medRxiv PreprintsInternational9 November 2026
Provider-Level and Specialty Variation in ARNI and SGLT2i Use After Heart Failure Hospitalization
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Background: Angiotensin receptor-neprilysin inhibitors (ARNI) and sodium-glucose cotransporter-2 inhibitors (SGLT2i) are incompletely utilized in heart failure with reduced ejection fraction (HFrEF). The degree to which use varies at the individual level and within specialties is unknown. We aimed to characterize provider-level and specialty-level variation in ARNI and SGLT2i prescribing after HF hospitalization. Methods: This retrospective cohort study included Veterans Affairs (VA) providers seeing patients within 6 months of HFrEF hospitalization 2017-2023. We used descriptive statistics an
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