Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada

Jean‐Éric Tarride; Gord Blackhouse; Guy De Rose; James M. Bowen; Hamid Reza Nakhai-Pour; Daria O’Reilly; Feng Xie; Teresa Novick; Robert Hopkins; Ron Goeree

doi:10.1155/2011/308685

January 1, 2011International Journal of Vascular MedicineOpen Access

Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada

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Why the study?

Does EVAR improve clinical outcomes and cost-effectiveness compared to OSR in high and low risk patients with AAA > 5.5 cm?

Structured PICO

Does EVAR improve clinical outcomes and cost-effectiveness compared to OSR in high and low risk patients with AAA > 5.5 cm?

P

Population

n=335 patients with an abdominal aortic aneurysm (AAA) > 5.5 cm (140 treated with EVAR, 195 with OSR [52 high risk, 143 low risk])

I

Intervention

Endovascular aneurysm repair (EVAR)

C

Comparator

Open surgical repair (OSR) in high risk (HR) and low risk (LR) patients

O

Outcome

1-year mortality rate, health-related quality of life, and cost-effectivenesshard clinical

EVAR has similar clinical effectiveness but is more expensive than open surgical repair for low-risk patients with AAA > 5.5 cm.

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Implication

EVAR should not supplant OSR in low-risk AAA patients given absent cost-effectiveness; observational data leave open randomized trials for high-risk subgroups.

Abstract

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Cite This Study

Tarride et al. (2011) studied this question.

synapsesocial.com/papers/6a818f770a3558f726b6bd56 https://doi.org/10.1155/2011/308685

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Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Should Endovascular Repair Be Reimbursed for Low Risk Abdominal Aortic Aneurysm Patients? Evidence from Ontario, Canada

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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