Evidence map›Paper›PMID 28222989›Full record

ArticleJournal of vascular surgery2017

A pilot study for long-term outcome assessment after aortic aneurysm repair using Vascular Quality Initiative data matched to Medicare claims.

Andrew W Hoel, Adrienne E Faerber, Kayla O Moore, Niveditta Ramkumar, Benjamin S Brooke, Salvatore T Scali, Art Sedrakyan, Philip P Goodney

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Journal of vascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03115346 (Alignment of Treatment Preferences and Repair Type for Veterans With AAA), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03115346 nacompletednot on this map

Alignment of Treatment Preferences and Repair Type for Veterans With AAA

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2022Enrolled241ConditionsAbdominal Aortic AneurysmArmsDecision aid
3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Outcomes of Complex Endovascular Treatment of Post-Dissection Aneurysms.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2023
    Article
  6. Review
  7. Article
  8. Editor's Choice - Real World Study of Mortality After the Use of Paclitaxel Coated Devices in Peripheral Vascular Intervention.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2023
    Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Longitudinal Spending on Endovascular and Open Abdominal Aortic Aneurysm Repair.Circulation. Cardiovascular quality and outcomes · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrew W HoelDivision of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill. Electronic address: awhoel@nm.org.
Adrienne E FaerberThe Dartmouth Institute, Lebanon, NH.
Kayla O MooreThe Dartmouth Institute, Lebanon, NH.
Niveditta RamkumarThe Dartmouth Institute, Lebanon, NH.
Benjamin S BrookeDivision of Vascular Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Salvatore T ScaliDivision of Vascular Surgery, University of Florida School of Medicine, Gainesville, Fla.
Art SedrakyanWeill Cornell Medical College, New York, NY.
Philip P GoodneyThe Dartmouth Institute, Lebanon, NH; Section of Vascular Surgery, Geisel School of Medicine at Dartmouth, Lebanon, NH.

Funding

Creating National Surveillance Infrastructure for Priority Medical DevicesU01FD005478 · FDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SEDRAKYAN, ART · 2015 to 2019
$6.5M
FDA HHS U01 FD005478
6 · The paper itself

Abstract

objectiveAccurate and complete long-term postoperative outcome data are critical to improving value in health care delivery. The Society for Vascular Surgery Vascular Quality Initiative (VQI) is an important tool to achieve this goal in vascular surgery. To improve on the capture of long-term outcomes after vascular surgery procedures for patients in the VQI, we sought to match VQI data to Medicare claims for comprehensive capture of major clinical outcomes in the first several years after vascular procedures.

methodsPatient and procedure characteristics for abdominal aortic aneurysm procedures captured in the Society for Vascular Surgery VQI between January 1, 2002, and December 31, 2013, were matched to Medicare claims data using an indirect identifier methodology. Late outcomes captured in the VQI and in Medicare claims were compared.

resultsMatching procedures yielded 9895 endovascular aneurysm repair (EVAR) patients (82.4% of eligible VQI patients) and 3405 open aneurysm repair (OAR) patients (74.4% of eligible). Comparison of patients who did and did not match to a Medicare claim demonstrated similar patient and procedure characteristics. Evaluation of late outcomes revealed good patient-level agreement on mortality for both EVAR (κ, 0.64) and OAR (κ, 0.82). Postoperative reintervention rates demonstrated lower agreement for both EVAR (κ, 0.26) and OAR (κ, 0.16).

conclusionsThis work demonstrates the feasibility of an algorithm using indirect identifiers to match VQI patients and procedures to Medicare claims data. The refinement of this strategy will focus on establishing and improving algorithms related to identifying and categorizing late events after EVAR and may serve as a mechanism to ensure that the best quality follow-up information is achieved within the VQI.

Indexed as

Administrative Claims, HealthcareEndovascular ProceduresMedicareProcess Assessment, Health CareQuality Indicators, Health CareVascular Surgical ProceduresAgedAged, 80 and overAlgorithmsAortic Aneurysm, AbdominalDatabases, FactualData MiningDisease-Free SurvivalFemaleHealth Services ResearchHumans

Identifiers

PMID28222989
PMCPMC5561525

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.