Article
Cardiac & Cardiovascular Systems
Rebecca L. Tisdale, Jun Fan, Jamie Calma, Kevin Cyr, Tanya Podchiyska, Randall S. Stafford, David J. Maron, Tina Hernandez-Boussard, Andrew Ambrosy, Paul A. Heidenreich, Alexander T. Sandhu
Summary: This study aimed to describe predictors of heart failure (HF) diagnosis in the acute care vs outpatient setting within the Veterans Health Administration (VHA). The researchers found that many first HF diagnoses occur in the acute care setting, especially among socioeconomically vulnerable populations. Better outpatient care was associated with lower rates of an acute care diagnosis.
JACC-HEART FAILURE
(2023)
Article
Cardiac & Cardiovascular Systems
Thomas M. Cascino, Monica M. Colvin, David E. Lanfear, Blair Richards, Shokoufeh Khalatbari, Douglas L. Mann, Wendy C. Taddei-Peters, Neal Jeffries, Daphne C. Watkins, Garrick C. Stewart, Keith D. Aaronson
Summary: Racial disparities in access to advanced therapies for heart failure patients were examined, and it was found that Black patients had reduced utilization of ventricular assist device (VAD) and transplant, even after considering factors such as HF severity, quality of life, and social determinants of health. The study suggests that structural racism, discrimination, and provider bias may contribute to this inequity.
CIRCULATION-HEART FAILURE
(2023)
Review
Public, Environmental & Occupational Health
Xuejing Li, Dan Yang, Meiqi Meng, Junqiang Zhao, Yiyi Yin, Hefang Wang, Xiaoyan Zhang, Qian Liu, Mengdi Li, Jianping Liu, Yufang Hao
Summary: Shared decision-making (SDM) is in its early stages in mainland China. There is a lack of comprehensive understanding of decisional needs concepts, and limited research on decision support and decisional outcomes. Uniform standards for developing patient decision aids are lacking. Chinese SDM studies primarily focus on physiological needs.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Semra Ozdemir, Irene Teo, Filipinas Gines Bundoc, Chetna Malhotra, Khung Keong Yeo, Kheng Leng David Sim, Eric Andrew Finkelstein
Summary: Male, higher education, and higher cognitive score were associated with experiencing and preferring active roles in decision making. Younger and less symptomatic patients were more likely to prefer leading decision making.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Multidisciplinary Sciences
Nikki Agarwal, Divyaswathi Citla Sridhar, Sindhoosha Malay, Nirav Patil, Anjali Shekar, Sanjay Ahuja, Jignesh Dalal
Summary: The study showed that transplant is the main contributor to healthcare utilization in WAS patients, and there are healthcare disparities based on race and socioeconomic status. Non-transplant patients were more likely to have lymphomas, ulcerative colitis, and autoimmune complications.
SCIENTIFIC REPORTS
(2021)
Article
Psychology, Multidisciplinary
Ana Saraiva Amaral, Mario Rodrigues Simoes, Sandra Freitas, Manuela Vilar, Liliana Baptista Sousa, Rosa Marina Afonso
Summary: The study identified six primary themes related to decision-making capacity in older adults with cognitive impairment, including features, abilities, factors, obstacles, legal aspects, and assessment procedures. The results have implications for clinical practices, assessment procedures, and strategies to improve decision-making capacity in older adults.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Ntobeko A. B. Ntusi, Karen Sliwa
Summary: Race- and ethnicity-based disparities in the diagnosis and treatment of dilated cardiomyopathy are deeply rooted in history and must be addressed through multifaceted strategies and policy changes to ensure health equity.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Ntobeko A. B. Ntusi, Karen Sliwa
Summary: Significant racial and ethnicity-based disparities exist in the clinical presentation, management, and outcome of hypertrophic cardiomyopathy (HCM). Black patients with HCM are more likely to present with heart failure, and they have lower survival rates.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Shahnawaz Amdani, Anne Tang, Jesse D. Schold
Summary: Transplant registries in the US lack community level risk factor information. This study used a community level socio-economic risk indicator called the distressed communities' index to examine its association with clinical presentation among children listed for heart transplant. The findings showed that a large proportion of children listed from distressed communities were Black. Children listed from distressed communities were more likely to have higher heart transplant priority and use a ventricular assist device compared to those from prosperous communities. The severity of heart failure at listing was found to be more associated with community-level risk factors rather than the child's race/ethnicity.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2023)
Article
Cardiac & Cardiovascular Systems
Vardhman Jain, Abdul Mannan Khan Minhas, Safi U. Khan, Stephen J. Greene, Ambarish Pandey, Harriette G. C. Van Spall, Gregg C. Fonarow, Robert J. Mentz, Javed Butler, Muhammad Shahzeb Khan
Summary: This study found that hospitalizations for heart failure among young adults have increased in recent years. Black patients and those from low-income areas account for a large proportion. However, in-hospital mortality has decreased, while length of stay remains stable and medical costs have increased. There are significant racial disparities in hospitalization rates.
