Evidence map›Paper›PMID 35902161›Full record

ArticleJACC. Heart failure2022

Expenditure on Heart Failure in the United States: The Medical Expenditure Panel Survey 2009-2018.

Roshni Bhatnagar, Gregg C Fonarow, Paul A Heidenreich, Boback Ziaeian

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in JACC. Heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07018297 (Early Discharge With Subcutaneous Furosemide Versus Standard Care in Acute Heart Failure), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT07018297 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Early Discharge With Subcutaneous Furosemide Versus Standard Care in Acute Heart Failure: A Cluster-Randomized Crossover Non-Inferiority Trial

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2026 to 2028Enrolled250ConditionsHeart Failure, Acute Decompensated Heart FailureArmsEarly Discharge with Lasix® ONYU (furosemide injection, for subcutaneous use) using SQIN-Infusor
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  7. Doppler Echocardiography for Assessment of Diastolic Function in Mice.Journal of visualized experiments : JoVE · 2026
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  11. Review
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  18. Changes in health insurance status and mortality in patients with acute heart failure.American heart journal plus : cardiology research and practice · 2025
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Roshni BhatnagarDivision of Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Gregg C FonarowDivision of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Paul A HeidenreichDivision of Cardiology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA; Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
Boback ZiaeianDivision of Cardiology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA; Division of Cardiology, Veteran Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA. Electronic address: bziaeian@mednet.ucla.edu.
University of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USVA Palo Alto Health Care System · US

Funding

The Effect of Nanoparticle Encapsulated Resveratrol on Treatment of PeriodontitisKL2TR001882 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Elizabeta Nemeth · 2016 to 2026
$13.1M
American Heart Association-American Stroke Association 17SDG33630113NCATS NIH HHS KL2 TR001882
6 · The paper itself

Abstract

backgroundWith rising United States health care expenditure, estimating current spending for patients with heart failure (HF) informs the value of preventative health interventions.

objectivesThe purpose of this study was to estimate current health care expenditure growth for patients with HF in the United States.

methodsThe authors pooled MEPS (Medical Expenditure Panel Survey) data from 2009-2018 to calculate total HF-related expenditure across clinical settings in the United States. A 2-part model adjusted for demographics, comorbidities, and year was used to estimate annual mean and incremental expenditures associated with HF.

resultsIn the United States, an average of $28,950 (2018 inflation-adjusted dollars) is spent per year for health care-related expenditure for individuals with HF compared with $5,727 for individuals without HF. After adjusting for demographics and comorbidities, a diagnosis of HF was associated with $3,594 in annual incremental expenditure compared with those without HF. HF-related expenditure increased from $26,864 annual per person in 2009-2010 to $32,955 in 2017-2018, representing a 23% rise over 10 years. In comparison, expenditure on myocardial infarction, type 2 diabetes mellitus, and cancer grew by 16%, 28%, and 16%, respectively. Most of the cost was related to hospitalization: $12,569 per year. Outpatient office-based care and prescription medications saw the greatest growth in cost over the period, 41% and 24%, respectively. Estimated incremental national expenditure for HF per year was $22.3 billion; total annual expenditure for adults with HF was $179.5 billion.

conclusionsHF is a costly condition for which expenditure is growing faster than that of other chronic conditions.

Indexed as

Diabetes Mellitus, Type 2Heart FailureAdultAmbulatory CareHealth ExpendituresHospitalizationHumansUnited Stateshealth care economicshealth expenditureheart failure (HF)Medical Expenditure Panel Survey

Identifiers

PMID35902161
PMCPMC9680004
OpenAlexW4288032965

What OpenQuestion holds

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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.