{"id":"https://openalex.org/W7225609643","doi":"https://doi.org/10.64898/2026.11.06.26367478","title":"Provider-Level and Specialty Variation in ARNI and SGLT2i Use After Heart Failure Hospitalization","display_name":"Provider-Level and Specialty Variation in ARNI and SGLT2i Use After Heart Failure Hospitalization","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225609643","doi":"https://doi.org/10.64898/2026.11.06.26367478"},"language":"en","primary_location":{"id":"doi:10.64898/2026.11.06.26367478","doi":"https://doi.org/10.64898/2026.11.06.26367478","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.06.26367478","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/09/2026.11.06.26367478.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/09/2026.11.06.26367478.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050340607","display_name":"Taufiq Salahuddin","orcid":"https://orcid.org/0000-0002-7482-2280","observed_orcids":["https://orcid.org/0000-0002-7482-2280"]},"institutions":[{"id":"https://openalex.org/I4210148403","display_name":"VA Eastern Colorado Health Care System","ror":"https://ror.org/04d7ez939","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210113540","https://openalex.org/I4210148403"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Taufiq Salahuddin","raw_affiliation_strings":["VA Eastern Colorado Health Care System;"],"raw_orcid":"https://orcid.org/0000-0002-7482-2280","affiliations":[{"raw_affiliation_string":"VA Eastern Colorado Health Care System;","institution_ids":["https://openalex.org/I4210148403"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161352802","display_name":"Annika Patten","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802236040","display_name":"University of Colorado System","ror":"https://ror.org/00jc20583","country_code":"US","type":"education","lineage":["https://openalex.org/I2802236040"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Annika Patten","raw_affiliation_strings":["University of Colorado Anschutz;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz;","institution_ids":["https://openalex.org/I2802236040","https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009127317","display_name":"Christine Chow","orcid":"https://orcid.org/0000-0002-2117-5913","observed_orcids":["https://orcid.org/0000-0002-2117-5913"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christine Chow","raw_affiliation_strings":["University of Washington;"],"raw_orcid":"https://orcid.org/0000-0002-2117-5913","affiliations":[{"raw_affiliation_string":"University of Washington;","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066767326","display_name":"Paul L. Hess","orcid":"https://orcid.org/0000-0002-3022-764X","observed_orcids":["https://orcid.org/0000-0002-3022-764X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paul L Hess","raw_affiliation_strings":["Rocky Mountain Regional VAMC;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rocky Mountain Regional VAMC;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087791202","display_name":"Larry A. Allen","orcid":"https://orcid.org/0000-0003-2540-3095","observed_orcids":["https://orcid.org/0000-0003-2540-3095"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Larry A Allen","raw_affiliation_strings":["University of Colorado School of Medicine, Aurora, CO;"],"raw_orcid":"https://orcid.org/0000-0003-2540-3095","affiliations":[{"raw_affiliation_string":"University of Colorado School of Medicine, Aurora, CO;","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001345046","display_name":"Carol E. Simons","orcid":"https://orcid.org/0000-0002-2400-575X","observed_orcids":["https://orcid.org/0000-0002-2400-575X"]},"institutions":[{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carol Simons","raw_affiliation_strings":["Puget Sound VA Medical Center;"],"raw_orcid":"https://orcid.org/0000-0002-2400-575X","affiliations":[{"raw_affiliation_string":"Puget Sound VA Medical Center;","institution_ids":["https://openalex.org/I4210094549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010423305","display_name":"Utibe R. Essien","orcid":"https://orcid.org/0000-0002-4494-5028","observed_orcids":["https://orcid.org/0000-0002-4494-5028"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Utibe R. Essien","raw_affiliation_strings":["David Geffen School of Medicine at UCLA, Los Angeles, California;"],"raw_orcid":"https://orcid.org/0000-0002-4494-5028","affiliations":[{"raw_affiliation_string":"David Geffen School of Medicine at UCLA, Los Angeles, California;","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026322684","display_name":"F\u00e1tima