Variation in Surgical Treatment of Abdominal Aortic Aneurysms With Small Aortic Diameters in the Netherlands.

Annals of Surgery
Eleonora G KarthausJaap F Hamming

Abstract

To evaluate reasons to deviate from aneurysm diameter thresholds, and focus on the difference in how Dutch vascular surgical units (VSUs) perceive their deviation and their actual deviation. Guidelines recommend surgical treatment for asymptomatic abdominal aortic aneurysms (AAAs) with a diameter of at least 55 mm for men and 50 mm for women. We evaluate reasons to deviate from these guidelines, and focus on the difference in how Dutch vascular surgical units (VSUs) perceive their deviation and their actual deviation. All patients undergoing elective AAA repair between 2013 and 2016 registered in the Dutch Surgical Aneurysm Audit (DSAA) were included. Surgery at diameters of <55 mm for men and <50 mm for women were considered guideline deviations. National deviation and hospital variation in deviation were evaluated over time. Questionnaires were distributed among all Dutch VSUs, inquiring for acceptable reasons for guideline deviation. VSUs were asked to estimate the guideline deviation percentage in their hospital which was then compared with their DSAA percentage. In all, 9039 patients were included. In 15%, we found guideline deviation, varying from 2% to 40% between VSUs. Over time, 21 VSUs were identified with a lower per...Continue Reading

References

May 10, 2002·The New England Journal of Medicine·Frank A LederleUNKNOWN Aneurysm Detection and Management Veterans Affairs Cooperative Study Group
May 10, 2002·The New England Journal of Medicine·UNKNOWN United Kingdom Small Aneurysm Trial ParticipantsS G Thompson
Dec 6, 2005·Lancet·Nicola C Y HoArsun Bektas
May 22, 2007·The British Journal of Surgery·J T PowellS G Thompson
Mar 25, 2009·Journal of Vascular Surgery·Toshio TakayamaHirokazu Nagawa
Mar 23, 2010·Journal of Vascular Surgery·Kenneth OurielUNKNOWN Positive Impact of Endovascular Options for treating Aneurysms Early (PIVOTAL) Investigators
Sep 28, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P CaoUNKNOWN CAESAR Trial Group
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
Mar 18, 2011·The British Journal of Surgery·J T PowellS G Thompson
Mar 6, 2012·The British Journal of Surgery·M J SweetingUNKNOWN RESCAN collaborators
Nov 7, 2012·Journal of Vascular Surgery·Eric K ShangBenjamin M Jackson
Oct 1, 2013·Lancet·John D BirkmeyerJohn E Wennberg
Jan 7, 2014·Journal of Vascular Surgery·Ruby C LoUNKNOWN Vascular Study Group of New England,
Dec 4, 2015·Annals of Vascular Surgery·Thorarinn KristmundssonBjörn Sonesson
Apr 14, 2016·Journal of Vascular Surgery·Sara L ZettervallUNKNOWN Society for Vascular Surgery Vascular Quality Initiative
Oct 28, 2016·Circulation·Adam W BeckUNKNOWN International Consortium of Vascular Registries
Nov 30, 2016·Annals of Vascular Surgery·Tracy HagertyAlan C Braverman
Dec 14, 2016·The New England Journal of Medicine·Alan KarthikesalingamMatthew M Thompson
Mar 4, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N LijftogtUNKNOWN Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for
May 17, 2017·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S M TomeeJ H Lindeman
Dec 23, 2017·Journal of Vascular Surgery·Elliot L ChaikofBenjamin W Starnes

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Citations

May 23, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B L S Borger van der BurgR Hoencamp
Aug 20, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos Spanos, Tilo Kölbel
Jul 2, 2021·Journal of Vascular Surgery·Gerdine C I von MeijenfeldtMaarten J van der Laan

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