| Autor: |
Eunae Byun, Tae-Won Kwon, Hyangkyoung Kim, Yong Pil Cho, Youngjin Han, Gi Young Ko, Min-Jae Jeong |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
PLoS ONE, Vol 16, Iss 12, p e0260690 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
1932-6203 |
| DOI: |
10.1371/journal.pone.0260690 |
| Popis: |
ObjectivesThis study aimed to compare the quality of life and cost effectiveness between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) in young patients with abdominal aortic aneurysm (AAA).DesignThis was a single-center, observational, and retrospective study.Materials and methodsA retrospective analysis was conducted of patients with AAA, who were ResultsAmong 90 patients with aortic morphology who were eligible for EVAR, 37 and 53 patients underwent EVAR and OSR, respectively. No significant differences were observed in perioperative cardiovascular events and death between the two groups. However, during the follow-up period, patients undergoing OSR showed a significantly lower complication rate (hazard ratio [HR] = 0.11; P = .021). From the three-year cost-effectiveness analysis, the total sum of costs was significantly lower in the OSR group (P < .001) than that in the EVAR group, and the number of QALYs was superior in the OSR group (P = .013). The cost per QALY at three years was significantly lower in the OSR group than that in the EVAR group (mean: $4038 vs. $10 137; respectively; P < .001).ConclusionsOSR had lower complication rates and better cost-effectiveness than EVAR Among young patients with feasible aortic anatomy. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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