Heart failure & cardiomyopathies

Impact of Preexisting Heart Failure on Treatment and Outcomes in Older Patients With Hodgkin Lymphoma

JACC CardioOncolPublished Retrospective cohort study

Authors' conclusion

Pre-existing HF in older patients with newly diagnosed HL is common and associated with higher 1-year mortality.

Study context

Population
Patients aged ≥65 years with newly diagnosed Hodgkin lymphoma, SEER-Medicare 1999–2016
Participants
3,348 patients
Exposure
Pre-existing heart failure (HF) vs no pre-existing HF
  • Pre-existing HFn = 437
Outcome
Prevalence of pre-existing HF and its association with cancer treatment and cause-specific mortality
Methodological detailsSEER-Medicare linked data
  • SEER-Medicare linked data

Main finding

As reported in the abstract

Pre-existing HF

13.1%

437

Pre-existing HF vs No pre-existing HFEstimate (95% CI)
Anthracycline-based chemotherapy
OR 0.42(0.29–0.60)
Lymphoma mortality
HR 1.25(1.06–1.46)
CV mortality
HR 2.57(1.96–3.36)

Observational data: associations, not effects.

Further findings

OutcomePre-existing HFNo pre-existing HF
Lymphoma mortality cumulative incidence · 1 year37.4% (95% CI 35.5%–39.5%)26.3% (95% CI 25.0%–27.6%)

Use of cardioprotective dexrazoxane or liposomal doxorubicin

Used in all patients
4.2%

Original publication

Impact of Preexisting Heart Failure on Treatment and Outcomes in Older Patients With Hodgkin Lymphoma. JACC CardioOncol. Published 16 April 2024. doi:10.1016/j.jaccao.2024.02.003

Composed by AI from the published abstract and checked against it. How Briefs are made →

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