Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries
BACKGROUND: -This project by the International Consortium of Vascular Registries, a collaboration of 11 vascular surgical quality registries, was designed to evaluate international variation in the contemporary management of abdominal aortic aneurysm (AAA) with relation to recommended treatment guid...
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ftuniaarhuspubl:oai:pure.atira.dk:publications/fb58e774-3a5f-4e44-a85d-ade6c17a86a2 2024-04-14T08:13:41+00:00 Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries Beck, Adam W Sedrakyan, Art Mao, Jialin Venermo, Maarit Faizer, Rumi Debus, Sebastian Behrendt, Christian-Alexander Scali, Salvatore T Altreuther, Martin Schermerhorn, Marc Beiles, Barry Szeberin, Zoltán Eldrup, Nikolaj Danielsson, Gudmundur Thomson, Ian Wigger, Pius F Björck, Martin Cronenwett, Jack L Mani, Kevin 2016 https://pure.au.dk/portal/en/publications/fb58e774-3a5f-4e44-a85d-ade6c17a86a2 https://doi.org/10.1161/CIRCULATIONAHA.116.024870 eng eng https://pure.au.dk/portal/en/publications/fb58e774-3a5f-4e44-a85d-ade6c17a86a2 info:eu-repo/semantics/restrictedAccess Beck , A W , Sedrakyan , A , Mao , J , Venermo , M , Faizer , R , Debus , S , Behrendt , C-A , Scali , S T , Altreuther , M , Schermerhorn , M , Beiles , B , Szeberin , Z , Eldrup , N , Danielsson , G , Thomson , I , Wigger , P F , Björck , M , Cronenwett , J L , Mani , K & International Consortium of Vascular Registries 2016 , ' Variations in Abdominal Aortic Aneurysm Care : A Report from the International Consortium of Vascular Registries ' , Circulation , vol. 134 , no. 24 , pp. 1948-1958 . https://doi.org/10.1161/CIRCULATIONAHA.116.024870 aortic aneurysm abdominal aortic rupture practice patterns physicians' quality improvement registries article 2016 ftuniaarhuspubl https://doi.org/10.1161/CIRCULATIONAHA.116.024870 2024-03-21T15:27:12Z BACKGROUND: -This project by the International Consortium of Vascular Registries, a collaboration of 11 vascular surgical quality registries, was designed to evaluate international variation in the contemporary management of abdominal aortic aneurysm (AAA) with relation to recommended treatment guidelines from the Society for Vascular Surgery and the European Society for Vascular Surgery. METHODS: -Registry data for open and endovascular AAA repair during 2010-2013 were collected from 11 countries. Variations in patient selection and treatment were compared across countries and across centers within countries. RESULTS: -Among 51,153 patients, 86% were treated for intact AAA (iAAA) and 14% for ruptured AAA (rAAA). Women constituted 18% of the entire cohort (range: 12% Switzerland, 21% USA, p<0.01). Intact AAA were repaired at smaller than guideline-recommended diameters in 31% of men (<5.5cm, range: 6% Iceland, 41% Germany, p<0.01) and 12% of women with iAAA (<5cm, range 0% Iceland, 16% USA, p<0.01). Overall, utilization of EVAR for iAAA varied from 28% in Hungary to 79% in the USA, p<0.01, and for rAAA from 5% in Denmark to 52% in the USA, p<0.01. In addition to the between country variations, significant variations were present between centers in each country in terms of EVAR use and rate of small AAA repair. Countries that more frequently treated small AAAs tended to use EVAR more frequently (trend: correlation coefficient 0.51, p=0.14). Octogenarians made up 23% of all patients with a range of 12% in Hungary to 29% in Australia, p<0.01. In countries with a fee-for-service reimbursement system (Australia, Germany, Switzerland, USA), the proportion of small AAA (33%) and octogenarians undergoing iAAA repair (25%) was higher compared to countries with a population-based reimbursement model (small AAA repair 16%, octogenarians 18%), p<0.01. In general, center-level variation within countries in management of AAA was as important as variation between countries. CONCLUSIONS: -Despite ... Article in Journal/Newspaper Iceland Aarhus University: Research Circulation 134 24 1948 1958 |
institution |
Open Polar |
collection |
Aarhus University: Research |
op_collection_id |
ftuniaarhuspubl |
language |
English |
topic |
aortic aneurysm abdominal aortic rupture practice patterns physicians' quality improvement registries |
spellingShingle |
aortic aneurysm abdominal aortic rupture practice patterns physicians' quality improvement registries Beck, Adam W Sedrakyan, Art Mao, Jialin Venermo, Maarit Faizer, Rumi Debus, Sebastian Behrendt, Christian-Alexander Scali, Salvatore T Altreuther, Martin Schermerhorn, Marc Beiles, Barry Szeberin, Zoltán Eldrup, Nikolaj Danielsson, Gudmundur Thomson, Ian Wigger, Pius F Björck, Martin Cronenwett, Jack L Mani, Kevin Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries |
