Editor's Choice - Assessment of Correlation Between Mean Size of Infrarenal Abdominal Aortic Aneurysm at Time of Intact Repair Against Repair and Rupture Rate in Nine Countries.
Aged
Aged, 80 and over
Aorta
/ diagnostic imaging
Aortic Aneurysm, Abdominal
/ complications
Aortic Rupture
/ etiology
Cause of Death
Denmark
/ epidemiology
Elective Surgical Procedures
/ standards
Endovascular Procedures
/ standards
England
/ epidemiology
Female
Finland
/ epidemiology
Humans
Hungary
/ epidemiology
Male
Middle Aged
New Zealand
/ epidemiology
Norway
/ epidemiology
Organ Size
Practice Guidelines as Topic
Quality Improvement
Severity of Illness Index
Societies, Medical
/ standards
Sweden
/ epidemiology
United States
/ epidemiology
Abdominal aortic aneurysms
Aneurysm
Diameter
Mortality
Registries
Ruptured aortic
Journal
European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
ISSN: 1532-2165
Titre abrégé: Eur J Vasc Endovasc Surg
Pays: England
ID NLM: 9512728
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
04
03
2019
revised:
16
12
2019
accepted:
17
01
2020
pubmed:
29
3
2020
medline:
25
6
2020
entrez:
29
3
2020
Statut:
ppublish
Résumé
This study aimed to analyse the mean abdominal aortic aneurysm (AAA) diameter for repair in nine countries, and to determine variation in mean AAA diameter for elective AAA repair and its relationship to rupture AAA repair rates and aneurysm related mortality in corresponding populations. Data on intact (iAAA) and ruptured infrarenal AAA (rAAA) repair for the years 2010-2012 were collected from Denmark, England, Finland, Germany, Hungary, New Zealand, Norway, Sweden, and the USA. The rate of iAAA repair and rAAA per 100 000 inhabitants above 59 years old, mean AAA diameter for iAAA repair and rAAA repair, and the national rates of rAAA were assessed. National cause of death statistics were used to estimate aneurysm related mortality. Direct standardisation methods were applied to the national mortality data. Logistic regression and analysis of variance model adjustments were made for age groups, sex, and year. There was a variation in the mean diameter of iAAA repair (n = 34 566; range Germany = 57 mm, Denmark = 68 mm). The standardised iAAA repair rate per 100000 inhabitants varied from 10.4 (Hungary) to 66.5 (Norway), p<.01, and the standardised rAAA repair rate per 100 000 from 5.8 (USA) to 16.9 (England), p<.01. Overall, there was no significant correlation between mean diameter of iAAA repair and standardised iAAA rate (r Despite recommendations from learned society guidelines, data indicate variations in mean diameter for AAA repair. There was no significant correlation between mean diameter of AAA repair and rates of iAAA repair and rAAA repair. These analyses are subject to differences in disease prevalence, uncertainties in rupture rates, validations of vascular registries, causes of death and registrations.
Identifiants
pubmed: 32217115
pii: S1078-5884(20)30070-8
doi: 10.1016/j.ejvs.2020.01.024
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
890-897Informations de copyright
Copyright © 2020 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.