JACC-HEART FAILURE
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Lubin R. Deng, Daniel D. Matlock, David B. Bekelman
Summary: This study investigated the change and predictors of change in patients' preferred decision-making roles over time. The results showed that patients' preferences changed significantly over a year, with more patients leaning towards active involvement in decision making. However, no significant predictors of this change were identified.
JOURNAL OF CARDIAC FAILURE
(2022)
Article
Cardiac & Cardiovascular Systems
Amanda M. Perak, Sadiya S. Khan, Laura A. Colangelo, Samuel S. Gidding, Anderson C. Armstrong, Cora E. Lewis, Jared P. Reis, Pamela J. Schreiner, Stephen Sidney, Joao A. C. Lima, Donald M. Lloyd -Jones
Summary: The study found that stage B left ventricular abnormalities and related racial disparities were present in young adulthood, increased with age, and were associated with baseline variation in indexed left ventricular end-systolic dimension and mass. Efforts to prevent the left ventricular abnormalities underlying clinical heart failure should start from a young age.
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY
(2021)
Article
Oncology
Matthew M. Mirsky, Carley Mitchell, Augustine Hong, Shufen Cao, Pingfu Fu, Seunghee Margevicius, Sulin Wu, Afshin Dowlati, Ariel Nelson, J. Eva Selfridge, Nikhil Ramaiya, Christopher Hoimes, Asrar Alahmadi, Debora S. Bruno
Summary: This retrospective study assessed the impact of race, socioeconomic status, and site of care delivery on survival and the development of severe immune-related adverse events (irAEs) in patients treated with immune checkpoint inhibitors (ICIs). The results showed that care delivered by disease-oriented providers (DOPs) was associated with better overall survival (OS) compared to community oncology providers (COPs). However, race, socioeconomic status, and site of care delivery were not related to rates of severe irAEs.
CANCER MANAGEMENT AND RESEARCH
(2023)
Article
Cardiac & Cardiovascular Systems
Samuel T. Kim, Mark R. Helmers, Amit Iyengar, Benjamin Smood, D. Alan Herbst, William L. Patrick, Jason J. Han, Peter Altshuler, Pavan Atluri
Summary: The proportion of undersized PHM hearts being used in obese recipients is decreasing over time, but it does not result in reduced survival rates.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2021)
Article
Engineering, Chemical
Mrunal Sontakke, Jacinta Okpanum, Lucky E. Yerimah, Andreas Rebmann, Sambit Ghosh, B. Wayne Bequette
Summary: This paper examines how safety and risk are handled in process and healthcare industries, utilizing the perspective of humans-in-the-loop decision-making and decision-support tools. It discusses current practices and the potential for interdisciplinary future applications. The paper concludes by addressing the ethical and data concerns of a humans-in-the-loop and algorithm based shared decision-making future.