Rodr\u00edguez","orcid":"https://orcid.org/0000-0002-5226-0723","observed_orcids":["https://orcid.org/0000-0002-5226-0723"]},"institutions":[{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fatima Rodriguez","raw_affiliation_strings":["Stanford University;"],"raw_orcid":"https://orcid.org/0000-0002-5226-0723","affiliations":[{"raw_affiliation_string":"Stanford University;","institution_ids":["https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032088990","display_name":"Laura Danielle Scherer","orcid":"https://orcid.org/0000-0002-8660-7115","observed_orcids":["https://orcid.org/0000-0002-8660-7115"]},"institutions":[{"id":"https://openalex.org/I188538660","display_name":"University of Colorado Boulder","ror":"https://ror.org/02ttsq026","country_code":"US","type":"education","lineage":["https://openalex.org/I188538660"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura Scherer","raw_affiliation_strings":["University of Colorado Boulder;"],"raw_orcid":"https://orcid.org/0000-0002-8660-7115","affiliations":[{"raw_affiliation_string":"University of Colorado Boulder;","institution_ids":["https://openalex.org/I188538660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091468712","display_name":"Chelsea Leonard","orcid":"https://orcid.org/0000-0002-4865-4658","observed_orcids":["https://orcid.org/0000-0002-4865-4658"]},"institutions":[{"id":"https://openalex.org/I4210148403","display_name":"VA Eastern Colorado Health Care System","ror":"https://ror.org/04d7ez939","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210113540","https://openalex.org/I4210148403"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chelsea Leonard","raw_affiliation_strings":["VA Eastern Colorado Healthcare System;"],"raw_orcid":"https://orcid.org/0000-0002-4865-4658","affiliations":[{"raw_affiliation_string":"VA Eastern Colorado Healthcare System;","institution_ids":["https://openalex.org/I4210148403"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012181733","display_name":"Daniel D. Matlock","orcid":"https://orcid.org/0000-0001-9597-9642","observed_orcids":["https://orcid.org/0000-0001-9597-9642"]},"institutions":[{"id":"https://openalex.org/I188538660","display_name":"University of Colorado Boulder","ror":"https://ror.org/02ttsq026","country_code":"US","type":"education","lineage":["https://openalex.org/I188538660"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel D Matlock","raw_affiliation_strings":["University of Colorado Boulder;"],"raw_orcid":"https://orcid.org/0000-0001-9597-9642","affiliations":[{"raw_affiliation_string":"University of Colorado Boulder;","institution_ids":["https://openalex.org/I188538660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078470996","display_name":"P. Michael Ho","orcid":"https://orcid.org/0000-0002-7775-6266","observed_orcids":["https://orcid.org/0000-0002-7775-6266"]},"institutions":[{"id":"https://openalex.org/I1343052199","display_name":"Kaiser Permanente","ror":"https://ror.org/00t60zh31","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1343052199"]},{"id":"https://openalex.org/I4210131480","display_name":"Colorado Permanente Medical Group","ror":"https://ror.org/03fakbf87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210131480"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"P. Michael Ho","raw_affiliation_strings":["Colorado Permanente Medical Group , Denver , CO","Kaiser Permanente of Colorado , Aurora , CO and"],"raw_orcid":"https://orcid.org/0000-0002-7775-6266","affiliations":[{"raw_affiliation_string":"Colorado Permanente Medical Group , Denver , CO","institution_ids":["https://openalex.org/I4210131480"]},{"raw_affiliation_string":"Kaiser Permanente of Colorado , Aurora , CO and","institution_ids":["https://openalex.org/I1343052199"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089396512","display_name":"Christian D. Helfrich","orcid":"https://orcid.org/0000-0002-9827-4768","observed_orcids":["https://orcid.org/0000-0002-9827-4768"]},"institutions":[{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christian D. Helfrich","raw_affiliation_strings":["VA Puget Sound HCS;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Puget Sound HCS;","institution_ids":["https://openalex.org/I4210094549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034410768","display_name":"Jacob Appel Doll","orcid":"https://orcid.org/0000-0002-1459-0262","observed_orcids":["https://orcid.org/0000-0002-1459-0262"]},"institutions":[{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacob A Doll","raw_affiliation_strings":["VA Puget Sound Health Care"],"raw_orcid":"https://orcid.org/0000-0002-1459-0262","affiliations":[{"raw_affiliation_string":"VA Puget Sound