topic_facet |
aortic aneurysm abdominal aortic rupture practice patterns physicians' quality improvement registries |
description |
BACKGROUND: -This project by the International Consortium of Vascular Registries, a collaboration of 11 vascular surgical quality registries, was designed to evaluate international variation in the contemporary management of abdominal aortic aneurysm (AAA) with relation to recommended treatment guidelines from the Society for Vascular Surgery and the European Society for Vascular Surgery. METHODS: -Registry data for open and endovascular AAA repair during 2010-2013 were collected from 11 countries. Variations in patient selection and treatment were compared across countries and across centers within countries. RESULTS: -Among 51,153 patients, 86% were treated for intact AAA (iAAA) and 14% for ruptured AAA (rAAA). Women constituted 18% of the entire cohort (range: 12% Switzerland, 21% USA, p<0.01). Intact AAA were repaired at smaller than guideline-recommended diameters in 31% of men (<5.5cm, range: 6% Iceland, 41% Germany, p<0.01) and 12% of women with iAAA (<5cm, range 0% Iceland, 16% USA, p<0.01). Overall, utilization of EVAR for iAAA varied from 28% in Hungary to 79% in the USA, p<0.01, and for rAAA from 5% in Denmark to 52% in the USA, p<0.01. In addition to the between country variations, significant variations were present between centers in each country in terms of EVAR use and rate of small AAA repair. Countries that more frequently treated small AAAs tended to use EVAR more frequently (trend: correlation coefficient 0.51, p=0.14). Octogenarians made up 23% of all patients with a range of 12% in Hungary to 29% in Australia, p<0.01. In countries with a fee-for-service reimbursement system (Australia, Germany, Switzerland, USA), the proportion of small AAA (33%) and octogenarians undergoing iAAA repair (25%) was higher compared to countries with a population-based reimbursement model (small AAA repair 16%, octogenarians 18%), p<0.01. In general, center-level variation within countries in management of AAA was as important as variation between countries. CONCLUSIONS: -Despite ... |
format |
Article in Journal/Newspaper |
author |
Beck, Adam W Sedrakyan, Art Mao, Jialin Venermo, Maarit Faizer, Rumi Debus, Sebastian Behrendt, Christian-Alexander Scali, Salvatore T Altreuther, Martin Schermerhorn, Marc Beiles, Barry Szeberin, Zoltán Eldrup, Nikolaj Danielsson, Gudmundur Thomson, Ian Wigger, Pius F Björck, Martin Cronenwett, Jack L Mani, Kevin |
author_facet |
Beck, Adam W Sedrakyan, Art Mao, Jialin Venermo, Maarit Faizer, Rumi Debus, Sebastian Behrendt, Christian-Alexander Scali, Salvatore T Altreuther, Martin Schermerhorn, Marc Beiles, Barry Szeberin, Zoltán Eldrup, Nikolaj Danielsson, Gudmundur Thomson, Ian Wigger, Pius F Björck, Martin Cronenwett, Jack L Mani, Kevin |
author_sort |
Beck, Adam W |
title |
Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries |
title_short |
Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries |
title_full |
Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries |
title_fullStr |
Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries |
title_full_unstemmed |
Variations in Abdominal Aortic Aneurysm Care:A Report from the International Consortium of Vascular Registries |
title_sort |
variations in abdominal aortic aneurysm care:a report from the international consortium of vascular registries |
publishDate |
2016 |
url |
https://pure.au.dk/portal/en/publications/fb58e774-3a5f-4e44-a85d-ade6c17a86a2 https://doi.org/10.1161/CIRCULATIONAHA.116.024870 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Beck , A W , Sedrakyan , A , Mao , J , Venermo , M , Faizer , R , Debus , S , Behrendt , C-A , Scali , S T , Altreuther , M , Schermerhorn , M , Beiles , B , Szeberin , Z , Eldrup , N , Danielsson , G , Thomson , I , Wigger , P F , Björck , M , Cronenwett , J L , Mani , K & International Consortium of Vascular Registries 2016 , ' Variations in Abdominal Aortic Aneurysm Care : A Report from the International Consortium of Vascular Registries ' , Circulation , vol. 134 , no. 24 , pp. 1948-1958 . https://doi.org/10.1161/CIRCULATIONAHA.116.024870 |
op_relation |
https://pure.au.dk/portal/en/publications/fb58e774-3a5f-4e44-a85d-ade6c17a86a2 |
op_rights |
info:eu-repo/semantics/restrictedAccess |
op_doi |
https://doi.org/10.1161/CIRCULATIONAHA.116.024870 |
container_title |
Circulation |
container_volume |
134 |
container_issue |
24 |
container_start_page |
1948 |
op_container_end_page |
1958 |
_version_ |
1796311713351467008 |