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Rethinking rehabilitation after percutaneous coronary intervention: a protocol of a multicentre cohort study on continuity of care, health literacy, adherence and costs at all care levels (the CONCARD PCI )

Published version
Peer-reviewed

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Type

Article

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Authors

Allore, Heather G 
Bendz, Bjørn 
Bjorvatn, Cathrine 

Abstract

Introduction: Percutaneous coronary intervention (PCI) aims to provide instant relief of symptoms, and improve functional capacity and prognosis in patients with coronary artery disease. Although patients may experience a quick recovery, continuity of care from hospital to home can be challenging. Within a short time span, patients must adjust their lifestyle, incorporate medications and acquire new support. Thus, CONCARDPCI will identify bottlenecks in the patient journey from a patient perspective to lay the groundwork for integrated, coherent pathways with innovative modes of healthcare delivery. The main objective of the CONCARDPCI is to investigate (1) continuity of care, (2) health literacy and self-management, (3) adherence to treatment, and (4) healthcare utilisation and costs, and to determine associations with future short and long-term health outcomes in patients after PCI. Methods and analysis: This prospective multicentre cohort study organised in four thematic projects plans to include 3000 patients. All patients undergoing PCI at seven large PCI centres based in two Nordic countries are prospectively screened for eligibility and included in a cohort with a 1-year follow-up period including data collection of patient-reported outcomes (PRO) and a further 10-year follow-up for adverse events. In addition to PROs, data are collected from patient medical records and national compulsory registries. Ethics and dissemination: Approval has been granted by the Norwegian Regional Committee for Ethics in Medical Research in Western Norway (REK 2015/57), and the Data Protection Agency in the Zealand region (REG-145-2017). Findings will be disseminated widely through peer-reviewed publications and to patients through patient organisations. Trial registration number: NCT03810612.

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Keywords

Cardiovascular medicine, 1506, 1683, continuity of care, adherence to treatment, health literacy, healthcare utilisation, percutaneous coronary intervention, rehabilitation

Journal Title

BMJ Open

Conference Name

Journal ISSN

2044-6055

Volume Title

10

Publisher

BMJ Publishing Group
Sponsorship
Novo Nordisk (NNF17OC0030130)
Helse Vest (Grant no 911870, Grant no 912184, Grant no 912295)
Zealand Regional Research Foundation (Grant no 15-000342)