Key result
Open repair of abdominal aortic aneurysm resulted in better long-term physical health status at 5 years compared to EVAR (mean difference in PCS score -1.98; 95% CI -3.56 to -0.41).
Why the study?
Does endovascular repair (EVAR) improve long-term health-related quality of life compared to open repair in patients with abdominal aortic aneurysm?
RCT (n=351)
Yes
Does endovascular repair (EVAR) improve long-term health-related quality of life compared to open repair in patients with abdominal aortic aneurysm?
Mean Difference: -1.98 (95% CI -3.56–-0.41)
Although EVAR has less short-term negative impact on quality of life, open repair is associated with better long-term physical health status and quality of life at 5 years.
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Open repair may be preferred when long-term physical function matters; challenges EVAR equivalence for sustained health-related quality of life.
Bruin et al. (2016) conducted an RCT in abdominal aortic aneurysm (n=351). Endovascular repair (EVAR) vs. Open repair was evaluated on Physical component summary (PCS) score of the SF-36 (MD -1.98, 95% CI -3.56 to -0.41). Open repair of abdominal aortic aneurysm resulted in better long-term physical health status at 5 years compared to EVAR (mean difference in PCS score -1.98; 95% CI -3.56 to -0.41).
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