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Effect of EVAR on I...
Effect of EVAR on International Ruptured AAA Mortality-Sex and Geographic Disparities
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- Png, C. Y. Maximilian (author)
- Massachusetts Gen Hosp, Dept Surg, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Pendleton, A. Alaska (author)
- Massachusetts Gen Hosp, Dept Surg, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Altreuther, Martin (author)
- St Olavs Hosp, Dept Vasc Surg, N-7030 Trondheim, Norway.
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- Budtz-Lilly, Jacob W. (author)
- Aarhus Univ Hosp, Cardiothorac & Vasc Surg, DK-8200 Skejby, Aarhus, Denmark.
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- Gunnarsson, Kim (author)
- Uppsala universitet,Kärlkirurgi
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- Kan, Chung-Dann (author)
- Natl Cheng Kung Univ, Coll Med, Natl Cheng Kung Univ Hosp, Dept Surg, Tainan 701, Taiwan.
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- Khashram, Manar (author)
- Univ Auckland, Dept Surg, Auckland 1010, New Zealand.
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- Laine, Matti T. (author)
- Univ Helsinki, Dept Vasc Surg, Helsinki 00029, Finland.;Helsinki Univ Hosp, Helsinki 00029, Finland.
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- Mani, Kevin, 1975- (author)
- Uppsala universitet,Kärlkirurgi
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- Pederson, Christian C. (author)
- Aalborg Univ Hosp, Dept Vasc Surg, Aalborg, Denmark.
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- Srivastava, Sunita D. (author)
- Massachusetts Gen Hosp, Dept Surg, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Eagleton, Matthew J. (author)
- Massachusetts Gen Hosp, Dept Surg, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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Massachusetts Gen Hosp, Dept Surg, Div Vasc & Endovasc Surg, Boston, MA 02114 USA St Olavs Hosp, Dept Vasc Surg, N-7030 Trondheim, Norway. (creator_code:org_t)
- MDPI, 2024
- 2024
- English.
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In: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 13:9
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https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
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Abstract
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- Background: We sought to investigate the differential impact of EVAR (endovascular aneurysm repair) vis-á-vis OSR (open surgical repair) on ruptured AAA (abdominal aortic aneurysm) mortality by sex and geographically.Methods: We performed a retrospective study of administrative data on EVAR from state statistical agencies, vascular registries, and academic publications, as well as ruptured AAA mortality rates from the World Health Organization for 14 14 states across Australasia, East Asia, Europe, and North America.Results: Between 2011-2016, the proportion of treatment of ruptured AAAs by EVAR increased from 26.1 to 43.8 percent among females, and from 25.7 to 41.2 percent among males, and age-adjusted ruptured AAA mortality rates fell from 12.62 to 9.50 per million among females, and from 34.14 to 26.54 per million among males. The association of EVAR with reduced mortality was more than three times larger (2.2 vis-á-vis 0.6 percent of prevalence per 10 percentage point increase in EVAR) among females than males. The association of EVAR with reduced mortality was substantially larger (1.7 vis-á-vis 1.1 percent of prevalence per 10 percentage point increase in EVAR) among East Asian states than European+ states.Conclusions: The increasing adoption of EVAR coincided with a decrease in ruptured AAA mortality. The relationship between EVAR and mortality was more pronounced among females than males, and in East Asian than European+ states. Sex and ethnic heterogeneity should be further investigated.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- EVAR
- ruptured AAA
- sex disparities
- geographical disparities
- vascular surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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Png, C. Y. Maxim ...
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Pendleton, A. Al ...
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Altreuther, Mart ...
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Budtz-Lilly, Jac ...
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Gunnarsson, Kim
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Kan, Chung-Dann
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Khashram, Manar
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Laine, Matti T.
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Mani, Kevin, 197 ...
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Pederson, Christ ...
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Srivastava, Suni ...
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Eagleton, Matthe ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Journal of Clini ...
- By the university
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Uppsala University