{"id":"https://openalex.org/W4404989618","doi":"https://doi.org/10.1177/10499091241304695","title":"Pain Outcomes Among Medical Centers With High vs Low Specialist Palliative Care Reach Among People With Heart Failure","display_name":"Pain Outcomes Among Medical Centers With High vs Low Specialist Palliative Care Reach Among People With Heart Failure","publication_year":2024,"publication_date":"2024-12-04","ids":{"openalex":"https://openalex.org/W4404989618","doi":"https://doi.org/10.1177/10499091241304695","pmid":"https://pubmed.ncbi.nlm.nih.gov/39631749"},"language":"en","primary_location":{"id":"doi:10.1177/10499091241304695","doi":"https://doi.org/10.1177/10499091241304695","is_oa":true,"landing_page_url":"https://doi.org/10.1177/10499091241304695","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/10499091241304695?download=true","source":{"id":"https://openalex.org/S92692057","display_name":"American Journal of Hospice and Palliative Medicine\u00ae","issn_l":"1049-9091","issn":["1049-9091","1938-2715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Hospice and Palliative Medicine\u00ae","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/10499091241304695?download=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5087905082","display_name":"Shelli Leore Feder","orcid":"https://orcid.org/0000-0002-8059-9281","observed_orcids":["https://orcid.org/0000-0002-8059-9281"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Shelli L. Feder","raw_affiliation_strings":["VA Connecticut Healthcare System","Yale School of Nursing","VA Connecticut Healthcare System, West Haven, CT, USA","Yale School of Nursing, Orange, CT, USA"],"raw_orcid":"https://orcid.org/0000-0002-8059-9281","affiliations":[{"raw_affiliation_string":"VA Connecticut Healthcare System","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"Yale School of Nursing","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"VA Connecticut Healthcare System, West Haven, CT, USA","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"Yale School of Nursing, Orange, CT, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032254200","display_name":"Ling Han","orcid":"https://orcid.org/0000-0002-3168-9002","observed_orcids":["https://orcid.org/0000-0002-3168-9002"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L. Han","raw_affiliation_strings":["VA Connecticut Healthcare System","Yale School of Medicine","VA Connecticut Healthcare System, West Haven, CT, USA","Yale School of Medicine, New Haven, CT, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Connecticut Healthcare System","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"Yale School of Medicine","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"VA Connecticut Healthcare System, West Haven, CT, USA","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"Yale School of Medicine, New Haven, CT, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039727047","display_name":"Yan Zhan","orcid":"https://orcid.org/0000-0001-7060-6487","observed_orcids":["https://orcid.org/0000-0001-7060-6487"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yan Zhan","raw_affiliation_strings":["Yale School of Nursing","Yale School of Nursing, Orange, CT, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Nursing","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"Yale School of Nursing, Orange, CT, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027046752","display_name":"Erica A. Abel","orcid":"https://orcid.org/0000-0001-7714-8693","observed_orcids":["https://orcid.org/0000-0001-7714-8693"]},"institutions":[{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erica A. Abel","raw_affiliation_strings":["VA Connecticut Healthcare System","VA Connecticut Healthcare System, West Haven, CT, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Connecticut Healthcare System","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"VA Connecticut Healthcare System, West Haven, CT, USA","institution_ids":["https://openalex.org/I4210086971"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018099060","display_name":"Kathleen M. Akg\u00fcn","orcid":"https://orcid.org/0000-0003-2623-7463","observed_orcids":["https://orcid.org/0000-0003-2623-7463"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathleen M. Akg\u00fcn","raw_affiliation_strings":["VA Connecticut Healthcare System","Yale School of Medicine","VA Connecticut Healthcare System, West Haven, CT, USA","Yale School of Medicine, New Haven, CT, USA"],"raw_orcid":"https://orcid.org/0000-0003-2623-7463","affiliations":[{"raw_affiliation_string":"VA Connecticut Healthcare System","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"Yale School of Medicine","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"VA Connecticut Healthcare System, West