Evidence map›Paper›PMID 41874198›Full record

ArticleCirculation. Heart failure2026

Improving Heart Failure Quality of Care Over the First Twenty Years: The Get With The Guidelines-Heart Failure Program.

Amber B Tang, Shen Li, Yilun Li, Juan Zhao, Kathie Thomas, Sabra C Lewsey, Paul A Heidenreich, Stephen J Greene, Larry A Allen, Mariell Jessup and 5 more

Abstract read
In one paragraph

Article in Circulation. Heart failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

15 authors.

Amber B TangDivision of Cardiovascular Medicine, Stanford University, Palo Alto, CA (A.B.T., P.A.H.).
Shen LiAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0000-0001-9322-6516
Yilun LiAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0000-0002-4064-2951
Juan ZhaoAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0000-0003-1429-0662
Kathie ThomasAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0009-0006-1692-3282
Sabra C LewseyDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD (S.C.L.).ORCID 0000-0001-8406-8472
Paul A HeidenreichDivision of Cardiovascular Medicine, Stanford University, Palo Alto, CA (A.B.T., P.A.H.).ORCID 0000-0001-7730-8490
Stephen J GreeneDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC (S.J.G.).ORCID 0000-0001-6912-7374
Larry A AllenDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora (L.A.A.).ORCID 0000-0003-2540-3095
Mariell JessupAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0000-0002-3010-0112
Michele BollesAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0009-0009-7783-5069
Christine RutanAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).ORCID 0000-0002-5071-1607
Natalie NavarAmerican Heart Association, Dallas, TX (S.L., Y.L., J.Z., K.T., M.J., M.B., C.R., N.N.).
Clyde W YancyDivision of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL (C.W.Y.).ORCID 0000-0001-7271-4166
Gregg C FonarowAhmanson-UCLA Cardiomyopathy Center, Ronald Reagan UCLA Medical Center, Los Angeles, CA (G.C.F.).ORCID 0000-0002-3192-8093

Funding

Personalized Patient data and behavioral nudges to improve adherence to chronic cardiovascular medicationsUH3HL144163 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ALLEN, LARRY ALEXANDER, BULL, SHEANA S · 2019 to 2022
$5.7M
Addressing Gaps in Longitudinal Heart Failure Pharmacotherapy to Reduce RehospitaK23HL105896 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ALLEN, LARRY ALEXANDER · 2011 to 2015
$676k
NHLBI NIH HHS K23 HL105896NHLBI NIH HHS L30 HL090434NHLBI NIH HHS UH3 HL144163
6 · The paper itself

Abstract

backgroundThe Get With The Guidelines-Heart Failure program is a national quality improvement initiative that was established in 2005 with the goal of improving the quality of care for patients hospitalized with heart failure.

methodsWe examined patient characteristics, adherence to achievement and quality measures, and in-hospital outcomes in patients hospitalized with heart failure among Get With The Guidelines-Heart Failure fully participating hospitals between 2005 and 2024. Measures were applied to eligible patients without documented contraindications. Multivariable regression analysis, adjusting for patient and hospital characteristics, was performed to assess temporal changes in individual measures and outcomes.

resultsOver the first 20 years, the Get With The Guidelines-Heart Failure program has grown to include 1 561 093 patient records (median age 73 [62-83], 47.4% women, median ejection fraction 45% [28%-58%]) and 819 participating hospitals. There was significant and sustained improvement in an all-or-none composite achievement metric, with an increase from 76.1% to 88.7% between 2005 and 2024 (adjusted odds ratio, 3.7 [95% CI, 3.5-4.0];

conclusionsThe Get With The Guidelines-Heart Failure program was associated with sustained improvements in key achievement and quality measures for patients hospitalized with heart failure during its initial 2 decades, with a notable rise in the prescription of guideline-directed medical therapies and rapid implementation of new medications.

Indexed as

Guideline AdherenceHeart FailurePractice Guidelines as TopicQuality ImprovementQuality Indicators, Health CareAgedAged, 80 and overFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'Time FactorsTreatment OutcomeUnited Statesguideline adherencehealth careheart failurehospitalizationquality improvementquality indicatorsregistries

Identifiers

PMID41874198
PMCPMC13015844

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.