Regional Differences in Case Mix and Peri-operative Outcome After Elective Abdominal Aortic Aneurysm Repair in the Vascunet Database

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Kevin ManiM Björck

Abstract

National differences exist in the outcome of elective abdominal aortic aneurysm (AAA) repair. The role of case mix variation was assessed based on an international vascular registry collaboration. All elective AAA repairs with aneurysm size data in the Vascunet database in the period 2005-09 were included. AAA size and peri-operative outcome (crude and age adjusted mortality) were analysed overall and in risk cohorts, as well as per country. Glasgow Aneurysm Score (GAS) was calculated as risk score, and patients were stratified in three equal sized risk cohorts based on GAS. Predictors of peri-operative mortality were analysed with multiple regression. Missing data were handled with multiple imputation. Patients from Australia, Finland, Hungary, Norway, Sweden and the UK (n = 5,895) were analysed; mean age was 72.7 years and 54% had endovascular repair (EVAR). There were significant variations in GAS (lowest = Finland [75.7], highest = UK [79.4], p for comparison of all regions < .001), proportion of AAA < 5.5 cm (lowest = UK [6.4%], highest = Hungary [29.0%]; p < .001), proportion undergoing EVAR (lowest = Finland [10.1%], highest = Australia [58.9%]; p < .001), crude mortality (lowest = Norway [2.0%], highest = Finland [5.0%]...Continue Reading

References

May 10, 2002·The New England Journal of Medicine·Frank A LederleUNKNOWN Aneurysm Detection and Management Veterans Affairs Cooperative Study Group
Jan 14, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J LaustsenUNKNOWN Danish National Vascular Registry
May 10, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E S HaugH O Myhre
Aug 11, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D BergqvistT Troëng
Feb 27, 2008·The British Journal of Surgery·A WanhainenM Björck
Oct 15, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T TroëngM Björck
Oct 17, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B O PattersonM M Thompson
Jul 1, 2009·BMJ : British Medical Journal·Jonathan A C SterneJames R Carpenter
Oct 14, 2009·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Society for Vascular Surgery
Mar 23, 2010·Journal of Vascular Surgery·Kenneth OurielUNKNOWN Positive Impact of Endovascular Options for treating Aneurysms Early (PIVOTAL) Investigators
Jan 11, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F L MollUNKNOWN European Society for Vascular Surgery
Apr 1, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G MenyheiP Wigger
Jul 22, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K ManiM Björck
Apr 19, 2012·ANZ Journal of Surgery·C Barry BeilesIan Thomson
Jun 5, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T LeesM Björck
Jan 22, 2013·The British Journal of Surgery·K ManiA Wanhainen
Jan 23, 2013·The British Journal of Surgery·S W GrantC N McCollum
Jun 26, 2013·The British Journal of Surgery·A KarthikesalingamM M Thompson
Mar 15, 2014·VASA. Zeitschrift für Gefässkrankheiten·David BergqvistGabor Menyhei
Apr 2, 2014·The British Journal of Surgery·D A SidloffR D Sayers
Sep 5, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M Venermo, T Lees

❮ Previous
Next ❯

Citations

Apr 22, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S K Kakkos, I A Tsolakis
Aug 6, 2016·ANZ Journal of Surgery·Manar KhashramJustin A Roake
Feb 23, 2017·Journal of Vascular Surgery·Art SedrakyanMartin Björck
Jun 24, 2017·Vascular and Endovascular Surgery·Gerard M HealyDavid P Brophy
Feb 23, 2018·The British Journal of Surgery·A KarthikesalingamK Mani
Apr 21, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dainis KrievinsChristopher K Zarins
Aug 23, 2018·Health Technology Assessment : HTA·Simon G ThompsonMichael J Sweeting
Oct 28, 2016·Circulation·Adam W BeckUNKNOWN International Consortium of Vascular Registries
May 8, 2018·VASA. Zeitschrift für Gefässkrankheiten·Konstanze StoberockSabine Wipper
Apr 18, 2020·Journal of Internal Medicine·D C SutzkoA W Beck
Dec 14, 2016·The New England Journal of Medicine·Alan KarthikesalingamMatthew M Thompson
Sep 22, 2018·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·D BergqvistA Wanhainen
Jun 29, 2017·Deutsches Ärzteblatt International·Andreas KühnlHans-Henning Eckstein
Jul 25, 2020·The Journal of Surgical Research·Cyrus FarzanehJeffry Nahmias
Feb 9, 2019·Annals of Vascular Surgery·Lucie Salomon du MontBenjamin Kretz
Mar 29, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Matthew J GrimaKevin Mani
Aug 25, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Martin Altreuther, Gabor Menyhei

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.