Patients with a Ruptured Abdominal Aortic Aneurysm Are Better Informed in Hospitals with an "EVAR-preferred" Strategy:An Instrumental Variable Analysis of the Dutch Surgical Aneurysm Audit
BACKGROUND: While several observational studies suggested a lower postoperative mortality after minimal invasive endovascular aneurysm repair (EVAR) in patients with a ruptured abdominal aortic aneurysm (RAAA) compared to conventional open surgical repair (OSR), landmark randomized controlled trials have not been able to prove the superiority of EVAR over OSR. Randomized controlled trials contain a selected, homogeneous population, influencing external validity. Observational studies are biased and adjustment of confounders can be incomplete. Instrumental variable (IV) analysis (pseudorandomiz... Mehr ...
Verfasser: |
Karthaus, Eleonora G
Lijftogt, Niki
Vahl, Anco
van der Willik, Esmee M
Amodio, Sonia
van Zwet, Erik W
Hamming, Jaap F
Teijink, Joep |
Dokumenttyp: |
Artikel |
Erscheinungsdatum: |
2020 |
Reihe/Periodikum: |
Karthaus , E G , Lijftogt , N , Vahl , A , van der Willik , E M , Amodio , S , van Zwet , E W , Hamming , J F , Dutch Society for Vascular Surgery , Steering Committee of the Dutch Surgical Aneurysm Audit , Dutch Institute for Clinical Auditing & Teijink , J 2020 , ' Patients with a Ruptured Abdominal Aortic Aneurysm Are Better Informed in Hospitals with an "EVAR-preferred" Strategy : An Instrumental Variable Analysis of the Dutch Surgical Aneurysm Audit ' , Annals of Vascular Surgery , vol. 69 , pp. 332-344 . https://doi.org/10.1016/j.avsg.2020.06.015 |
Schlagwörter: |
Aged
/ 80 and over
/ Aortic Aneurysm
/ Abdominal/diagnostic imaging
/ Aortic Rupture/diagnostic imaging
/ Blood Vessel Prosthesis Implantation/adverse effects
/ Clinical Decision-Making
/ Endovascular Procedures/adverse effects
/ Female
/ Hospital Mortality
/ Humans
/ Male
/ Medical Audit
/ Netherlands
/ Postoperative Complications/mortality
/ Prospective Studies
/ Risk Assessment
/ Risk Factors
/ Time Factors
/ Treatment Outcome
/ MORTALITY
/ OPEN SURGERY
/ EDITORS CHOICE
/ TRIAL
/ ENDOVASCULAR REPAIR
/ OUTCOMES |
Sprache: |
Englisch |
Permalink: |
https://search.fid-benelux.de/Record/base-27206808 |
Datenquelle: |
BASE;
Originalkatalog |
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BASE |
Link(s) :
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https://cris.maastrichtuniversity.nl/en/publications/c2ec56dc-7149-4483-9a7c-70b78d0ad8aa |