de acordo com padrões nacionais e europeus. 14,15 Destes, 11 centros localizam-se na região norte, 1 na região central, 12 na região da grande Lisboa e 1 no sul do país.…”

“…Outro dado interessante é que em 2019, 13 verificou-se um aumento de 13% nos pacientes que foram encaminhados para RC, comparativamente ao questionário prévio de 2014, 12 sobretudo no sistema público de saúde. Entretanto, apesar do aumento numérico de pacientes reabilitados, apenas 9,3% daqueles com alguma síndrome coronariana aguda (SCA -causa mais frequente de indicação de reabilitação), foram de fato reabilitados.…”

Adherence, safety and satisfaction of a cardio-oncology rehabilitation program framework versus community exercise training for cancer survivors: findings from the CORE trial

“…Moreover, there is still a need for more data on the feasibility, acceptability, and safety of this approach in speci c subgroups of cancer survivors and in different settings. Indeed, when addressing the current paradigm concerning CR (as related speci cally to CV patients, without a primary focus on cancer survivors), and even considering the plethora of data attesting to its central role in different CVD, several reports have nonetheless underscored the many barriers to this intervention, leading to pitfalls such as low adherence rates [23][24][25]. In view of this fact, the question of whether cardio-oncology rehabilitation would be a feasible and acceptable model in oncological setting is of pivotal importance.…”