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Record W4414042623 · doi:10.7759/cureus.91788

Disparities in Heart Failure Epidemiology, Diagnosis, Management, and Outcomes

2025· review· en· W4414042623 on OpenAlexaff
Amy Yan, Pratyaksh K. Srivastava, D. Vucicevic, Manyoo Agarwal, Boback Ziaeian, Gregg C. Fonarow, Ali Nsair, Negeen Shahandeh

Bibliographic record

VenueCureus · 2025
Typereview
Languageen
FieldMedicine
TopicHeart Failure Treatment and Management
Canadian institutionsBishop's University
Fundersnot available
KeywordsHeart failureSocioeconomic statusHealth equityClinical PracticeMEDLINEClinical trialAfrican american

Abstract

fetched live from OpenAlex

Heart failure (HF) disproportionately impacts minority groups in the United States. Among minorities living with HF, disparities exist in treatment, access to advanced therapies such as durable left ventricular assist devices and heart transplantation, and outcomes. Reasons for observed disparities range from the prevalence of traditional cardiovascular risk factors to social determinants of health, including housing, access to healthcare, and socioeconomic status. Clinical practice guidelines frequently are unable to address these observed disparities, and clinical trials often underrepresent minority populations. Custom programs tailored toward addressing disparities in HF care are needed to help improve outcomes in minority populations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.005
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.005
Threshold uncertainty score0.016

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.005
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0030.003
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0050.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.063
GPT teacher head0.390
Teacher spread0.328 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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