c3d806910efc9128e670cb89f772206b pmc_34886027.pdf 6e470c65d80d9912590f4345cbf14af13ef566fb pmc_34886027.pdf e1b34309f0c815a41e627c79a7b37623a2e86171a939dafb1fb1c9040c8c9782 pmc_34886027.pdf Title: Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model Subject: This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modifiable situation), medium (difficult) and low. Results: N = 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (p < 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%; p = 0.001) and professional caregivers were much more common (40.3% vs. 24.3%; p < 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%; p = 0.011), emotional distress (24.5% vs. 32.8%; p = 0.015), spiritual distress (16.4% vs. 26.4%; p = 0.001), socio-familial distress (62.7% vs. 70.1%; p = 0.036) and location of death (36.0% vs. 49.6%; p < 0.000). Men were more complex in the subareas of “practice” OR = 1.544 (1.25–1.90 p = 0.000) and “transcendence” OR = 1.52 (1.16–1.98 p = 0.002). Observed complexity is related to male gender in people over 80 years of age. Women over the age of 80 are remarkably different from their male counterparts, showing less complexity regarding care for their physical, psycho-emotional, spiritual and socio-familial needs. Keywords: end-of-life; gender; palliative care; home care; complexity Author: Xavier Busquet-Duran, Eduard Moreno-Gabriel, Eva Maria Jiménez-Zafra, Magda Tura-Poma, Olga Bosch-DelaRosa, Anna Moragas-Roca, Susana Martin-Moreno, Emilio Martínez-Losada, Silvia Crespo-Ramírez, Lola Lestón-Lado, Núria Salamero-Tura, Joana Llobera-Estrany, Ariadna Salvago-Leiracha, Ana Isabel López-García, Josep María Manresa-Domínguez, Teresa Morandi-Garde, Eda Sara Persentili-Viure and Pere Torán-Monserrat Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Tue Nov 23 13:18:52 2021 CET ModDate: Tue Nov 23 13:21:40 2021 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 11 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 934753 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- ACKGZT+VnURWPalladioL Type 1 Custom yes yes no 10 0 FWKQYI+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 JNENEG+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 JXCHYV+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 DGBDNV+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 36 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 39 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 61 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 65 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 69 0 QKDLIU+URWPalladioL-BoldItal Type 1 Custom yes yes no 84 0 MEPKLC+CMSY10 Type 1 Builtin yes yes no 91 0 FNTSBS+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 103 0 FNTSBS+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 109 0 FNTSBS+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 115 0 FNTSBS+Calibri CID TrueType Identity-H yes yes yes 121 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes no 174 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-10-21 02:40:28 CEST RepresentationInformation: pmc_34886027.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-03-31 12:06:28 CEST Size: 934753 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 358 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Background Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Objectives Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Info: Title: Gender and Observed Complexity in Palliative Home Care: A Prospective Multicentre Study Using the HexCom Model Author: Xavier Busquet-Duran, Eduard Moreno-Gabriel, Eva Maria Jiménez-Zafra, Magda Tura-Poma, Olga Bosch-DelaRosa, Anna Moragas-Roca, Susana Martin-Moreno, Emilio Martínez-Losada, Silvia Crespo-Ramírez, Lola Lestón-Lado, Núria Salamero-Tura, Joana Llobera-Estrany, Ariadna Salvago-Leiracha, Ana Isabel López-García, Josep María Manresa-Domínguez, Teresa Morandi-Garde, Eda Sara Persentili-Viure and Pere Torán-Monserrat Subject: This study analyses gender differences in the complexity observed in palliative home care through a multicentre longitudinal observational study of patients with advanced disease treated by palliative home care teams in Catalonia (Spain). We used the HexCom model, which includes six dimensions and measures three levels of complexity: high (non-modifiable situation), medium (difficult) and low. Results: N = 1677 people, 44% women. In contrast with men, in women, cancer was less prevalent (64.4% vs. 73.9%) (p < 0.001), cognitive impairment was more prevalent (34.1% vs. 26.6%; p = 0.001) and professional caregivers were much more common (40.3% vs. 24.3%; p < 0.001). Women over 80 showed less complexity in the following subareas: symptom management (41.7% vs. 51,1%; p = 0.011), emotional distress (24.5% vs. 32.8%; p = 0.015), spiritual distress (16.4% vs. 26.4%; p = 0.001), socio-familial distress (62.7% vs. 70.1%; p = 0.036) and location of death (36.0% vs. 49.6%; p < 0.000). Men were more complex in the subareas of “practice” OR = 1.544 (1.25 1.90 p = 0.000) and “transcendence” OR = 1.52 (1.16 1.98 p = 0.002). Observed complexity is related to male gender in people over 80 years of age. Women over the age of 80 are remarkably different from their male counterparts, showing less complexity regarding care for their physical, psycho-emotional, spiritual and socio-familial needs. 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