Evidence map›Paper›PMID 41944167›Full record

Observational studyJournal of the American Heart Association2026

Trends in Cardiac Rehabilitation Participation Among Veterans and Medicare Beneficiaries With Stable Heart Failure, 2012 to 2022.

Saron Hunegnaw, Alexis Beatty, Linda G Park, Ning Zhang, Thomas J Hoffmann, Mary A Whooley

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Saron HunegnawSan Francisco Veterans Affairs Medical Center San Francisco CA USA.ORCID 0009-0001-4000-0908
Alexis BeattyDepartment of Epidemiology and Biostatistics University of California San Francisco CA USA.ORCID 0000-0001-8405-7386
Linda G ParkSan Francisco Veterans Affairs Medical Center San Francisco CA USA.ORCID 0000-0002-9894-4039
Ning ZhangSan Francisco Veterans Affairs Medical Center San Francisco CA USA.ORCID 0000-0002-4157-4356
Thomas J HoffmannDepartment of Epidemiology and Biostatistics University of California San Francisco CA USA.
Mary A WhooleySan Francisco Veterans Affairs Medical Center San Francisco CA USA.ORCID 0000-0002-5943-0078

Funding

HSRD VA I50 HX002756
6 · The paper itself

Abstract

backgroundHeart failure (HF) affects 6.7 million American adults and is associated with significant morbidity and mortality. Cardiac rehabilitation (CR) is a behavior modification program recommended to improve health outcomes in patients with HF. In 2014, Medicare began covering facility-based CR for patients with stable HF, and some Veterans Affairs (VA) facilities began offering home-based CR.

methodsWe conducted an observational study to assess CR participation among patients with stable HF and patient characteristics associated with participation. National electronic health record data from the VA and claims data from a 5% Medicare sample were used to identify patients using

resultsFrom 2012 to 2022, VA participation increased from 7.4% to 10.4% and Medicare decreased from 7.4% to 5.1%. From 2016 to 2022, 13.2% of veterans and 6.7% of Medicare beneficiaries with stable HF participated in CR. Older age, female sex, and non-White race were associated with lower participation, and comorbid ischemic heart disease was associated with greater participation (odds ratio [OR], 1.48 [95% CI, 1.45-1.52] in VA; OR, 2.69 [95% CI, (2.62-2.78] in Medicare).

conclusionsFollowing the VA's implementation of home-based CR and Medicare's facility-based CR coverage for stable HF, participation increased among veterans but not among Medicare beneficiaries. Lower participation was observed among women and non-White patients. These findings suggest that covering home-based CR could improve participation among Medicare beneficiaries.

Indexed as

Cardiac RehabilitationHeart FailureMedicareVeteransAgedAged, 80 and overFemaleHumansMaleUnited StatesUnited States Department of Veterans Affairscardiac rehabilitationheart failureveterans

Identifiers

PMID41944167
PMCPMC13279236

What OpenQuestion holds

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Registered trials

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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.