Evidence map›Paper›PMID 36714998›Full record

ArticleVascular and endovascular surgery2023

Open Surgery for Abdominal Aortic Aneurysm: 980 Consecutive Patient Outcomes from a High-Volume Centre in the United Kingdom.

Robert Blair, Denis Harkin, Dorothy Johnston, Adrian Lim, Lisa McFetridge, Hannah Mitchell

Abstract read
In one paragraph

Article in Vascular and endovascular surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

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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.

Robert BlairBelfast Vascular Centre, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.ORCID 0000-0002-5654-5144
Denis HarkinBelfast Vascular Centre, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.
Dorothy JohnstonBelfast Vascular Centre, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.
Adrian LimBelfast Vascular Centre, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, UK.
Lisa McFetridgeMathematical Sciences Research Centre, Queen's University Belfast, Belfast, UK.
Hannah MitchellMathematical Sciences Research Centre, Queen's University Belfast, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControversy persists regarding the optimal treatment for large abdominal aortic aneurysm (AAA), highlighted by the publication of the National Institute for Health and Care Excellence (NICE) guideline (NG156) on March 2020. The pendulum of opinion swings once more from endovascular to open surgical treatment. We report our experience over the last 15 years in treating consecutive AAA by open surgery.

methodsA retrospective review of a prospectively collected vascular database of all patients undergoing infra-renal open abdominal aortic aneurysm repair (OR) repair from 2004 to 2019 at the largest aneurysm centre in the United Kingdom. OR for elective and emergency (ruptured and symptomatic) outcomes included early morbidity and 30-day mortality, and long-term survival.

results1017 patients underwent OR between 2004-2019, on application of our inclusion-criteria 994 patients formed our cohort for analysis (81.2% male) with a mean age 73.6 ± 7.8 years treated by OR for AAA. In that group 672 were elective and 308 were emergency (for ruptured or symptomatic). Overall 30 day mortality was 11.3%, elective 30 day mortality was 2.5%, and emergency 30 day mortality was 29.9%. 30 day re-intervention rate was 9.5%, (elective 7.0%, emergency 15.9%). Survival at 1000 days for elective repair was 72 v 46.7% for emergency and at 2000 days was 43.4% for elective v 25% for emergency.

conclusionOur data confirm that open surgery for AAA can be performed in large volume centres quite safely. Elective and Emergency surgery does affect early 30 day mortality but does not influence long-term outcome.

Indexed as

Aortic Aneurysm, AbdominalEndovascular ProceduresAgedAged, 80 and overElective Surgical ProceduresFemaleHumansMaleRetrospective StudiesRisk FactorsTreatment OutcomeVascular Surgical ProceduresAAAabdominal aortic aneurysmin-hospital mortalityopen AAA repairrisk factorsruptured abdominal aortic aneurysmsurgical repairsurvival

Identifiers

PMID36714998
PMCPMC10240622

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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.