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World Journal of Surgery

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01-06-2008

Outcome and Quality of Life in Patients Treated for Abdominal Aortic Aneurysms: A Single Center Experience

Authors: Florian Dick, Véronique Grobéty, Franz F. Immer, Dai Do Do, Hannu Savolainen, Thierry P. Carrel, Jürg Schmidli

Published in: World Journal of Surgery | Issue 6/2008

Abstract

Background

Durability of protection and long-term quality of life (QoL) are critical outcome parameters of abdominal aortic aneurysm (AAA) repair. The aim of the present study was to compare results of endovascular and open aneurysm repair (EVAR and OR) with adjusted standard populations, including stratification for urgency of presentation.

Methods

Retrospective analysis of prospectively collected data of 401 consecutive patients presenting with AAA between January 1998 and December 2002. Cross-sectional follow up was 58 ± 29 months. Patients were grouped into three cohorts: elective EVAR (n = 68), elective OR (n = 244), and emergency OR (including symptomatic and ruptured AAA, n = 89). Endpoints were perioperative (i.e., 30 days or in-hospital) and late mortality rates, as well as long-term QoL as assessed by the Short Form health survey questionnaire (SF-36).

Results

Mean age was lower in the elective OR cohort (66 ± 10 years) than in the EVAR cohort (72 ± 7 years; p < .05). Perioperative mortality rates were 4.4%, 0.4%, and 10.1%, for the EVAR, elective OR, and emergency OR cohorts, respectively (p < .05). Corresponding cumulative survival rates after 4 years were 67%, 89%, and 69%, respectively. Long-term QoL SF-36 scores were in all cohorts similar to age- and gender-adjusted standard populations, which score between 85 and 115: 99.6 ± 35.8 (EVAR), 101.3 ± 32.4 (elective OR), and 100.4 ± 36.5 (emergency OR).

Conclusions

Long-term QoL is not permanently impaired after AAA repair, but returns in long-term survivors to what would be expected in a standard population. In this respect, differences were found neither between EVAR and OR, nor between elective and emergency repair. Perioperative mortality rates were highest in patients undergoing emergency OR. The outlook for such patients after the perioperative period, however, was similar to that for patients undergoing elective repair.

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Title: Outcome and Quality of Life in Patients Treated for Abdominal Aortic Aneurysms: A Single Center Experience
Authors: Florian Dick
Véronique Grobéty
Franz F. Immer
Dai Do Do
Hannu Savolainen
Thierry P. Carrel
Jürg Schmidli
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 6/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9565-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcome and Quality of Life in Patients Treated for Abdominal Aortic Aneurysms: A Single Center Experience

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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