Health-related quality-of-life outcomes after open versus endovascular abdominal aortic aneurysm repair Ahmed Kayssi, MD, MSc, MPH, Ann DeBord Smith,

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Presentation transcript:

Health-related quality-of-life outcomes after open versus endovascular abdominal aortic aneurysm repair Ahmed Kayssi, MD, MSc, MPH, Ann DeBord Smith, MD, MPH, Graham Roche-Nagle, MD, MBA, Louis L. Nguyen, MD, MBA, MPH Journal of Vascular Surgery Volume 62, Issue 2, Pages 491-498 (August 2015) DOI: 10.1016/j.jvs.2015.05.032 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram. EVAR, Endovascular aneurysm repair; HR-QOL, health-related quality of life. Journal of Vascular Surgery 2015 62, 491-498DOI: (10.1016/j.jvs.2015.05.032) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Meta-analysis of the standard difference in means between open aneurysm repair (OAR) and endovascular repair (EVAR) EuroQol-5D (EQ-5D) scores at 3 (a), 6 (b), 12 (c), and 24 months (d). Negative result favors EVAR. CI, Confidence interval; DREAM, Dutch Randomised Endovascular Aneurysm Management Study; EVAR 1, Endovascular Aneurysm Repair Study; std diff, standard difference. Journal of Vascular Surgery 2015 62, 491-498DOI: (10.1016/j.jvs.2015.05.032) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Funnel plot for EuroQol-5D (EQ-5D) studies at 12 months. Absence of studies in the right lower area under the funnel suggests publication bias against studies favoring open aneurysm repair (OAR). std diff, Standard difference. Journal of Vascular Surgery 2015 62, 491-498DOI: (10.1016/j.jvs.2015.05.032) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Cochrane risk of bias summary: Review authors' judgements about each risk of bias item for each included study. Green circle, low risk of bias; red circle, high risk of bias; empty square, unclear risk of bias. DREAM, Dutch Randomised Endovascular Aneurysm Management Study; EVAR 1, Endovascular Aneurysm Repair Study; OVER, Open Versus Endovascular Repair Study. Journal of Vascular Surgery 2015 62, 491-498DOI: (10.1016/j.jvs.2015.05.032) Copyright © 2015 Society for Vascular Surgery Terms and Conditions