ArticleMayo Clinic proceedings2019
Association Between Patient Cost Sharing and Cardiac Rehabilitation Adherence.
Article in Mayo Clinic proceedings, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed.
- Cardiac telerehabilitation under 5G internet of things monitoring: a randomized pilot study.Scientific reports · 2023Trial
- Social Inequality in the Comprehensive Cardiac Rehabilitation Pathway: A Nationwide Cohort Study Across Hospitals and Primary Health Care Centers.Journal of cardiopulmonary rehabilitation and prevention · 2026Article
- Association Between Copayments and Attendance in Cardiac Rehabilitation: A Nationwide Analysis From the AACVPR Registry.Journal of the American Heart Association · 2026Article
- The Economics of Cardiac Rehabilitation in North, Central, and South America: A Narrative Review.The Canadian journal of cardiology · 2025Review
- Cardiac Rehabilitation Trends Among Commercially Insured Adults in the United States, 2017-2023.Circulation. Cardiovascular quality and outcomes · 2025Article
- Strategies for Overcoming Barriers in Access to Cardiovascular Care for Women.Circulation research · 2025Review
- Adherence to outpatient cardiac rehabilitation and related factors in STEMI after PCI in China: a sequential explanatory mixed method study protocol.Frontiers in cardiovascular medicine · 2025Article
- Eliminating Financial Barriers to Cardiac Rehabilitation.JAMA internal medicine · 2024Article
- Impact of Cardiac Rehabilitation Health Insurance Coverage on Cardiac Rehabilitation Use in Korea Using an Interrupted Time Series.Journal of the American Heart Association · 2024Article
- Advances, Challenges, and Progress in Cardiac Rehabilitation in Chronic CVD Management.Current atherosclerosis reports · 2023Review
- A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities.Circulation · 2023Review
- Racial and Ethnic Differences in Cardiac Rehabilitation Participation: Effect Modification by Household Income.Journal of the American Heart Association · 2022Article
- Variation in Cardiac Rehabilitation Participation During Aortic Valve Replacement Episodes of Care.Circulation. Cardiovascular quality and outcomes · 2022Article
- Million Hearts Cardiac Rehabilitation Think Tank: Accelerating New Care Models.Circulation. Cardiovascular quality and outcomes · 2021Article
- Association Between Increased Hospital Reimbursement for Cardiac Rehabilitation and Utilization of Cardiac Rehabilitation by Medicare Beneficiaries: An Interrupted Time Series.Circulation. Cardiovascular quality and outcomes · 2021Article
- Enhancing participation in cardiac rehabilitation: Focus on underserved populations.Progress in cardiovascular diseasesReview
- Inequities in atherosclerotic cardiovascular disease prevention.Progress in cardiovascular diseasesReview
- Clinical challenges facing patient participation in cardiac rehabilitation: cigarette smoking.Expert review of cardiovascular therapyReview
- Cost Sharing for Acupuncture Therapy in Commercial Insurance Plans.Global advances in integrative medicine and healthArticle
Corrections and comments
- Commented on by
Authors and funding
7 authors.
Funding
Abstract
objectiveTo determine the association between cost sharing and adherence to cardiac rehabilitation (CR). PATIENTS AND
methodsWe collected detailed cost-sharing information for patients enrolled in CR at Baystate Medical Center in Springfield, Massachusetts, including the presence (or absence) and amounts of co-pays and deductibles. We evaluated the association between cost sharing and the total number of CR sessions attended as well as the influence of household income on CR attendance.
resultsIn 2015, 603 patients enrolled in CR had complete cost-sharing information. In total, 235 (39%) had some form of cost sharing. Of these, 192 (82%) had co-pays (median co-pay, $20; interquartile range [IQR], $10-$32) and 79 (34%) had an unmet deductible (median, $500; IQR, $250-$1800). The presence of any amount or form of cost sharing was associated with 6 fewer sessions of CR (16; IQR, 4-36 vs 10; IQR, 4-27; P<.001). Patients hospitalized in November or December with deductibles that renewed in January attended 4.5 fewer sessions of CR (8.5; IQR, 3.25-12.50 vs 13; IQR, 5.25-36.00; P=.049). After adjustment for differences in baseline characteristics, every $10 increase in co-pay was associated with 1.5 (95% CI, -2.3 to -0.7) fewer sessions of CR (P<.001). Household income did not moderate these relationships.
conclusionCost sharing was associated with lower CR attendance and exhibited a dose-response relationship such that higher cost sharing was associated with lower CR attendance. Given that CR is cost-effective and underutilized, insurance companies and other payers should reevaluate their cost-sharing policies for CR.
Indexed as
Identifiers
What OpenQuestion holds
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.