Quality of care and long-term survival after ST-elevation myocardial infarction in adults with cancer
Authors' conclusion
Quality of care is closely associated with short- and long-term survival among STEMI patients with cancer. Improving quality of care may save hundreds to thousands of lives in the shorter and longer term.
Study context
- Population
- ST-elevation myocardial infarction (STEMI) patients with cancer, UK Myocardial Infarction National Audit Project and UK national Hospital Episode Statistics Admitted Patient Care registries (January 2005-March 2019)STEMI indexed admissions with cancer
- Participants
- 6,787 patients
- Exposure
- Low care quality compared to patients with optimum care
- Optimum caren = 4,340reference
- Intermediate caren = 1,320
- Low care qualityn = 1,127
- Outcome
- Death
- Follow-up
- 30 days, 1 year, 5 years
Main finding
As reported in the abstract
low care quality vs optimum careHazard ratio (95% CI)
30 days
7.0(5.7–8.7)
1 year
4.0(3.6–4.4)
5 years
2.6(2.4–2.8)
Observational data: associations, not effects.
Further findings
Women
Median
| Outcome | Optimum care | Intermediate care | Low care quality |
|---|---|---|---|
| Age | 72.8 (IQR 65.1–79.6) | 75.5 (IQR 67.9–82.1) | 78.2 (IQR 69.2–84.7) |
Number of patients who would survive nationally if they received optimal care (relative survival analysis) · 30 days, 1 year, 5 years
- 30 days
- 84 (95% CI 67-102)
- 1 year
- 508 (95% CI 468-548)
- 5 years
- 1096 (95% CI 1034-1158)
Regional variation
- The association between care quality and survival was more profound in the Northwest and Northeast regions
Original publication
Quality of care and long-term survival after ST-elevation myocardial infarction in adults with cancer. Eur Heart J Qual Care Clin Outcomes. Published 27 February 2025. doi:10.
Summarised from the published abstract; every number is checked against it