Evidence map›Paper›PMID 25074375›Full record

Trial reportCirculation. Cardiovascular quality and outcomes2014

Place of residence and outcomes of patients with heart failure: analysis from the telemonitoring to improve heart failure outcomes trial.

Behnood Bikdeli, Brian Wayda, Haikun Bao, Joseph S Ross, Xiao Xu, Sarwat I Chaudhry, John A Spertus, Susannah M Bernheim, Peter K Lindenauer, Harlan M Krumholz

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Circulation. Cardiovascular quality and outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00303212 (A Study of Telemonitoring to Improve Heart Failure Outcomes), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00303212 nacompletednot on this map

A Study of Telemonitoring to Improve Heart Failure Outcomes

TypeinterventionalSponsorYale UniversityRan2006 to 2010Enrolled1,660ConditionsCongestive Heart FailureArmsTelemonitoring
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Unequal Hearts: Racial Disparities Persist in Heart Transplant Outcomes.Journal of the American Heart Association · 2025
    Article
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  6. Review
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  8. Article
  9. Observational
  10. Article
  11. Review
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  14. Evaluation of Racial and Ethnic Disparities in Cardiac Transplantation.Journal of the American Heart Association · 2021
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Behnood BikdeliFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Brian WaydaFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Haikun BaoFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Joseph S RossFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Xiao XuFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Sarwat I ChaudhryFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
John A SpertusFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Susannah M BernheimFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Peter K LindenauerFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.).
Harlan M KrumholzFrom the Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, CT (B.B., B.W., H.B., J.S.R., X.X., S.I.C., S.M.B., H.M.K.); Section of Cardiovascular Medicine, Department of Internal Medicine (B.B., H.M.K.), Section of General Internal Medicine, Department of Internal Medicine (J.S.R., S.I.C., S.M.B.), Department of Obstetrics, Gynecology, and Reproductive Sciences (X.X.), Robert Wood Johnson Clinical Scholars Program, Department of Internal Medicine (H.M.K., J.S.R.), Yale University School of Medicine, New Haven, CT; Saint Luke's Mid America Heart Institute/University of Missouri-Kansas City (J.A.S.); Department of Medicine, Center for Quality of Care Research, Baystate Medical Center, Springfield, MA (P.K.L.); Tufts University School of Medicine, Boston, MA (P.K.L.); and Department of Health Policy and Management, Yale School of Public Health, New Haven, CT (H.M.K., J.S.R.). harlan.krumholz@yale.edu.

Funding

Telemonitoring to improve heart failure outcomesR01HL080228 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2005 to 2008
$6.9M
Center for Cardiovascular Outcomes Research at Yale UniversityU01HL105270 · NHLBI · YALE UNIVERSITY · PI CURTIS, JEPTHA PELHAM, KRUMHOLZ, HARLAN MARC · 2010 to 2013
$5.8M
NHLBI NIH HHS 5 R01 HL080228NHLBI NIH HHS R01 HL080228NHLBI NIH HHS U01 HL105270NHLBI NIH HHS U01HL105270-05
6 · The paper itself

Abstract

backgroundRecent studies show an association between neighborhood-level measures of socioeconomic status (SES) and outcomes for patients with heart failure. We do not know whether neighborhood SES has a primary effect or is a marker for individual SES. METHODS AND

resultsWe used the data from participants of the Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) trial, recruited from 33 US internal medicine and cardiology practices and examined the association between neighborhood SES and outcomes of patients with heart failure. We used census tracts as proxies for neighborhoods and constructed summary SES scores that included information about wealth and income, education, and occupation. The primary end points were readmission and all-cause mortality at 6 months. We conducted patient interviews and medical chart reviews to obtain demographic information, clinical factors, therapies, and individual SES. We included 1557 patients: 524, 516, and 517 from low, medium, and high SES neighborhoods, respectively (mean age, 61.1±15.2 years; 42.2% women).Overall, 745 patients (47.8%) had ≥1 readmission and 179 patients (11.5%) died. When compared with patients in high SES neighborhoods, those living in low-SES neighborhoods were more likely to be readmitted (odds ratio, 1.35; 95% confidence interval, 1.01-1.82), but the mortality rates were not significantly different (odds ratio, 0.78; 95% confidence interval, 0.50-1.18). The results were consistent after multivariable adjustments for individual demographics, clinical factors, and individual SES.

conclusionsAmong patients with heart failure, neighborhood SES was significantly associated with 6-month all-cause readmission even after adjusting for other patient-level factors, including individual SES. Greater number of events and longer follow-up is required to ascertain the potential effect of neighborhood SES on mortality. CLINICAL TRIAL REGISTRATION URL: http://clinicaltrials.gov/. Unique identifier: NCT00303212.

Indexed as

AdultAgedAged, 80 and overEducationFemaleFollow-Up StudiesHeart FailureHumansIncomeMaleMiddle AgedOccupationsOutcome Assessment, Health CarePatient ReadmissionQuality ImprovementResidence Characteristicsheart failuremortalitypatients readmissionresidence characteristicssocioeconomic class

Identifiers

PMID25074375
PMCPMC5323058

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.