Health Care","institution_ids":["https://openalex.org/I4210094549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":10,"corresponding_author_ids":["https://openalex.org/A5050340607"],"corresponding_institution_ids":["https://openalex.org/I4210148403"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/angiotensin-receptor-neprilysin-inhibitors","display_name":"angiotensin receptor-neprilysin inhibitors","score":0.9860000014305115},{"id":"https://openalex.org/keywords/sglt2-inhibitors","display_name":"SGLT2 inhibitors","score":0.9660000205039978},{"id":"https://openalex.org/keywords/heart-failure-with-reduced-ejection-fraction","display_name":"heart failure with reduced ejection fraction","score":0.9980000257492065},{"id":"https://openalex.org/keywords/prescribing-variation","display_name":"prescribing variation","score":0.8309999704360962},{"id":"https://openalex.org/keywords/post-hospital-care","display_name":"post-hospital care","score":0.703000009059906},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.4830000102519989},{"id":"https://openalex.org/keywords/medication-utilization","display_name":"medication utilization","score":0.43799999356269836},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.44200000166893005},{"id":"https://openalex.org/keywords/adverse-drug-reactions","display_name":"adverse drug reactions","score":0.41200000047683716}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8988000154495239},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.6600000262260437},{"id":"https://openalex.org/C2775969662","wikidata":"https://www.wikidata.org/wiki/Q7923600","display_name":"Veterans Affairs","level":2,"score":0.644599974155426},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.566100001335144},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5299999713897705},{"id":"https://openalex.org/C2779457091","wikidata":"https://www.wikidata.org/wiki/Q105186","display_name":"Pharmacist","level":3,"score":0.5153999924659729},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5103999972343445},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.5098999738693237},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.508899986743927},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4884999990463257},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4860000014305115},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.48489999771118164},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4415999948978424},{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.4226999878883362},{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.4223000109195709},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.36820000410079956},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.34549999237060547},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.3400999903678894},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2777999937534332},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2662999927997589},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.26080000400543213},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.2583000063896179},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2556999921798706},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.2529999911785126}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.11.06.26367478","doi":"https://doi.org/10.64898/2026.11.06.26367478","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.06.26367478","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/09/2026.11.06.26367478.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.11.06.26367478","doi":"https://doi.org/10.64898/2026.11.06.26367478","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.06.26367478","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/09/2026.11.06.26367478.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306127","display_name":"U.S. Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320309037","display_name":"Office of Research and Development","ror":"https://ror.org/05rsv9s98"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225609643.pdf","grobid_xml":"https://content.openalex.org/works/W7225609643.