Circulation Reports
Online ISSN : 2434-0790
Cardiac Rehabilitation
Current Return-to-Work Outcomes and Barriers Among Patients With Cardiovascular Disease Undergoing Cardiac Rehabilitation ― A Questionnaire-Based Study ―
Kei ImaokaJunya Tanabe Akihito NoguchiSho FukuharaShuri NakaoNahoko OyaNorimasa EgusaYasuo Sakai
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Supplementary material

2025 Volume 7 Issue 10 Pages 869-876

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Abstract

Background: Many patients with cardiovascular disease show no obvious physical disability after hospital discharge, making it difficult to recognize functional decline and adapt appropriate accommodations. Therefore, this study examined return-to-work (RTW) outcomes and barriers after hospital discharge.

Methods and Results: We conducted a questionnaire among patients aged 18–64 years who underwent inpatient cardiac rehabilitation and were discharged between January 2018 and March 2023. Of 133 eligible patients, 54 responded (response rate 41%). Respondents were classified as: (1) returned to their original job; (2) returned to a different job; and (3) did not return to any job. The overall RTW rate was 96%, with 92% returning to their original job within 3 months. However, 81% of the respondents reported anxiety, mainly about physical strain and limited workplace understanding. Physicians were the most frequently consulted professionals, while other healthcare providers were rarely sought for advice.

Conclusions: Although most patients successfully returned to work, substantial anxiety persisted regarding workplace reintegration. A structured vocational support system is required, wherein healthcare providers proactively identify at-risk patients and deliver comprehensive guidance to support sustainable RTW outcomes.

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© 2025, THE JAPANESE CIRCULATION SOCIETY

This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/
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