{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:20:16Z","timestamp":1788276016161,"version":"build-2803163510"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2016,8,16]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Previous studies have found that women and black patients eligible for a primary prevention implantable cardioverter-defibrillator (ICD) are less likely than men or white patients to receive one.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We performed an observational analysis of the Get With The Guidelines-Heart Failure Program from January 1, 2011, to March 21, 2014. Patients admitted with heart failure and an ejection fraction \u226435% without an ICD were included. Rates of ICD counseling among eligible patients and ICD receipt among counseled patients were examined by sex and race\/ethnicity.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              Among 21\u2009059 patients from 236 sites, 4755 (22.6%) received predischarge ICD counseling. Women were counseled less frequently than men (19.3% versus 24.6%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001, adjusted odds ratio [OR], 0.84; 95% confidence interval [CI], 0.78\u20130.91). Racial and ethnic minorities were less likely to receive counseling than white patients (black 22.6%, Hispanic 18.6%, other race\/ethnic group 14.4% versus white 24.3%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001 for each): adjusted OR versus white, 0.69; 95% CI, 0.63 to 0.76 for black patients; adjusted OR, 0.62; 95% CI, 0.55 to 0.70 for Hispanic patients; adjusted OR, 0.53; 95% CI, 0.43 to 0.65 for other patients. Among the 4755 counseled patients, 2977 (62.6%) received an ICD or had one planned for placement after hospital stay. Among those counseled, women and men were similarly likely to receive an ICD (adjusted OR, 1.13; 95% CI, 0.99\u20131.29). However, black (adjusted OR, 0.70; 95% CI, 0.56\u20130.88) and Hispanic patients (adjusted OR, 0.68; 95% CI, 0.46\u20131.01) were less likely to receive an ICD.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Up to 4 of 5 hospitalized patients with heart failure eligible for ICD counseling did not receive it, particularly women and minority patients. Among counseled patients, ICD use differences by race and ethnicity persisted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circulationaha.115.021048","type":"journal-article","created":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T01:43:35Z","timestamp":1470361415000},"page":"517-526","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":110,"title":["Sex and Race\/Ethnicity Differences in Implantable Cardioverter-Defibrillator Counseling and Use Among Patients Hospitalized With Heart Failure"],"prefix":"10.1161","volume":"134","author":[{"given":"Paul L.","family":"Hess","sequence":"first","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian F.","family":"Hernandez","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak L.","family":"Bhatt","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne S.","family":"Hellkamp","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clyde W.","family":"Yancy","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee H.","family":"Schwamm","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric D.","family":"Peterson","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip J.","family":"Schulte","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregg C.","family":"Fonarow","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sana M.","family":"Al-Khatib","sequence":"additional","affiliation":[{"name":"From VA Eastern Colorado Health Care System and Department of Medicine, University of Colorado School of Medicine, Denver (P.L.H.); Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC (A.F.H., A.S.H., E.D.P., P.J.S., S.M.A.-K.); Brigham and Women\u2019s Hospital Heart and Vascular Center and Harvard Medical School, Boston, MA (D.L.B.); Department of Medicine, Northwestern University, Chicago, IL (C.W.Y.); Department of Neurology, Massachusetts General Hospital, and Harvard..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.113.001034"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912163412503"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa013474"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa033088"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043399"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.02.032"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3182507bec"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.13.1525"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.066605"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.08.022"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp048354"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.113.000753"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2012.01.029"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-474X.2010.00412.x"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2013.03.031"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.533"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2010.07.250"}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCULATIONAHA.115.021048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:46:23Z","timestamp":1715582783000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.115.021048"}},"subtitle":["Findings from the Get With The Guidelines-Heart Failure Program"],"short-title":[],"issued":{"date-parts":[[2016,8,16]]},"references-count":17,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,8,16]]}},"alternative-id":["10.1161\/CIRCULATIONAHA.115.021048"],"URL":"https:\/\/doi.org\/10.1161\/circulationaha.115.021048","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,16]]},"assertion":[{"value":"2015-12-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-08-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}