What is the clinical evidence from this study?

Study design: Observational. Population: Abdominal aortic aneurysms (n=9039). Intervention: Elective AAA repair. Primary outcome: Guideline deviation (surgery at diameters <55 mm for men and <50 mm for women).

What does this research mean for the field?

Elective abdominal aortic aneurysm repairs deviate from clinical diameter guidelines in 15% of cases, and 75% of vascular surgical units underestimate their actual deviation frequency. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 26, 2018Annals of SurgeryOpen Access

Variation in Surgical Treatment of Abdominal Aortic Aneurysms With Small Aortic Diameters in the Netherlands

Q: What are the key findings of this study?

Among 9,039 patients undergoing elective AAA repair, 15% of procedures deviated from diameter guidelines, and 75% of vascular surgical units underestimated their actual deviation percentage.

Q: What does this research mean for the field?

Elective abdominal aortic aneurysm repairs deviate from clinical diameter guidelines in 15% of cases, and 75% of vascular surgical units underestimate their actual deviation frequency. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Key result

Elective AAA repairs deviate from diameter guidelines in 15% of cases, which most units underestimate.

n=9,039

Population

9,039 patients undergoing elective abdominal aortic aneurysm repair between 2013 and 2016 registered in the…

Design

Cohort

Authors

EKEleonora G. KarthausLeiden University AVA.C. VahlOLVG LWLeonie R. van der WerfGelre Hospitals

Discussion

Member takes

Implication

Frequent AAA repair guideline deviation with unit underestimation warrants closer audit; leaves open whether feedback improves adherence.

Study Design

Type

Observational (n=9,039)

Multicenter

Yes

Structured PICO

Population

9,039 patients undergoing elective abdominal aortic aneurysm repair between 2013 and 2016 in the Netherlands.

Exposure

Elective AAA repair at small aortic diameters (<55 mm for men and <50 mm for women, considered guideline deviation)

Outcome

Percentage of guideline deviation (actual vs perceived) and reasons for deviation

Dutch vascular surgical units frequently deviate from AAA diameter guidelines for elective repair and significantly underestimate their rate of deviation.

Cite This Study

Karthaus et al. (2018) conducted an observational in Abdominal aortic aneurysms (n=9,039). Elective AAA repair was evaluated on Guideline deviation (surgery at diameters <55 mm for men and <50 mm for women). Among 9,039 patients undergoing elective AAA repair, 15% of procedures deviated from diameter guidelines, and 75% of vascular surgical units underestimated their actual deviation percentage.

synapsesocial.com/papers/6aa538085becb0bc28eeb79c https://doi.org/10.1097/sla.0000000000003050

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Variation in Surgical Treatment of Abdominal Aortic Aneurysms With Small Aortic Diameters in the Netherlands

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Variation in Surgical Treatment of Abdominal Aortic Aneurysms With Small Aortic Diameters in the Netherlands

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider