Heart failure is a common long-term condition affecting around
900,000 in the United Kingdom and represents the second highest cost to the NHS for
any disease after stroke. An estimated one to two in every 100 adults in
the West currently live with the condition.
Survival rates for people suffering from heart failure have not
improved since 1998, revealed a study led by University of Oxford
‘Survival rates for people aged over 45 with heart failure showed no improvement, in contrast to cancer survival rates in the United Kingdom which have doubled in the last 40 years.’
Published in Family Practice
, the research was funded by the United Kingdom's National Institute for Health Research School for Primary Care Research.
The research team looked at routinely collected medical records from
54,313 patients with heart failure and found 81.3% survived for one
year, 51.5% survived for two years, and 29.5% survived for 10 years,
following diagnosis with the condition.
However, between 1998 and 2012, survival rates for people aged over
45 with heart failure showed no improvement, in contrast to cancer
survival rates in the UK which have doubled in the last 40 years.
"Getting an accurate estimate of heart failure prognosis is vital
for those who commission healthcare services, so resources can be
allocated appropriately," commented lead author Dr. Clare Taylor, a
primary care researcher at the University of Oxford.
"Perhaps more importantly," said Taylor, "this allows patients to
make more informed choices about treatments and possible end-of-life
care. While the survival rates were better than other studies, we
disappointingly didn't see any improvement over time. We plan to do more
work to examine why this might be the case and find ways to improve the
outlook for patients with heart failure in the future."
This is the first study to provide survival rate estimates for heart
failure in the UK based on medical records, which were obtained from
The Health Improvement Network.
While the study did not look at the effect of medication
following heart failure on survival rates, it found that survival rate
estimates vary depending on a person's age, gender, other health
conditions and blood pressure - all factors that healthcare
professionals should take into consideration when discussing heart
failure with their patients.