為持續提昇本會對從事心肺復健有興趣的會員與國際接軌，提供International Council of Cardiovascular Prevention and Rehabilitation,(ICCPR)組織的介紹資料給會員參考。
All About the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR)
Dear TAPMR Members:
This information is intended for those of you interested in the cardiac area. As the current Chair of
ICCPR, I am writing on behalf of our Executive to formally introduce ourselves, share with you our
history, and inform you of our activities. It is only by engaging interested cardiac providers, that we can
all achieve our mission to improve chronic cardiac care and patient outcomes globally.
Did you know years ago there was a “World Council of Cardiac Rehab”? They held their last conference
back in 2004 in Dublin, Ireland. The council served an important purpose of bringing together cardiac
rehab (CR) professionals around the world, but unfortunately ran out of funds and disbanded.
ICCPR was “born” around 2010. We hosted a series of meetings with the leads of many of the CR
societies globally, to talk about ways to again formally work together and formulate our shared mission.
This resulted in our international Charter (published in our association journal JCRP volume 33[issue 2]
vention.10.aspx), which was endorsed by 15 CR or like-minded societies.
This coalition of associations then went on to become a formal member of the World Heart Federation
(WHF). We are a Council comprised of named representatives from the Board of Directors of member
associations (such as Dr. Ssu-Yuan Chen from Taipei; and Marta Supervia of ESPRM’s CR special interest
group). We are currently 34 association members strong (see Figure 1), with good coverage across all
corners of the globe. We also recently added a member category of “friends”, for those colleagues in
countries CR is burgeoning, yet no CR-type association exists to formally join us; we have 11 such
friends as official members. We meet via webconference quarterly, and meet in-person biennially in
conjunction with WHF’s conference (World Congress of Cardiology).
You might be interested in perusing our website at
www.globalcardiacrehab.com. There we collate the
resources of all our member associations, including links to CR guidelines, registries, training
opportunities, quality indicators / performance measures, standards, as well as newsletters. If you know
of additional resources with global applicability you feel we have missed, please let us know.
KEY ICCPR PROJECTS:
ICCPR has led, been involved with, or showcased other, seminal reviews in the CR area, summarizing for
example CR benefits, registries, national CR delivery, costs & cost-effectiveness, and quality in all
countries around the world (see our website).
Our members told us what they really needed was advocacy for more delivery. Hence, we surveyed all
countries to determine what were the CR reimbursement sources around the world, and secured
“success stories” from countries with better reimbursement and capacity (see BMC HSR, volume 16,
2016) to circulate along with our advocacy toolkit (http://globalcardiacrehab.com/advocacy/). We also
advocate for CR through our participation in World Health Organization’s Rehab2030 initiative
(http://www.who.int/disabilities/care/rehab-2030/en/) they are developing a package of
rehabilitation interventions, inclusive of rehab for ischemic heart disease.
Using the most rigorous of methods, we convened an international panel of experts through our
extensive network and developed a consensus statement on CR delivery in low-resource settings. It is
available on ECRI’s Guideline Clearinghouse (https://guidelines.ecri.org/; in addition to being published
in Heart & Progress in CVD). In the statement, we put forward recommendations on how to deliver each
CR core component in an evidence-based, affordable and feasible manner.
We have a companion certification program, trainees can view a module corresponding to each
core component, to increase capacity to deliver CR in low-resource settings
http://globalcardiacrehab.com/training-opportunities/certification/). Approximately 1,000 cardiologists
in India recently completed the certification, earning the CRFC designation.
We also undertook a survey of every CR program around the world! Overall, 112/203 (54.7%) countries
in the world offer CR, of which we collected data in 93 (N=1,081 programs completed surveys). Results
of the study are now being disseminated (see for example
https://www.sciencedirect.com/science/article/pii/S0167527318343894?via=ihub). We have for
the first time quantified the number more CR spots needed in each country, and what is delivered
it is available.
Finally, our most recent initiative has been around increasing CR utilization. We have d the
Cochrane review on interventions to increase CR utilization (to be released Feb 1). We found
interventions that significantly increase CR enrolment, adherence and completion (resources collated
http://sgrace.info.yorku.ca/tools-to-promote-cardiac-rehabilitation-utilization/). Based on the
evidence, we convened an international writing panel to put forward a joint ICCPR and CACPR position
statement. We have received endorsement from ~20 CR societies globally to date, including TAPMR, and
hope it will be published soon.
We have developed an online course for inpatient cardiac healthcare providers regarding how to
promote CR use in their patients, to facilitate implementation of statement recommendations. See:
http://learnonthego.ca/Courses/promoting_patient_participation_in_CR/story_html5.html. Once we
are done evaluating it, we will genericize the referral information to be applicable to any location, and
disseminate it more broadly.
In closing, we hope you will find ICCPR to be a companion resource to all that TAPMR offers you,
bringing you ideas and perspectives from all corners of the globe. If you are ever looking for CR contacts,
resources etc. in another part of the world, please do not hesitate to reach out to us.
Sherry L Grace, PhD, FCCS, CRFC
Member, CACPR, AACVPR & EAPC
Professor, York University & Director of CR Research, University Health Network, Toronto
ICCPR_GlobalCR & @sherrylgrace