Haven, CT, USA","institution_ids":["https://openalex.org/I4210086971"]},{"raw_affiliation_string":"Yale School of Medicine, New Haven, CT, USA","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5087905082"],"corresponding_institution_ids":["https://openalex.org/I32971472","https://openalex.org/I4210086971"],"apc_list":{"value":3950,"currency":"USD","value_usd":3950},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.28147754,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"42","issue":"12","first_page":"1298","last_page":"1303"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.9430000185966492},{"id":"https://openalex.org/keywords/end-of-life-pain","display_name":"end-of-life pain","score":0.7990000247955322},{"id":"https://openalex.org/keywords/specialist-palliative-care","display_name":"specialist palliative care","score":0.8560000061988831},{"id":"https://openalex.org/keywords/access-to-palliative-care","display_name":"access to palliative care","score":0.7080000042915344},{"id":"https://openalex.org/keywords/refractory-pain","display_name":"refractory pain","score":0.7009999752044678},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.6349999904632568},{"id":"https://openalex.org/keywords/veterans-affairs-hospitals","display_name":"Veterans Affairs hospitals","score":0.7170000076293945},{"id":"https://openalex.org/keywords/facility-level-variation","display_name":"facility-level variation","score":0.42399999499320984},{"id":"https://openalex.org/keywords/advanced-heart-failure","display_name":"advanced heart failure","score":0.6079999804496765}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8653514385223389},{"id":"https://openalex.org/C2775969662","wikidata":"https://www.wikidata.org/wiki/Q7923600","display_name":"Veterans Affairs","level":2,"score":0.7893320322036743},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.7553948163986206},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6365708708763123},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.5941256284713745},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5912994742393494},{"id":"https://openalex.org/C2778979077","wikidata":"https://www.wikidata.org/wiki/Q330190","display_name":"Receipt","level":2,"score":0.44450873136520386},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.4185924530029297},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.360441118478775},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22036373615264893},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.08586594462394714},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006787","descriptor_name":"Hospitals, Veterans","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D059408","descriptor_name":"Pain Management","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1177/10499091241304695","doi":"https://doi.org/10.1177/10499091241304695","is_oa":true,"landing_page_url":"https://doi.org/10.1177/10499091241304695","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/10499091241304695?download=true","source":{"id":"https://openalex.org/S92692057","display_name":"American Journal of Hospice and Palliative Medicine\u00ae","issn_l":"1049-9091","issn":["1049-9091","1938-2715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Hospice and Palliative Medicine\u00ae","raw_type":"journal-article"},{"id":"pmid:39631749","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39631749","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of hospice & palliative care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13200018","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13200018/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Am J Hosp Palliat Care","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1177/10499091241304695","doi":"https://doi.org/10.1177/10499091241304695","is_oa":true,"landing_page_url":"https://doi.org/10.1177/10499091241304695","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/10499091241304695?download=true","source":{"id":"https://openalex.org/S92692057","display_name":"American Journal of Hospice and Palliative Medicine\u00ae","issn_l":"1049-9091","issn":["1049-9091","1938-2715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Hospice and Palliative Medicine\u00ae","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.7599999904632568,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G2269271298","display_name":null,"funder_award_id":"R34HL174885","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"},{"id":"https://openalex.org/G2982802080","display_name":null,"funder_award_id":"K12 HL138037","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"},{"id":"https://openalex.org/G3318127413","display_name":null,"funder_award_id":"L30 