Evidence map›Paper›PMID 28670132›Full record

Trial reportVascular health and risk management2017

Cost-utility analysis comparing laparoscopic vs open aortobifemoral bypass surgery.

Anne Helene Krog, Mehdi Sahba, Erik M Pettersen, Torbjørn Wisløff, Jon O Sundhagen, Syed Sh Kazmi

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Vascular health and risk management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Vascular medicine in the 21World journal of clinical cases · 2024
    Review
  3. Article
  4. 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

6 authors at 4 institutions in 3 countries.

Anne Helene KrogInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo.
Mehdi SahbaDepartment of Vascular Surgery, Østfold Central Hospital, Kalnes.
Erik M PettersenDepartment of Vascular Surgery, Sørlandet Hospital HF, Kristiansand.
Torbjørn WisløffDepartment of Health Management and Health Economics, University of Oslo.
Jon O SundhagenDepartment of Vascular Surgery, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Oslo.
Syed Sh KazmiDepartment of Vascular Surgery, Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital, Oslo.
Oslo University Hospital · NOBarnes Hospital · GBNorwegian Institute of Public Health · NOSørlandet Sykehus · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLaparoscopic aortobifemoral bypass has become an established treatment option for symptomatic aortoiliac obstructive disease at dedicated centers. Minimally invasive surgical techniques like laparoscopic surgery have often been shown to reduce expenses and increase patients' health-related quality of life. The main objective of our study was to measure quality-adjusted life years (QALYs) and costs after totally laparoscopic and open aortobifemoral bypass. PATIENTS AND

methodsThis was a within trial analysis in a larger ongoing randomized controlled prospective multicenter trial, Norwegian Laparoscopic Aortic Surgery Trial. Fifty consecutive patients suffering from symptomatic aortoiliac occlusive disease suitable for aortobifemoral bypass surgery were randomized to either totally laparoscopic (n=25) or open surgical procedure (n=25). One patient dropped out of the study before surgery. We measured health-related quality of life using the EuroQol (EQ-5D-5L) questionnaire at 4 different time points, before surgery and for 6 months during follow-up. We calculated the QALYs gained by using the area under the curve for both groups. Costs were calculated based on prices for surgical equipment, vascular prosthesis and hospital stay.

resultsWe found a significantly higher increase in QALYs after laparoscopic vs open aortobifemoral bypass surgery, with a difference of 0.07 QALYs, (

conclusionLaparoscopic aortobifemoral bypass seems to be cost-effective compared with open surgery, due to an increase in QALYs and lower procedure-related costs.

Indexed as

Hospital CostsQuality-Adjusted Life YearsAgedAortic DiseasesArea Under CurveBlood Vessel ProsthesisBlood Vessel Prosthesis ImplantationCost-Benefit AnalysisFemaleFemoral ArteryHumansLaparoscopyLength of StayMaleMiddle AgedModels, Economicaortobifemoral bypasscost-effectivenesscost-utilityEQ-5Dhealth-related quality of lifeHRQoLlaparoscopyQALYsquality-adjusted life years

Identifiers

PMID28670132
PMCPMC5482399
OpenAlexW2665914914

What OpenQuestion holds

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Registered trials

None linked

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.