Long‐term survival following open repair of ruptured abdominal aortic aneurysm

Englund, Raymond; Katib, Nedal

doi:10.1111/ans.13704

Cited by 6 publications

(18 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The administrative data used in in this study provide an alternative perspective of LTS and compare newer techniques of AAA repair with traditional surgical approaches. The calculated LTS using these clinical data are similar to those presented in previous commentaries . However, limitations are recognized in this study that relate to both the use of administrative data in general and the characteristics of the data set used.…”

Section: Discussionsupporting

confidence: 71%

“…Englund and Katib reporting the LTS of a personal series of AAA repairs from Australia controlled for this variable and included only those individuals who survived the initial post‐operative period. In this analysis, LTS following AAA repair was restored to predicted age‐matched controls . These outcomes have been supported by further reports .…”

Section: Introductionsupporting

confidence: 81%

“…Operations performed for the repair of abdominal aortic aneurysm (AAA) are potentially life-saving, yet long-term survival (LTS) following open and endovascular AAA repair (EVAR) is unclear. 1,2 Studies assessing LTS often focus on comparisons between elective open and endovascular procedures or treated and control populations. [1][2][3][4] However, the higher perioperative mortality associated with open repair can confound both LTS analysis and comparisons of techniques.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Studies assessing LTS often focus on comparisons between elective open and endovascular procedures or treated and control populations. [1][2][3][4] However, the higher perioperative mortality associated with open repair can confound both LTS analysis and comparisons of techniques. 1 Englund and Katib reporting the LTS of a personal series of AAA repairs from Australia controlled for this variable and included only those individuals who survived the initial post-operative period.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4] However, the higher perioperative mortality associated with open repair can confound both LTS analysis and comparisons of techniques. 1 Englund and Katib reporting the LTS of a personal series of AAA repairs from Australia controlled for this variable and included only those individuals who survived the initial post-operative period. In this analysis, LTS following AAA repair was restored to predicted age-matched controls.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Long‐term survival following successful abdominal aortic aneurysm repair evaluated using Australian administrative data

Purkiss

Keegel

Vally

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background Long‐term survival (LTS) following abdominal aortic aneurysm (AAA) surgery is an outcome that can compare open surgical repair (OSR) and endovascular AAA repair (EVAR) methods. We examined the LTS of persons following successful AAA repair using administrative health data covering the Australian Pharmaceutical Benefits and Medicare Benefits Schemes from 1993 to 2014. Methods Participants undergoing AAA surgery were identified using procedure codes and the last service provision date used as a proxy mortality marker. LTS and relative survival with control populations in those who survived the initial post‐operative period were used to compare OSR and EVAR and estimates between the first and second halves of the study. Results A total of 2060 persons who had undergone AAA repair were identified. Overall median LTS (95% CI) following elective, ruptured OSR and EVAR were 10.4 (9.1–11.0), 8.5 (6.7–10.3) and 9.7 (8.1–11.3) years, respectively. Relative survival rates at 5 and 10 years were 0.89 and 0.7 for OSR and 0.87 and 0.66 for EVAR. LTS rates were similar for OSR and EVAR in age groups 65–84 years (EVAR/OSR range 0.96–1.16); however, EVAR was superior to OSR in persons aged >85 years at 5 years (EVAR/OSR 1.32, log‐rank P < 0.05). Relative survival following all techniques of AAA repair showed no significant change over the duration of the study. Conclusion LTS following AAA repair was heterogeneous in comparison with control populations and varied with age and procedure. The 5‐year LTS following EVAR in persons aged >85 years is superior to OSR. Administrative data can define long‐term outcomes following aortic aneurysm surgery and may complement data already collected by surgeons.

show abstract

Section: Discussionsupporting

confidence: 71%

Section: Introductionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Long‐term survival following successful abdominal aortic aneurysm repair evaluated using Australian administrative data

Purkiss

Keegel

Vally

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

Long‐Term Outcomes After Open Repair for Ruptured Abdominal Aortic Aneurysm

et al. 2020

View full text Add to dashboard Cite

Background Early mortality in ruptured abdominal aneurysm (rAAA) is high, but data on long-term outcome are scarce. The aim of this study was to investigate the long-term outcome in survivors after open surgery for rAAA in well-defined population. Methods This is a population-based, observational long-term follow-up (beyond 30-day mortality) study of patients surgically treated for rAAA from 2000 through 2014. Long-term survival was analysed using Kaplan-Meier estimates and compared to the general population by analyses of relative survival. Results Out of 178 patients operated for rAAA, 95 patients (55%) either died in the perioperative period, were referred from other hospitals or were lost to follow-up (two patients). Altogether 83 patients were eligible for longterm outcomes: 72 men and 11 women. Estimated median crude survival time was 6.5 years [95% confidence interval (CI) 4.8-8.2]. Men had a median survival of 7.3 years (95% CI 5.1-9.4) versus 5.4 years in females (95% CI 3.5-7.3) (P = 0.082). Reinterventions during follow-up occurred in 31 (37%). Relative survival demonstrated a slightly higher risk of death in the rAAA population compared to the general age-and gender-matched population. Age, but not comorbidities, had a significant influence on long-term survival. Conclusion For survivors beyond 30 days after surgery for rAAA, long-term survival compares well to that of an age-and sex-matched population. A high frequency of cardiovascular comorbidities did not seem to affect long-term survival.

show abstract

Systematic review and meta-analysis of elective and urgent late open conversion after failed endovascular aneurysm repair

Goudeketting

Jin

Ünlü

et al. 2019

Journal of Vascular Surgery

View full text Add to dashboard Cite

Long‐term survival following open repair of ruptured abdominal aortic aneurysm

Abstract: Open AAA repair for RAAA or elective aneurysm treatment restores predicted life expectancy for those patients surviving 30 days or more and is therefore a durable method of treatment for this condition.

Cited by 6 publications

References 22 publications

Long‐term survival following successful abdominal aortic aneurysm repair evaluated using Australian administrative data

Long‐term survival following successful abdominal aortic aneurysm repair evaluated using Australian administrative data

Long‐Term Outcomes After Open Repair for Ruptured Abdominal Aortic Aneurysm

Systematic review and meta-analysis of elective and urgent late open conversion after failed endovascular aneurysm repair

Contact Info

Product

Resources

About