Evidence map›Paper›PMID 31353272›Full record

Trial reportJournal of vascular surgery2020

Patient information sources when facing repair of abdominal aortic aneurysm.

Peter B Anderson, Zachary J Wanken, Jennifer L Perri, Jesse A Columbo, Ravinder Kang, Emily L Spangler, Karina Newhall, Benjamin S Brooke, Hasan Dosluoglu, Eugene S Lee and 21 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of vascular surgery, 2020. 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

31 authors at 17 institutions in 1 country.

Peter B AndersonDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt; Geisel School of Medicine at Dartmouth, Hanover, NH.
Zachary J WankenDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Jennifer L PerriDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Jesse A ColumboDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Ravinder KangDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Emily L SpanglerBirmingham VA, Birmingham, Ala.
Karina NewhallDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Benjamin S BrookeSalt Lake City VA, Salt Lake City, Utah.
Hasan DosluogluBuffalo VAMC, Buffalo, NY.
Eugene S LeeSacramento VAMC, Mather, Calif.
Joseph D RaffettoWest Roxbury VA, Boston, Mass.
Peter K HenkeAnn Arbor VAMC, Ann Arbor, Mich.
Gale L TangSeattle VAMC, Seattle, Wash.
Leila MureebeDurham VAMC, Durham, NC.
Panagiotis KougiasHouston VAMC, Houston, Tex.
Jason JohanningOmaha VAMC, Omaha, Neb.
Shipra AryaAtlanta VAMC, Atlanta, Ga.
Salvatore T ScaliGainesville VAMC, Gainesville, Fla.
David H StoneDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Bjoern D SuckowDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Kristine OrionWest Haven VAMC, West Haven, Conn.
Vivienne HalpernPhoenix VAMC, Phoenix, Ariz.
Jessica O'ConnellLos Angeles VAMC, Los Angeles, Calif.
Daniel InhatMinneapolis VAMC, Minneapolis, Minn.
Peter NelsonMuskogee VAMC, Muskogee, Okla.
Edith TzengPittsburgh VAMC, Pittsburgh, Pa.
Wei ZhouTucson VAMC, Tucson, Ariz.
Michael BarryMassachusetts General Hospital Center for Shared Decision Making, Boston, Mass.
Brenda SirovichDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt.
Philip P GoodneyDepartment of Surgery and VA Outcomes Group, White River Junction VA Medical Center, White River Junction, Vt. Electronic address: philip.goodney@hitchcock.org.
PROVE-AAA Study Team
White River Junction VA Medical Center · USAnn Arbor VA Medical Center · USAtlanta VA Medical Center · USBirmingham VA Medical Center · USBuffalo VA Medical Center · USDartmouth College · USDurham VA Medical Center · USGainesville Obstetrics & Gynecology · USMassachusetts General Hospital · USMinneapolis VA Medical Center · USOmaha VA Medical Center · USPhoenix VA Health Care System · USSacramento VA Medical Center · USVA Connecticut Research and Education Foundation · USVA Pittsburgh Healthcare System · USVA Salt Lake City Healthcare System · USVA West Los Angeles Medical Center · US

Funding

Alignment of Treatment Preferences and Repair Type for Veterans with AAAI01HX001880 · VA · WHITE RIVER JUNCTION VA MEDICAL CENTER · PI GOODNEY, PHILIP P · 2018 to 2020
–
HSRD VA I01 HX001880
6 · The paper itself

Abstract

objectiveShared medical decision making is most important when there are competing options for repair such as in treatment of abdominal aortic aneurysm (AAA). We sought to understand the sources of patients' pre-existing knowledge about AAA to better inform treating physicians about patients' needs for preoperative counseling.

methodsWe performed a multicenter survey of patients facing AAA repair at 20 Veterans Affairs hospitals across the United States as part of the Preferences for Open Versus Endovascular Repair of AAA study. A validated survey instrument was administered to examine the sources of information available and commonly used by patients to learn about their repair options. The survey was administered by study personnel before the patient had any interaction with the vascular surgeon because survey data were collected before the vascular clinic visit.

resultsPreliminary analysis of data from 99 patients showed that our cohort was primarily male (99%) and elderly (mean age 73 years). Patients commonly had a history of hypertension (86%), prior myocardial infarction (32%), diabetes (32%), and were overweight (58%). Patients arrived at their surgeon's office appointment with limited information. A majority of patients (52%) reported that they had not talked to their primary care physician at all about their options for AAA repair, and one-half (50%) reported that their view of the different surgical options had not been influenced by anyone. Slightly less than one-half of patients reported that they did not receive any information about open surgical aneurysm repair and endovascular aortic aneurysm repair (41% and 37%, respectively). Few patients indicated using the internet as their main source of information about open surgical aneurysm repair and endovascular aortic aneurysm repair (10% and 11%, respectively).

conclusionsPatients are commonly referred for AAA repair having little to no information regarding AAA pathology or repair options. Fewer than one in five patients searched the internet or had accessed other sources of information on their own. Most vascular surgeons should assume that patients will present to their first vascular surgery appointment with minimal understanding of the treatment options available to them.

Indexed as

Aortic Aneurysm, AbdominalHealth Knowledge, Attitudes, PracticeAgedFemaleHumansInformation Seeking BehaviorMaleProspective StudiesSelf ReportAbdominal aortic aneurysmDecision aidEVARInformationPatient educationShared decision making

Identifiers

PMID31353272
PMCPMC10767985
OpenAlexW2964684671

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.