HL159709","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"},{"id":"https://openalex.org/G5452860488","display_name":null,"funder_award_id":"R01 HL172840","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"},{"id":"https://openalex.org/G6059767560","display_name":null,"funder_award_id":"R56HL166523","funder_id":"https://openalex.org/F8477704757","funder_display_name":"Yale Center for Implementation Science, Yale School of Medicine"},{"id":"https://openalex.org/G7816225048","display_name":"Evaluating the Implementation of Specialist Palliative Care for Patients with Advanced Heart Failure","funder_award_id":"R56HL166523","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"},{"id":"https://openalex.org/F8477704757","display_name":"Yale Center for Implementation Science, Yale School of Medicine","ror":null}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4404989618.pdf","grobid_xml":"https://content.openalex.org/works/W4404989618.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1760228306","https://openalex.org/W2181266731","https://openalex.org/W2461307610","https://openalex.org/W2727171916","https://openalex.org/W2981138781","https://openalex.org/W3086066173","https://openalex.org/W3118652086","https://openalex.org/W3148099619","https://openalex.org/W3172883201","https://openalex.org/W4220811131","https://openalex.org/W4224234249","https://openalex.org/W4225265384","https://openalex.org/W4283693744","https://openalex.org/W4381952909","https://openalex.org/W4388564150","https://openalex.org/W4393346214"],"related_works":["https://openalex.org/W2364011232","https://openalex.org/W2915320150","https://openalex.org/W1490898716","https://openalex.org/W2348360270","https://openalex.org/W1671466897","https://openalex.org/W3148326824","https://openalex.org/W2513361055","https://openalex.org/W3125363526","https://openalex.org/W2352792752","https://openalex.org/W1977344913"],"abstract_inverted_index":{"Background:":[0],"Pain":[1],"affects":[2],"more":[3],"than":[4],"60%":[5],"of":[6,20,34,78,102,158,163,185,197,209,220],"people":[7,210,231],"with":[8,12,32,41,53,154,211,217,236,250],"heart":[9],"failure":[10],"(HF),":[11],"increasing":[13],"frequency":[14],"and":[15,87,105,116,122,140,151,182,246],"severity":[16],"towards":[17],"the":[18,96,109,112,117,164,170,255],"end":[19],"life":[21],"(EOL).":[22],"We":[23,44,69,90],"examined":[24,91],"if":[25],"family-rated":[26],"pain":[27,107,168,181,228,252],"near":[28],"EOL":[29,110,256],"was":[30,146,176],"associated":[31,249],"rates":[33,77,104,125,184,219],"specialist":[35],"palliative":[36],"care":[37],"(SPC)":[38],"among":[39,50,257],"patients":[40],"HF.":[42],"Methods:":[43],"conducted":[45,131],"a":[46,155],"retrospective":[47],"cohort":[48],"study":[49,127],"1095":[51],"decedents":[52],"advanced":[54],"HF":[55],"(aHF":[56],"=":[57,189,194,205],"\u22652":[58],"hospitalizations)":[59],"from":[60,111],"83":[61],"Veterans":[62],"Affairs":[63],"Medical":[64],"Centers":[65],"(VAMCs)":[66],"between":[67,93,119,179],"2018-2020.":[68],"used":[70],"multilevel":[71],"logistic":[72],"regression":[73],"to":[74,225,230,243],"derive":[75],"facility":[76,141],"predicted":[79],"SPC":[80,103,121,124,186,198,221,238],"for":[81,85,137,214,233],"each":[82],"VAMC":[83,183],"adjusting":[84,136],"demographic":[86],"clinical":[88],"characteristics.":[89],"associations":[92],"VAMCs":[94,216,235],"in":[95,215,234],"top":[97],"20%":[98,152],"(vs":[99],"bottom":[100],"80%)":[101],"family-reported":[106,180],"at":[108,169,254],"Bereaved":[113],"Family":[114],"Survey":[115],"interaction":[118],"receiving":[120],"VAMC-level":[123],"on":[126],"outcomes.":[128],"Analyses":[129],"were":[130,222],"using":[132],"generalized":[133],"linear":[134],"models,":[135,174],"demographic,":[138],"clinical,":[139],"covariates.":[142],"Results:":[143],"The":[144],"sample":[145,165],"98%":[147],"male,":[148],"73%":[149],"White,":[150],"Black,":[153],"mean":[156],"age":[157],"79.7+/\u221210.3":[159],"years.":[160],"Over":[161],"77%":[162],"had":[166],"uncontrolled":[167,227],"EOL.":[171],"In":[172],"adjusted":[173],"there":[175],"no":[177],"association":[178],"(Odds":[187],"Ratio":[188],"1.082,":[190],"95%":[191],"Confidence":[192],"Interval":[193],"0.706-1.659).":[195],"Receipt":[196],"did":[199],"not":[200],"change":[201],"this":[202,258],"relationship":[203],"(p-interaction":[204],".405).":[206],"Conclusion:":[207],"Families":[208],"aHF":[212],"cared":[213,232],"high":[218],"as":[223],"likely":[224],"report":[226],"relative":[229],"lower":[237],"rates.":[239],"Research":[240],"is":[241],"needed":[242],"identify":[244],"delivery":[245],"organizational":[247],"features":[248],"improved":[251],"control":[253],"symptomatic":[259],"population.":[260]},"counts_by_year":[],"updated_date":"2026-10-15T10:00:46.086208","created_date":"2025-10-10T00:00:00"}
