Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries

Abstract

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The Swedish vascular registry Swedvasc 1987–2018

“…The recommendations for peripheral revascularization registry data collection were recently created by a modified Delphi approach with on-line interaction within 14 countries among international vascular surgeons and registry mem-bers of the ICVR [19]. The Vascunet and ICVR have additionally performed international benchmarking studies of vascular surgical practice and outcome, identifying important variations in the practice of vascular surgery between countries and regions [20][21][22][23]. These benchmarking studies help to identify clinical areas where further studies are required to reach consensus regarding best management, as well as regional variations which may require focused quality improvement efforts.…”

An international vascular registry infrastructure for medical device evaluation and surveillance

“…4 However, high device costs and expenses related to postimplantation surveillance have led to different rates of utilisation between countries. The recently published ICVR data 5 indicate that while > 70% of patients with AAA in the United States and Australia are treated by EVAR, this was the case in < 40% of patients in Norway, Denmark, and Hungary. International variation in the use of the EVAR indicates that there is still uncertainty about its benefit in various sub-populations of patients.…”

An International Vascular Registry Infrastructure for Medical Device Evaluation and Surveillance

“…There are interesting differences between countries regarding the proportion of intact AAA repairs, varying from 71% in Finland to 92% in the United States (Fig 1), as well as the proportion of AAA repairs performed on patients with small diameter aneurysms. 5 …”