التفاصيل البيبلوغرافية
| العنوان: |
Health Status Disparities by Sex, Race/Ethnicity,and Socioeconomic Status in Outpatients With Heart Failure |
| المؤلفون: |
Khariton, Yevgeniy, Nassif, Michael E, Thomas, Laine, Fonarow, Gregg C, Mi, Xiaojuan, DeVore, Adam D, Duffy, Carol, Sharma, Puza P, Albert, Nancy M, Patterson, J Herbert, Butler, Javed, Hernandez, Adrian F, Williams, Fredonia B, McCague, Kevin, Spertus, John A |
| المصدر: |
JACC Heart Failure, vol 6, iss 6 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2018 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Basic Behavioral and Social Science, Behavioral and Social Science, Cardiovascular, Heart Disease, Clinical Research, Reduced Inequalities, Adult, Black or African American, Aged, 80 and over, Ambulatory Care, Female, Health Status Disparities, Heart Failure, Hispanic or Latino, Humans, Male, Middle Aged, Prospective Studies, Registries, Sex Factors, Social Class, United States, health disparities, quality of life, Cardiorespiratory Medicine and Haematology |
| جغرافية الموضوع: |
465 - 473 |
| الوصف: |
ObjectivesThis study sought to describe the health status of outpatients with heart failure and reduced ejection fraction (HFrEF) by sex, race/ethnicity, and socioeconomic status (SES).BackgroundAlthough a primary goal in treating patients with HFrEF is to optimize health status, whether disparities by sex, race/ethnicity, and SES exist is unknown.MethodsIn the CHAMP-HF (Change the Management of Patients with Heart Failure) registry, the associations among sex, race, and SES and health status, as measured by the Kansas City Cardiomyopathy Questionnaire-overall summary (KCCQ-os) score (range 0 to 100; higher scores indicate better health status) was compared among 3,494 patients from 140 U.S. clinics. SES was categorized by total household income. Hierarchical multivariate linear regression estimated differences in KCCQ-os score after adjusting for 31 patient characteristics and 10 medications.ResultsOverall mean KCCQ-os scores were 64.2 ± 24.0 but lower for women (29% of sample; 60.3 ± 24.0 vs. 65.9 ± 24.0, respectively; p< 0.001), for blacks (60.5 ± 25.0 vs. 64.9 ± 23.0, respectively; p< 0.001), for Hispanics (59.1 ± 21.0 vs. 64.9 ± 23.0, respectively; p< 0.001), and for those with the lowest income (<$25,000; mean: 57.1 vs. 63.1 to 74.7 for other income categories; p< 0.001). Fully adjusted KCCQ-os scores were 2.2 points lower for women (95% confidence interval [CI]:-3.8 to-0.6; p= 0.007), no different for blacks (p= 0.74), 4.0 points lower for Hispanics (95% CI:-6.6 to-1.3; p= 0.003), and lowest in the poorest patients (4.7 points lower than those with the highest income (95% CI: 0.1 to 9.2; p= 0.045; p for trend= 0.003).ConclusionsAmong outpatients with HFrEF, women, blacks, Hispanics, and poorer patients had worse health status, which remained significant for women, Hispanics, and poorer patients in fully adjusted analyses. This suggests an opportunity to further optimize treatment to reduce these observed disparities. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt2h19x6w0; https://escholarship.org/uc/item/2h19x6w0Test |
| الإتاحة: |
https://escholarship.org/uc/item/2h19x6w0Test |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.F69AF052 |
| قاعدة البيانات: |
BASE |
