Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
March 23, 2007British journal of surgeryOpen Access

Epidemiological study of the relationship between volume and outcome after abdominal aortic aneurysm surgery in the UK from 2000 to 2005

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does AAA repair at high-volume hospitals reduce mortality in patients with abdominal aortic aneurysms?

Population

112,545 diagnoses or repairs of abdominal aortic aneurysms in the UK, including 26,822 infrarenal aneurysms.

Comparison

Abdominal aortic aneurysm repair at high-volume… vs Abdominal aortic aneurysm repair at lower-volume…

Design

Cohort

Authors

PHPeter HoltVascular / Pulmonary VascularJPJan PolonieckiUniversity of LondonILI.M. LoftusSt George’s University Hospitals NHS Foundation Trust

Discussion

Loading...

Member takes

Overview

Supports centralization of elective AAA repair; observational data leave open causal benefit and optimal thresholds.

Structured PICO

Does AAA repair at high-volume hospitals reduce mortality in patients with abdominal aortic aneurysms?

P
Population
112,545 diagnoses or repairs of abdominal aortic aneurysms (AAAs) in the UK (2000-2005), including 26,822 infrarenal aneurysms.
I
Intervention
Abdominal aortic aneurysm (AAA) repair at high-volume hospitals (critical volume threshold of 32 elective AAA repairs per year).
C
Comparator
Abdominal aortic aneurysm (AAA) repair at lower-volume hospitals.
O
Outcome
Mortality ratehard clinical

Higher hospital volume is associated with significantly lower mortality for elective and urgent AAA repairs, supporting the centralization of these procedures.

Cite This Study

Holt et al. (2007) studied this question.

synapsesocial.com/papers/6a7045ff8031ec7bb1dc3954https://doi.org/10.1002/bjs.5725
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Meta-analysis and systematic review of the relationship between volume and outcome in abdominal aortic aneurysm surgery2007 · 277 citations
  2. 2Provider volume and long-term outcome after elective abdominal aortic aneurysm repair2012 · 47 citations
  3. 3Effect of Endovascular Aneurysm Repair on the Volume–Outcome Relationship in Aneurysm Repair2009 · 128 citations
  4. 4Hospital volume, calendar age, and short term outcomes in patients undergoing repair of abdominal aortic aneurysms: the Ontario experience, 1988-92.1996 · 81 citations
  5. 5Volume-Outcome Relationships and Abdominal Aortic Aneurysm Repair2010 · 142 citations