Why the study?
Does endovascular abdominal aortic aneurysm repair (EVAR) improve lifetime costs and quality-adjusted life years (QALYs) compared to open repair in men aged 74 years with abdominal aortic aneurysm?
Population
Men aged 74 years with abdominal aortic aneurysm fit for open surgery
Comparison
Endovascular abdominal aortic aneurysm repair vs Open repair
Follow-up
lifetime
Authors
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EVAR not cost-effective versus open repair in this population; leaves open whether newer devices alter lifetime value.
Does endovascular abdominal aortic aneurysm repair (EVAR) improve lifetime costs and quality-adjusted life years (QALYs) compared to open repair in men aged 74 years with abdominal aortic aneurysm?
EVAR is unlikely to be cost-effective compared to open repair for abdominal aortic aneurysm based on existing devices and evidence, as it incurs higher costs and produces fewer lifetime QALYs.
Epstein et al. (2007) studied this question.
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