Key result
In a review of 40 studies on AAA surgery in octogenarians, patient-centered outcomes were infrequently reported (13%), whereas short-term mortality (95%) and complications (85%) were most frequent.
Why the study?
What types of outcomes are reported in studies of abdominal aortic aneurysm surgery in patients aged 80 and over?
Systematic Review (n=40)
What types of outcomes are reported in studies of abdominal aortic aneurysm surgery in patients aged 80 and over?
Patient-centered outcomes are rarely reported in AAA surgery studies involving octogenarians, highlighting a need for more relevant outcome measures in this population.
Underreporting of patient-centered outcomes in octogenarian AAA studies limits applicability; research must extend to prioritize these measures.
PURPOSE: This study is a systematic review to determine the types of outcomes reported in abdominal aortic aneurysm (AAA) studies of patients aged 80 and over. Specifically, it determines the types of patient-centered outcomes reported. METHOD: MEDLINE and EMBASE were searched from 2000 to 2014 for studies on AAA surgery with outcome data on patients aged 80 and over. Outcomes were categorized according to Donabedian's framework for health quality indicators, with further classification as procedural, complication, resource or patient-centered outcome indicators. FINDINGS: Forty studies were reviewed. Patient-centered outcomes were infrequently reported (13%, n=5), with limited outcomes specifically relevant to older patients. No studies reported physical function, activities of daily living or cognition using validated assessment methods. Short-term mortality (95%, n=38) and complications (85%, n=34) were reported most frequently. CONCLUSION: Reporting of aortic surgery outcomes in patients aged 80 and over requires a focus upon outcomes of primary importance to people of this age.
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Aitken et al. (2015) conducted a systematic review in Abdominal aortic aneurysm (n=40). Abdominal aortic aneurysm surgery was evaluated on Types of patient-centered outcomes reported. In a review of 40 studies on AAA surgery in octogenarians, patient-centered outcomes were infrequently reported (13%), whereas short-term mortality (95%) and complications (85%) were most frequent.
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