Variations in Abdominal Aortic Aneurysm Care A Report From the International Consortium of Vascular Registries

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Beck , A W , Sedrakyan , A , Mao , J , Venermo , M , Faizer , R , Debus , S , Behrendt , C-A , Scali , S , Altreuther , M , Schermerhorn , M , Beiles , B , Szeberin , Z , Eldrup , N , Danielsson , G , Thomson , I , Wigger , P , Bjorck , M , Cronenwett , J L , Mani , K & Int Consortium Vasc Registries 2016 , ' Variations in Abdominal Aortic Aneurysm Care A Report From the International Consortium of Vascular Registries ' Circulation , vol. 134 , no. 24 , pp. 1948-+ . DOI: 10.1161/CIRCULATIONAHA.116.024870

Title: Variations in Abdominal Aortic Aneurysm Care A Report From the International Consortium of Vascular Registries
Author: Beck, Adam W.; Sedrakyan, Art; Mao, Jialin; Venermo, Maarit; Faizer, Rumi; Debus, Sebastian; Behrendt, Christian-Alexander; Scali, Salvatore; Altreuther, Martin; Schermerhorn, Marc; Beiles, Barry; Szeberin, Zoltan; Eldrup, Nikolaj; Danielsson, Gudmundur; Thomson, Ian; Wigger, Pius; Bjorck, Martin; Cronenwett, Jack L.; Mani, Kevin; Int Consortium Vasc Registries
Contributor: University of Helsinki, Department of Surgery
Date: 2016-12-13
Language: eng
Number of pages: 15
Belongs to series: Circulation
ISSN: 0009-7322
URI: http://hdl.handle.net/10138/173802
Abstract: BACKGROUND: This project by the ICVR (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 (EVAR) during 2010 to 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. Women constituted 18% of the entire cohort (range, 12% in Switzerland-21% in the United States; P CONCLUSIONS: Despite homogeneous guidelines from professional societies, significant variation exists in the management of AAA, most notably for iAAA diameter at repair, use of EVAR, and the treatment of elderly patients. ICVR provides an opportunity to study treatment variation across countries and to encourage optimal practice by sharing these results.
Subject: aortic aneurysm, abdominal
aortic rupture
practice patterns
physicians'
quality improvement
registries
ENDOVASCULAR REPAIR
PRACTICE GUIDELINES
SURVEILLANCE
VALIDATION
MORTALITY
SURGERY
EPIDEMIOLOGY
MANAGEMENT
ENGLAND
SOCIETY
3126 Surgery, anesthesiology, intensive care, radiology
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