{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:20:32Z","timestamp":1777882832528,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:bold>\n                    Women appear to be underrepresented in heart failure and palliative care research. Given this underrepresentation, their unique characteristics, needs, and outcomes require further investigation.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Methods:<\/jats:italic>\n                    <\/jats:bold>\n                    A secondary analysis of baseline data of the Educate, Nurture, Advise, Before Life Ends Comprehensive Heartcare for Patients and Caregivers study, a randomized clinical trial of Deep South patients \u226550 years of age with advanced HF. Differences in sociodemographics and measures of quality of life and mood between female and male patients were examined using bivariate tests and effect-size measures.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    Statistically significant gender differences were observed with females reporting poorer quality of life-The Kansas City Cardiomyopathy Measure (49.55\u2009\u00b1\u200920.04 vs. 55.37\u2009\u00b1\u200921.52,\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    = 0.28, p-adj = 0.01), Patient-Reported Outcome Measurement Information System (PROMIS) Global Mental Health (44 \u00b1 8.02 vs. 46.53\u2009\u00b1\u20099.01,\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    = 0.30, p-adj = 0.007), and PROMIS Global Physical Health (37.37\u2009\u00b1\u20097.65 vs. 39.2\u2009\u00b1\u20098.20,\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    = 0.23, p-adj = 0.034) and Hospital Anxiety and Depression Scale anxiety (6.9\u2009\u00b1\u20094.38 vs. 4.72\u2009\u00b1\u20093.89,\n                    <jats:italic toggle=\"yes\">d<\/jats:italic>\n                    = 0.53, p-adj = 0.003) compared with men at baseline.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusion:<\/jats:italic>\n                    <\/jats:bold>\n                    Further investigation of gender differences is necessary to improve outcomes and inform the refinement of PC-HF interventions for females.\n                  <\/jats:p>","DOI":"10.1177\/26892820251396380","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T01:21:22Z","timestamp":1763428882000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Gender Differences in Patients with Advanced Heart Failure: A Secondary Data Analysis of the ENABLE CHF-PC Randomized Clinical Trial"],"prefix":"10.1177","volume":"6","author":[{"given":"Lindsay","family":"Aaron-Wade","sequence":"first","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Wells","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Azuero","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shena","family":"Gazaway","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Nicholas","family":"Odom","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Bakitas","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Ejem","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2024.07.001"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2021.12.002"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000979092.39243.d4"},{"key":"e_1_3_5_5_1","unstructured":"4. 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