Table 2.
Cardiac Rehabilitation Eligibility,* Participation, Timely Initiation, and Utilization by US Census Division Among Medicare Fee-for-Service Beneficiaries Aged ≥65 Years, 2016–2017
| Census Division | CR Eligible | Participation Among Eligible | Days From Event to CR Participation | Sessions Used Among Participants | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N | Rate/ 1000 | N | % | aPR† (95% CI) | Mean No. of Days (SD) | ≤21 Days | ≤42 Days, % | ≤90 Days, % | Mean No. of Sessions (SD) | ≥25 Sessions, % | ≥36 Sessions | |||
| % | aPR† (95% CI) | % | aPR† (95% CI) | |||||||||||
| New England | 21 202 | 13.4 | 5624 | 26.5 | Referent | 55.3 (41.1) | 16.7 | Referent | 47.2 | 84.3 | 24.3 (11.3) | 51.7 | 23.1 | Referent |
| Middle Atlantic | 49 504 | 13.8 | 9623 | 19.4 | 0.71 (0.69–0.74) | 58.5 (41.5) | 11.9 | 0.76 (0.69–0.82) | 42.1 | 84.0 | 25.4 (11.7) | 59.6 | 25.4 | 1.10 (1.03–1.18) |
| East North Central | 61 247 | 14.0 | 18 967 | 31.0 | 1.06 (1.03–1.09) | 44.4 (37.0) | 26.2 | 1.63 (1.52–1.75) | 61.2 | 90.9 | 24.6 (11.8) | 55.6 | 24.6 | 1.07 (1.01–1.14) |
| West North Central | 26 140 | 13.1 | 10 218 | 39.1 | 1.24 (1.20–1.29) | 30.4 (30.1) | 50.2 | 3.11 (2.90–3.34) | 79.7 | 95.8 | 23.6 (11.8) | 49.5 | 24.8 | 1.07 (1.00–1.15) |
| South Atlantic | 78 374 | 12.7 | 17 864 | 22.8 | 0.76 (0.74–0.78) | 52.4 (38.8) | 15.2 | 0.97 (0.90–1.04) | 49.6 | 88.3 | 25.7 (11.9) | 61.1 | 31.1 | 1.34 (1.26–1.42) |
| East South Central | 28 534 | 14.8 | 5317 | 18.6 | 0.62 (0.59–0.64) | 46.5 (36.7) | 21.0 | 1.34 (1.23–1.46) | 59.5 | 90.5 | 25.5 (12.0) | 59.6 | 33.2 | 1.43 (1.33–1.54) |
| West South Central | 42 353 | 13.9 | 8548 | 20.2 | 0.65 (0.63–0.67) | 41.9 (37.8) | 30.8 | 2.01 (1.86–2.17) | 66.9 | 91.6 | 25.5 (12.5) | 60.7 | 31.4 | 1.36 (1.27–1.45) |
| Mountain | 20 384 | 10.7 | 5852 | 28.7 | 0.88 (0.85–0.92) | 40.7 (36.2) | 32.5 | 2.02 (1.87–2.19) | 66.1 | 92.2 | 23.3 (12.3) | 51.8 | 22.6 | 0.97 (0.90–1.05) |
| Pacific | 37 533 | 10.8 | 7274 | 19.4 | 0.73 (0.70–0.75) | 53.4 (40.4) | 15.8 | 1.00 (0.91–1.09) | 50.7 | 86.5 | 24.2 (12.4) | 56.3 | 23.5 | 1.02 (0.95–1.10) |
| Missing | 832 | 6.4 | 40 | 4.8 | 0.24 (0.18–0.33) | 57.1 (52.5) | ‡ | ‡ | 52.5 | 85.0 | 14.7 (11.3) | ‡ | ‡ | ‡ |
| Total | 366 103 | 13.0 | 89 327 | 24.4 | NA | 47.0 (38.6) | 24.3 | NA | 58.0 | 89.5 | 24.8 (12.4) | 56.7 | 26.9 | NA |
aPR indicates adjusted prevalence ratio; CR, cardiac rehabilitation; and NA, not applicable.
*
Includes primary qualifying event types only; rate per 1000 Medicare Fee-for-service beneficiaries.
†
Adjusted by age, sex, race-ethnicity, dual status, qualifying event type, comorbidity count category, and death status.
‡
Suppressed because of small cell size.