CHEMICAL ENGINEERING SCIENCE
(2023)
Article
Public, Environmental & Occupational Health
Kevin S. Shah, Adriana E. Reyes-Miranda, Steven M. Bradley, Khadijah Breathett, Sandeep R. Das, Ty J. Gluckman, Divya Gupta, Daniel T. Leung, R. Kannan Mutharasan, Pamela N. Peterson, Emily S. Spivak, Rashmee U. Shah
Summary: This study examines the disparities in clinical trial enrollment among COVID-19 hospitalized patients, revealing that female and Black patients are less likely to be enrolled compared to men and other racial groups.
JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
(2023)
Article
Cardiac & Cardiovascular Systems
Sheryl L. Chow, Biykem Bozkurt, William L. Baker, Barry E. Bleske, Khadijah Breathett, Gregg C. Fonarow, Barry Greenberg, Prateeti Khazanie, Jacinthe Leclerc, Alanna A. Morris, Nosheen Reza, Clyde W. Yancy
Summary: Complementary and alternative medicines (CAM) are widely used but poorly regulated. The efficacy and safety of CAM in heart failure treatment remain limited and controversial, and healthcare professionals rarely inquire about or document CAM use. This statement aims to summarize the evidence for CAM in heart failure, discuss considerations such as adverse effects and drug interactions, and promote further research in this area.
Article
Surgery
Khadijah Breathett, Ryan H. Yee, Natalie Pool, Megan C. Hebdon, Shannon M. Knapp, Elizabeth Calhoun, Nancy K. Sweitzer, Molly Carnes
Summary: Allocation of advanced heart failure (AHF) therapy can be biased and affected by poor group dynamics. This study aimed to determine the feasibility of an implementation strategy that can contribute to organizational and culture changes supporting equity in AHF allocation. The strategy included bias reduction training, standardized assessments, and enhanced group dynamics. Results showed potential benefits in most survey metrics and improvements in group dynamics. The implementation strategy was adaptable and can be reinforced with regular trainings.
AMERICAN JOURNAL OF TRANSPLANTATION
(2023)
Article
Geriatrics & Gerontology
Serenity J. Bennett, Rebecca P. Hunt, Khadijah Breathett, Charles B. Eaton, Lorena Garcia, Monik Jimenez, Tanya S. Johns, Charles P. Mouton, Rami Nassir, Tomas Nuno, Rachel P. Urrutia, Jean Wactawski-Wende, Crystal W. Cene
Summary: This study found that Asian women and non-Hispanic Black/African American women were more likely to be concerned about the risk of getting COVID-19 compared to non-Hispanic White women, and they were also more likely to forego medical care due to COVID-19 concerns. However, Asian women were less likely to have difficulty accessing routine medical care since March 2020 compared to non-Hispanic White women.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Article
Cardiac & Cardiovascular Systems
Khadijah Breathett, Ryan Yee, Natalie Pool, Megan Thomas C. Hebdon, Shannon M. Knapp, Kathryn Herrera-Theut, Esther de Groot, Erika Yee, Larry A. Allen, Ayesha Hasan, JoAnn Lindenfeld, Elizabeth Calhoun, Molly Carnes, Nancy K. Sweitzer
Summary: This study found that the quality of group decision-making affects the allocation of advanced heart failure therapies to female patients. When the quality of group decision-making is higher, women are more likely to receive treatment.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Public, Environmental & Occupational Health
Natalie Pool, Megan Hebdon, Esther de Groot, Ryan Yee, Kathryn Herrera-Theut, Erika Yee, Larry A. Allen, Ayesha Hasan, JoAnn Lindenfeld, Elizabeth Calhoun, Molly Carnes, Nancy K. Sweitzer, Khadijah Breathett
Summary: This paper introduces a method called de Groot Critically Reflective Diagnoses Protocol (DCRDP) to evaluate implicit bias in group decision-making in healthcare. By analyzing transcripts of decision-making meetings, this method can detect and examine bias in collective clinical decision-making and promote more equitable decision-making processes.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Utibe R. Essien, Balvindar Singh, Gretchen Swabe, Amber E. Johnson, Lauren A. Eberly, Rishi K. Wadhera, Khadijah Breathett, Muthiah Vaduganathan, Jared W. Magnani
Summary: The prevalence of type 2 diabetes and heart failure is increasing in the US, and there is a correlation between medication adherence and out-of-pocket costs. This study compared 1-year adherence to GLP1-RA and SGLT2i therapies based on prescription co-payment level, and found that higher co-payment was associated with lower adherence. Therefore, reducing medication costs may improve patient adherence to treatment.