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1946087671","https://openalex.org/W2113698123","https://openalex.org/W2146264128","https://openalex.org/W2401853487","https://openalex.org/W2760952310","https://openalex.org/W2890936859","https://openalex.org/W2900236147","https://openalex.org/W2974260792","https://openalex.org/W2988422427","https://openalex.org/W3009151641","https://openalex.org/W3048718778","https://openalex.org/W3088773047","https://openalex.org/W3136014936","https://openalex.org/W3193598686","https://openalex.org/W3207810076","https://openalex.org/W3213364707","https://openalex.org/W4200189766","https://openalex.org/W4200521668","https://openalex.org/W4205761485","https://openalex.org/W4220946720","https://openalex.org/W4283218619","https://openalex.org/W4305082062","https://openalex.org/W4307774018","https://openalex.org/W4307971805","https://openalex.org/W4308471536","https://openalex.org/W4308559734","https://openalex.org/W4317743484","https://openalex.org/W4376868506","https://openalex.org/W4380730959","https://openalex.org/W4388588907","https://openalex.org/W4391068776","https://openalex.org/W4393852577","https://openalex.org/W4410468154","https://openalex.org/W4414611896"],"related_works":["https://openalex.org/W4404381691","https://openalex.org/W4403122013","https://openalex.org/W4392596225","https://openalex.org/W4401972160","https://openalex.org/W4391248464","https://openalex.org/W4410257892","https://openalex.org/W4404323424","https://openalex.org/W7166478107","https://openalex.org/W2913281867","https://openalex.org/W4388600838"],"abstract_inverted_index":{"Background:":[0],"Angiotensin":[1],"receptor-neprilysin":[2],"inhibitors":[3,8],"(ARNI)":[4,243],"and":[5,31,41,46,75,88,96,120,147,203,211,228,244,259,270],"sodium-glucose":[6],"cotransporter-2":[7],"(SGLT2i)":[9,246],"are":[10],"incompletely":[11],"utilized":[12],"in":[13,44,172,257,296],"heart":[14],"failure":[15],"with":[16,124,220,233],"reduced":[17],"ejection":[18],"fraction":[19],"(HFrEF).":[20],"The":[21],"degree":[22],"to":[23,38,80,107,164,168,186,293],"which":[24],"use":[25,205,222,261],"varies":[26],"at":[27],"the":[28,169,173,192],"individual":[29,281],"level":[30],"within":[32,64,267],"specialties":[33,277],"is":[34],"unknown.":[35],"We":[36,71],"aimed":[37],"characterize":[39],"provider-level":[40,99,109,138],"specialty-level":[42],"variation":[43,139,256],"ARNI":[45,197,224,258],"SGLT2i":[47,204,229,260],"prescribing":[48,82],"after":[49,142,262],"HF":[50,249],"hospitalization.":[51],"Methods:":[52],"This":[53],"retrospective":[54],"cohort":[55],"study":[56],"included":[57],"Veterans":[58],"Affairs":[59],"(VA)":[60],"providers":[61,129,160],"seeing":[62],"patients":[63,133],"6":[65],"months":[66],"of":[67,196,223,247,272],"HFrEF":[68],"hospitalization":[69],"2017-2023.":[70],"used":[72,106],"descriptive":[73],"statistics":[74],"site-adjusted":[76],"multilevel":[77],"logistic":[78],"regression":[79],"examine":[81],"by":[83,103,237],"medical":[84],"specialty,":[85,159,175],"provider":[86,89,171],"type,":[87],"sex.":[90],"Adjusted":[91],"median":[92,170],"odds":[93,195],"ratios":[94,101],"(mOR)":[95],"empirical":[97],"(unadjusted)":[98],"rate":[100],"(RRs)":[102],"percentile":[104],"were":[105,114,217],"describe":[108],"variation.":[110],"Clinical":[111],"pharmacy":[112],"visits":[113,190,216,250],"assessed":[115],"as":[116,121],"an":[117,122,288],"independent":[118,271],"factor":[119],"interaction":[123],"specialty.":[125,238],"Results:":[126],"Among":[127],"7,946":[128],"caring":[130],"for":[131,144,152,155,291],"76,795":[132],"across":[134],"211,267":[135],"outpatient":[136],"encounters,":[137],"remained":[140],"substantial":[141],"adjustment":[143],"patient":[145],"characteristics":[146],"site-level":[148],"clustering":[149],"(mOR":[150],"1.45":[151],"ARNI;":[153],"1.46":[154],"SGLT2i).":[156],"Within":[157],"every":[158,268],"ranged":[161,177],"from":[162,178],"near-zero":[163],"near-100%":[165],"use.":[166],"Relative":[167],"same":[174],"RRs":[176],"0-0.31":[179],"(5th":[180],"percentile),":[181],"0.37-0.71":[182],"(25th),":[183],"1.38-1.66":[184],"(75th),":[185],"1.8-3.2":[187],"(95th).":[188],"Cardiology":[189],"carried":[191],"highest":[193],"adjusted":[194],"(OR":[198,206,225,230],"2.30,":[199],"95%":[200,208],"CI":[201,209],"2.18-2.44)":[202],"1.99,":[207],"1.88-2.11)":[210],"most":[212],"new":[213],"starts.":[214],"Pharmacist":[215],"independently":[218],"associated":[219],"greater":[221],"1.14,":[226],"1.06-1.23)":[227],"1.15,":[231],"1.06-1.24),":[232],"no":[234],"effect":[235],"modification":[236],"In":[239],"early":[240],"2023,":[241],"58.4%":[242],"40.2%":[245],"post-hospitalization":[248],"had":[251],"untreated":[252],"patients.":[253],"Conclusions:":[254],"Provider-level":[255],"guideline":[263],"incorporation":[264],"was":[265],"large":[266],"specialty":[269,284],"site":[273],"effects.":[274],"Though":[275],"specific":[276],"have":[278],"higher":[279],"use,":[280],"providers,":[282],"not":[283],"alone,":[285],"may":[286],"be":[287],"important":[289],"target":[290],"efforts":[292],"close":[294],"gaps":[295],"therapy.":[297]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
