ArticleJournal of the American College of Cardiology2023
Geographic Variation in Access to Cardiac Rehabilitation.
Article in Journal of the American College of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.
What it found
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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.
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Who cites it
17 citing papers in PubMed.
- Personalized Smartphone Messaging for Secondary Prevention After Percutaneous Coronary Intervention: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Cardiac Rehabilitation-Current Paradigms and Challenges Across the Cardiovascular Continuum.Journal of clinical medicine · 2026Review
- Rebuilding life after heart valve surgery: The VALCAR(E)_QoL study on rehabilitation and quality of life.MethodsX · 2026Article
- Medicare Advantage Benefits Design and Access to Cardiovascular Care.JAMA network open · 2026Article
- Quality-of-life and functional outcomes in virtual vs traditional cardiac rehabilitation: A retrospective cohort study.American journal of preventive cardiology · 2026Article
- Travel Distance, Urbanicity, and Cardiac Rehabilitation Participation in Medicare Beneficiaries.JACC. Advances · 2026Article
- Comparing disparities in geographic proximity to exercise-based cardiac rehabilitation before and after decentralisation of services: a repeated cross-sectional study using individual-level register data.International journal for equity in health · 2025Article
- The continuum of prevention and heart failure in cardiovascular medicine: A joint scientific statement from the Heart Failure Society of America and the American Society for Preventive Cardiology.American journal of preventive cardiology · 2025Review
- Exercise training for myocardial ischemia reperfusion injury: Mechanism and clinical practice (Review).International journal of molecular medicine · 2025Review
- Traditional and Virtual Cardiac Rehabilitation: Understanding the Changing Landscape of Cardiac Rehabilitation and the Implications on Patient Outcomes.Reviews in cardiovascular medicine · 2025Review
- Cardiac Rehabilitation in the Modern Era: Evidence, Equity, and Evolving Delivery Models Across the Cardiovascular Spectrum.Journal of clinical medicine · 2025Review
- Retrospective Comparison of Outcomes and Cost of Virtual Versus Center-Based Cardiac Rehabilitation Programs.Journal of the American Heart Association · 2024Article
- A Crowdsourced AI Framework for Atrial Fibrillation Detection in Apple Watch and Kardia Mobile ECGs.Sensors (Basel, Switzerland) · 2024Article
- Remote, Smart Device-Based Cardiac Rehabilitation After Myocardial Infarction: A Pilot, Randomized Cross-Over SmartRehab Study.Mayo Clinic proceedings. Digital health · 2024Article
- Heart failure with preserved ejection fraction.Nature reviews. Disease primers · 2024Review
- A National Approach to Promoting Health Equity in Cardiovascular Disease Prevention: Implementation Science Strengths, Opportunities, and a Changing Chronic Disease Context.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Analysis of the Predictors of Mortality from Ischemic Heart Diseases in the Southern Region of Brazil: A Geographic Machine-Learning-Based Study.Global heart · 2024Article
Corrections and comments
- Commented on by
- Erratum issuedCorrection.2023
Authors and funding
10 authors.
Funding
Abstract
backgroundThere is marked geographic variation in cardiac rehabilitation (CR) initiation, ranging from 10% to 40% of eligible patients at the state level. The potential causes of this variation, such as patient access to CR centers, are not well studied.
objectivesThe authors sought to determine how access to CR centers affects CR initiation in Medicare beneficiaries.
methodsThe authors used Medicare files to identify CR-eligible Medicare beneficiaries and calculate CR initiation rates at the hospital referral region (HRR) level. We used linear regression to evaluate the percent variation in CR initiation accounted for by CR access across HRRs. We then employed geospatial hotspot analysis to identify CR deserts, or counties in which patient load per CR center is disproportionately high.
resultsA total of 1,133,657 Medicare beneficiaries were eligible for CR from 2014 to 2017, of whom 263,310 (23%) initiated CR. The West North Central Census Division had the highest adjusted CR initiation rate (35.4%) and the highest density of CR programs (6.58 per 1,000 CR-eligible Medicare beneficiaries). Density of CR programs accounted for 21.2% of geographic variation in CR initiation at the HRR level. A total of 40 largely urban counties comprising 14% of the United States population age ≥65 years had disproportionately low CR access and were identified as CR deserts.
conclusionsA substantial proportion of geographic variation in CR initiation was related to access to CR programs, with a significant amount of the U.S. population living in CR deserts. These data invite further study on interventions to increase CR access.
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