Evidence map›Paper›PMID 32703013›Full record

Observational studyCirculation. Cardiovascular quality and outcomes2020

Multiple Vulnerabilities to Health Disparities and Incident Heart Failure Hospitalization in the REGARDS Study.

Laura C Pinheiro, Evgeniya Reshetnyak, Madeline R Sterling, Emily B Levitan, Monika M Safford, Parag Goyal

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Circulation. Cardiovascular quality and outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  8. SDoH-GPT: using large language models to extract social determinants of health.Journal of the American Medical Informatics Association : JAMIA · 2026
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  10. Observational
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  14. The Cumulative Burden of Social Risk Factors and 10-Year Change in Quality of Life.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
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  20. Preventing new-onset heart failure: Intervening at stage A.American journal of preventive cardiology · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Laura C PinheiroDivision of General Internal Medicine (L.C.P., E.R., M.R.S., M.M.S., P.G.), Department of Medicine, Weill Cornell Medicine, New York, NY.
Evgeniya ReshetnyakDivision of General Internal Medicine (L.C.P., E.R., M.R.S., M.M.S., P.G.), Department of Medicine, Weill Cornell Medicine, New York, NY.
Madeline R SterlingDivision of General Internal Medicine (L.C.P., E.R., M.R.S., M.M.S., P.G.), Department of Medicine, Weill Cornell Medicine, New York, NY.
Emily B LevitanDepartment of Epidemiology, University of Alabama at Birmingham (E.B.L.).
Monika M SaffordDivision of General Internal Medicine (L.C.P., E.R., M.R.S., M.M.S., P.G.), Department of Medicine, Weill Cornell Medicine, New York, NY.
Parag GoyalDivision of General Internal Medicine (L.C.P., E.R., M.R.S., M.M.S., P.G.), Department of Medicine, Weill Cornell Medicine, New York, NY.
Cornell University · USUniversity of Alabama at Birmingham · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
REGARDS - MI StudyR01HL080477 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2006 to 2020
$11.6M
REasons for Geographic And Racial Differences in Stroke-Myocardial Infarction-4 (REGARDS-MI-4)R01HL165452 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2022 to 2025
$8.3M
Healthcare Fragmentation and Cardiovascular OutcomesR01HL135199 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI KERN, LISA M · 2017 to 2020
$3.3M
NHLBI NIH HHS R01 HL080477NHLBI NIH HHS R01 HL135199NHLBI NIH HHS R01 HL165452NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

backgroundSocially determined vulnerabilities (SDVs) to health disparities often cluster within the same individual. SDVs are separately associated with increased risk of heart failure (HF). The objective of this study was to determine the cumulative effect of SDVs to health disparities on incident HF hospitalization. METHODS AND

resultsUsing the REGARDS (Reasons for Geographic and Racial Differences in Stroke) cohort study, we studied 25 790 participants without known HF and followed them for 10+ years. Our primary outcome was an incident HF hospitalization through December 31, 2016. Guided by the Healthy People 2020 framework for social determinants of health, we examined 10 potential SDVs. We retained SDVs associated with incident HF hospitalization (

conclusionsA greater number of SDVs significantly increased risk of incident HF hospitalization among adults <65 years, which persisted after adjustment for cardiovascular risk factors. Using a simple SDV count that could be obtained from a social history during clinical assessment may identify younger individuals at increased risk.

Indexed as

Black or African AmericanHealth Status DisparitiesHospitalizationSocioeconomic FactorsAgedAge FactorsEducational StatusFemaleHealthcare DisparitiesHeart FailureHumansIncidenceIncomeLongitudinal StudiesMaleMedically Uninsuredcardiovascular diseaseheart failurehospitalizationsocial determinants of health

Identifiers

PMID32703013
PMCPMC7577176
OpenAlexW3044694116

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.