Cohort study

Temporal trends in the incidence of malignancy in heart failure: a nationwide Danish study

Eur Heart JPublished

  • Retrospective cohort study
  • nationwide registers

Authors' conclusion

Although cancer rates during 1997-2016 have remained stable within 1-6 years after the HF diagnosis, long-term survival following a HF diagnosis has increased significantly.

Study context

Population
Patients with heart failure (HF) alive, cancer-free and aged 30–80 years 1 year after HF diagnosis, Denmark, 1997–2016
Participants
103,711 patients
Exposure
Index year 2016 vs 1997
Outcome
Incidence of new-onset cancer
Follow-up
5 years

Main finding

Five-year incidence rate of cancer

Hazard ratio

1.09

CI 0.97–1.23

By group

2016 vs 1997
HR 1.09 (CI 0.97–1.23)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeValues
Five-year absolute risk of cancer1997-2001 9.0% · 2012-16 9.0%
Five-year cumulative incidence of survival1997-2001 55.9% · 2012-2016 74.3%
Age at index date1997-2001 median 70.3 (IQR 62.5–75.7) · Men 60.9% · 2012-16 median 67.6 (IQR 59.2–73.8) · Men 67.5%

Five-year absolute risk of cancer

Did not change with advancing calendar year

Original publication

Temporal trends in the incidence of malignancy in heart failure: a nationwide Danish study. Eur Heart J. Published 24 January 2023. doi:10.1093/eurheartj/ehac797

Summarised from the published abstract; every number is checked against it