Evidence map›Paper›PMID 38590395›Full record

ArticleAJPM focus2024

Association Between Cardiovascular Health Status and Healthcare Utilization in a Large Integrated Healthcare System.

Irvin Lien, Howard Moffet, Jennifer Liu, Andrew Karter, Matthew Solomon, Alan Go, Khurram Nasir, Stephen Sidney, Jamal Rana

Abstract read
In one paragraph

Article in AJPM focus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Irvin LienDepartment of Internal Medicine, Kaiser Permanente Oakland Medical Center, Oakland, California.
Howard MoffetDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.
Jennifer LiuDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.
Andrew KarterDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.
Matthew SolomonDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.
Alan GoDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.
Khurram NasirDivision of Cardiovascular Medicine, Houston Methodist Hospital, Houston, Texas.
Stephen SidneyDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.
Jamal RanaDepartment of Cardiology, Kaiser Permanente Oakland Medical Center, Oakland, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The American Heart Association Life's Simple 7 schema can be used to categorize patients' cardiovascular health status as poor, intermediate, or ideal on the basis of smoking, BMI, physical activity, dietary patterns, blood pressure, cholesterol, and fasting blood sugar. This study examined the association between cardiovascular health status and subsequent healthcare utilization. Methods: This was an observational cohort study of adults from an integrated healthcare delivery system-Kaiser Permanente Northern California-that had outpatient care between 2013 and 2014. Patients were categorized by American Heart Association cardiovascular health status: poor, intermediate, or ideal. Individual-level healthcare utilization and costs in 2015 were accumulated for each patient and compared across the 3 cardiovascular health categories and stratified by age groups. Results: A total of 991,698 patients were included in the study. A total of 194,003 (19.6%) were aged 18-39 years; 554,129 (55.9%) were aged 40-64 years; and 243,566 (24.6%) were aged ≥65 years. A total of 259,931 (26.2%) had ideal cardiovascular health; 521,580 (52.6%) had intermediate cardiovascular health; and 210,187 (21.2%) had poor cardiovascular health. Healthcare utilization measured by average relative cost per patient increased monotonically across age categories ( Conclusions: Adults who were younger and had more ideal cardiovascular health had relatively lower healthcare costs across age groups. Interventions to promote better cardiovascular health may improve patient outcomes and reduce overall healthcare expenditures.

Indexed as

cardiovascular diseaseCardiovascular Healthexpenditureshealthcare costhealthcare utilizationpreventative medicine

Identifiers

PMID38590395
PMCPMC10999799

What OpenQuestion holds

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LicenceCC BY
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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.