The effect of loss to follow-up on treatment of blunt traumatic thoracic aortic injury

Journal of Vascular Surgery
Biniam KidaneThomas L Forbes

Abstract

Loss to follow-up (LTFU) can be a major difficulty for any clinical research study. The objective of this systematic review was to assess the extent of LTFU and its potential effect in studies of adult trauma patients with blunt thoracic aortic injuries (BTAIs). Studies comparing management of BTAIs were systematically reviewed. Duplicate independent review was used for study selection, data abstraction, and critical appraisals. Thirty-six studies were included for synthesis, of which 94.1% applied a retrospective cohort design to prospective institutional databases. The mean LTFU at 1 year was 26.5% ± 31.6% for endovascular repair and 20.6% ± 34.2% for open repair groups. Not having a surgical/interventional specialist as a first or senior author was associated with a 39.7% higher LTFU at 1 year (P = .002). Studies with a higher risk of bias, later publication year, or North American origin were associated with a significantly higher risk for LTFU at 1 year (P ≤ .001). Nearly half of included studies assessed in-hospital outcomes exclusively. Only 38.2% explicitly reported LTFU data. Eight studies explicitly described the method of dealing with LTFU: eight used survival analysis and one used a national Social Security Death In...Continue Reading

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Citations

Jan 26, 2016·International Journal of Molecular Sciences·Biniam KidaneKazuhiro Yasufuku
Sep 20, 2018·VASA. Zeitschrift für Gefässkrankheiten·Elizabeth L ChouMatthew J Eagleton
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Dec 10, 2020·The American Surgeon·Shihuan K WangJohn G Maijub
Feb 27, 2021·Journal of Vascular Surgery·J Gregory Modrall
Mar 29, 2021·The Journal of Thoracic and Cardiovascular Surgery·Andrew E GilesUNKNOWN Evidence Based Reviews in Surgery (EBRS) Group

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