Preferences for endovascular (EVAR) or open surgical repair among patients with abdominal aortic aneurysms under surveillance
| Autor: | Irum Amin, Rebecca J. Winterborn, Georgios Lyratzopoulos, Nicola Walker, Kevin Varty, W. Bruce Campbell |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty medicine.medical_treatment Radiation Dosage Choice Behavior Risk Assessment Endovascular aneurysm repair Likert scale law.invention Interviews as Topic Blood Vessel Prosthesis Implantation Aortic aneurysm Postoperative Complications Aneurysm Randomized controlled trial law medicine Humans Aged Ultrasonography Aged 80 and over Surgical repair business.industry General surgery Age Factors Middle Aged medicine.disease Surgery Sexual Dysfunction Physiological Treatment Outcome Sexual dysfunction England Telephone interview Elective Surgical Procedures Patient Satisfaction Female medicine.symptom business Cardiology and Cardiovascular Medicine Aortic Aneurysm Abdominal |
| Zdroj: | Journal of Vascular Surgery. 49(3):576-581.e3 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2008.09.012 |
| Popis: | Objectives There is no evidence about patient preferences for treatment of abdominal aortic aneurysms (AAA) by endovascular aneurysm repair (EVAR) or open surgical repair (OSR). This study examined patient preferences for elective future aneurysm repair and factors that may influence such preferences. Methods Patients with small AAAs under ultrasound scan surveillance at two United Kingdom (UK) hospitals participated in a semi-structured telephone interview. Features of the two techniques were assessed with regard to their influence on the preferences of participants for EVAR or OSR, using a Likert scale. In addition, participants ranked the relative importance of 14 features against each other. Results Fifty-six out of 100 eligible participants (56%) completed the semi-structured telephone interview. Of those, 84% (47 patients) said they would prefer a future EVAR repair. Patients who expressed a preference for OSR were significantly younger. Risks of major organ failure and death were most commonly judged as important features in influencing patient preference (Likert scale score 5/5). Risk of death was also most frequently ranked above all other features. Postoperative morbidity and mortality were regarded by patients as more important than the need for surveillance and risk of long-term problems with EVAR. Type of incision and radiation exposure were both given low Likert scale scores of 1/5, and the risk of sexual dysfunction was most frequently ranked as the least important feature of either operation, out of 14 other features. Conclusion When presented with detailed information about EVAR and OSR, most patients with small aneurysms would prefer EVAR. |
| Databáze: | OpenAIRE |
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