Article
Geriatrics & Gerontology
Hanne R. Dolan, Natalie Pool
Summary: This study aims to explore the meaning of experiencing fear of falling (FOF) among older adults. Through interviews with four participants, four major interpretive themes were identified. Despite struggling with FOF, the older adults demonstrated personal resiliency and a relentless striving for self-preservation, which is often overlooked in the literature.
Article
Cardiac & Cardiovascular Systems
Onyedika Ilonze, Kendall Free, Alexander Shinnerl, Sabra Lewsey, Khadijah Breathett
Summary: Disparities in the prevalence and treatment of HF and VHD persist for Black, Hispanic, American Indian, and female patients. Black patients experience the highest burden of HF. Women experience heightened burdens of VHD. Various factors contribute to the higher burden of HF and VHD in minoritized racial and ethnic groups and women that must be addressed by facing systemic racism and bias. Approaches necessary to reduce health disparities in HF and VHD should include considerations for universal health coverage, increased access to subspecialist care and screening, increased diverse trial participation, and antiracist evaluation of institutional policies.
HEART FAILURE CLINICS
(2023)
Article
Cardiac & Cardiovascular Systems
Zahra Raisi-Estabragh, Ofer Kobo, Jennifer H. Mieres, Renee P. Bullock-Palmer, Harriette G. C. Van Spall, Khadijah Breathett, Mamas A. Mamas
Summary: This descriptive epidemiologic study outlines trends and disparities in obesity-related cardiovascular mortality in the US population between 1999 and 2020. The study suggests that obesity-related cardiovascular mortality is increasing with differential trends by race, sex, and place of residence.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Medicine, General & Internal
Anezi I. Uzendu, John A. Spertus, Brahmajee K. Nallamothu, Saket Girotra, Philip G. Jones, Bryan F. Mcnally, Marina Del Rios, Comilla Sasson, Khadijah Breathett, Jessica Sperling, Kimberly C. Dukes, Paul S. Chan
Summary: EMS agencies serving primarily Black and Hispanic populations have lower survival rates for out-of-hospital cardiac arrests compared to agencies serving primarily White populations. Differences in survival rates were not explained by differences in EMS response times or first responder measures.
JAMA INTERNAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Debra D. Dixon, Shannon M. Knapp, Onyedika Ilonze, Sabra C. Lewsey, Sula Mazimba, Selma Mohammed, Harriette G. C. Van Spall, Khadijah Breathett
Summary: This study examines racial and ethnic differences in ventricular assist device (VAD) implantation rates and post-implantation survival among patients with ambulatory heart failure. The study finds that black patients have higher VAD implantation rates and better post-VAD survival compared to white and Hispanic patients.
JACC-HEART FAILURE
(2023)
Article
Critical Care Medicine
Paul S. Chan, Bryan McNally, Rabab Al-Araji, Kevin Kennedy, Marci Kennedy, Marina Del Rios, Jessica Sperling, Comilla Sasson, Khadijah Breathett, Kimberly C. Dukes, CARES Surveillance Grp
Summary: This study introduces a new survey on EMS agencies in the U.S. regarding their resuscitation response and quality improvement activities for out-of-hospital cardiac arrest (OHCA). The survey, conducted through a U.S. registry for OHCA, provided insights into training modalities, equipment use in the field, stakeholder response, quality improvement, and community factors affecting bystander response to OHCA.
RESUSCITATION PLUS
(2023)