Cost-effectiveness of abdominal aortic aneurysm repair based on aneurysm size Kate C. Young, PhD, Nadia A. Awad, MD, Marcia Johansson, NP, David Gillespie,

Slides:

Advertisements

Similar presentations

To what extent has endovascular aneurysm repair influenced abdominal aortic aneurysm management in the state of Illinois? Luis R. Leon, MD, RVT, Nicos.

Advertisements

The Agency for Healthcare Research and Quality Inpatient Quality Indicator #11 overall mortality rate does not accurately assess mortality risk after.

Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes John E. Jones, MD, Marvin.

Late open conversion after endovascular abdominal aortic aneurysm repair George Kouvelos, MD, PhD, Andreas Koutsoumpelis, MD, MSc, Andreas Lazaris, MD,

Victor J. Davila, MD, William Stone, MD, Audra A

Age-related trends in utilization and outcome of open and endovascular repair for abdominal aortic aneurysm in the United States, Margaret.

Abdominal compartment syndrome associated with endovascular and open repair of ruptured abdominal aortic aneurysms Chen Rubenstein, MD, Gabriel Bietz,

Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair Kristina A. Giles, MD, Frank Pomposelli, MD, Allen Hamdan, MD, Mark.

Effect of type II endoleaks and antiplatelet therapy on abdominal aortic aneurysm shrinkage after endovascular repair Atsushi Aoki, MD, Takanori Suezawa,

The impact of body mass index on perioperative outcomes of open and endovascular abdominal aortic aneurysm repair from the National Surgical Quality Improvement.

Endovascular treatment for type Ia major endoleak after endovascular aneurysm repair Yoshiaki Katada, MD, Shunichi Kondo, MD, Taichi Kondo, MD, Tsuyoshi.

Deep venous thrombosis after repair of nonruptured abdominal aneurysm

Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Prior endovascular abdominal aortic aneurysm repair provides no survival benefits when the aneurysm ruptures Jae-Sung Cho, MD, Taeyoung Park, PhD, Jang.

A decade of change in abdominal aortic aneurysm repair in the United States: Have we improved outcomes equally between men and women? Ellen D. Dillavou,

The influence of gender and aortic aneurysm size on eligibility for endovascular abdominal aortic aneurysm repair Matthew P. Sweet, MD, Mark F. Fillinger,

Bruce A. Perler, MD, MBA Journal of Vascular Surgery

ITalian Excluder Registry and results of Gore Excluder endograft for the treatment of elective infrarenal abdominal aortic aneurysms Carlo Pratesi, MD,

Infectious complications after elective vascular surgical procedures

High prevalence of abdominal aortic aneurysms in brothers and sisters of patients despite a low prevalence in the population Anneli Linné, MD, David.

Patrice Nault, MD, Camille Brisson-Tessier, Denis Hamel, MSc, Laurie J

Clinical presentation, comorbidities, and age but not female gender predict survival after endovascular repair of abdominal aortic aneurysm Peter Gloviczki,

Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery Gregorio A. Sicard, MD, Robert M.

Resident and fellow experiences after the introduction of endovascular aneurysm repair for abdominal aortic aneurysm Teviah Sachs, MD, Marc Schermerhorn,

Questions remain about quality of life after abdominal aortic aneurysm repair George Peach, MRCS, Peter Holt, PhD, FRCS, Ian Loftus, MD, FRCS, Matt M.

The natural history of type II endoleaks after endovascular aneurysm repair for ruptured abdominal aortic aneurysm Anna E. Boniakowski, MD, Randall R.

The Agency for Healthcare Research and Quality Inpatient Quality Indicator #11 overall mortality rate does not accurately assess mortality risk after.

Outcomes following endovascular abdominal aortic aneurysm repair (EVAR): An anatomic and device-specific analysis Thomas A. Abbruzzese, MD, Christopher.

Outcomes of patients with type I endoleak at completion of endovascular abdominal aneurysm repair Tze-Woei Tan, MD, Mohammed Eslami, MD, Denis Rybin,

Elective endovascular and open repair of abdominal aortic aneurysms in octogenarians David Paolini, MD, Santiago Chahwan, MD, Dennis Wojnarowski, BA,

PC068. Local Anesthesia-Based Endovascular Repair of Ruptured Abdominal Aortic Aneurysm Is Associated With Lower 30-Day Mortality in the National Surgical.

Robert J. Feezor, MD, Thomas S. Huber, MD, PhD, Tomas D

Carbon dioxide digital subtraction angiography as an option for detection of endoleaks in endovascular abdominal aortic aneurysm repair procedure Eijun.

Kenneth Ouriel, MD, Daniel G. Clair, MD, K

Comparison of outcomes following endovascular repair of abdominal aortic aneurysms based on size threshold Charles J. Keith, BA, Marc A. Passman, MD,

Abdulhameed Aziz, MD, Christine O. Menias, MD, Luis A

Adam Keefer, MD, Sean Hislop, MD, Michael J

Trends in abdominal aortic aneurysm repair in the era of endovascular technology in Ontario Abdulmajeed Altoijry, MD, Muhammad Mamdani, PharmD, MA, MPH,

Successful endovascular repair of a ruptured abdominal aortic aneurysm in a patient with unfavorable anatomy Benjamin R. Grey, MB. ChB, MRCS, John S.

Regarding “Endovascular repair of ruptured abdominal aortic aneurysms”

Psoas abscess in patients with an infected aortic aneurysm

Significant regional variation exists in morbidity and mortality after repair of abdominal aortic aneurysm Sara L. Zettervall, MD, MPH, Peter A. Soden,

Adam W. Beck, MD, Philip P. Goodney, MD, Brian W. Nolan, MD, Donald S

Prospective follow-up of sexual function after elective repair of abdominal aortic aneurysms using open and endovascular techniques Monica Pettersson,

Trends of 30-day mortality and morbidities in endovascular repair of intact abdominal aortic aneurysm during the last decade Kanhua Yin, MD, Satinderjit.

Survival and Reintervention Risk by Patient Age and Preoperative Abdominal Aortic Aneurysm (AAA) Diameter Following Endovascular Aneurysm Repair (EVAR)

Seth A. Waits, MD, Kyle H. Sheetz, MS, Darrell A. Campbell, MD, Amir A

Endovascular treatment of ruptured abdominal aortic aneurysms in the United States ( ): A significant survival benefit over open repair is independently.

Ruptured abdominal aortic aneurysm: A population-based study

To what extent has endovascular aneurysm repair influenced abdominal aortic aneurysm management in the state of Illinois? Luis R. Leon, MD, RVT, Nicos.

Journal of Vascular Surgery

Regarding “Lunar cycles and abdominal aortic aneurysm rupture”

Journal of Vascular Surgery

The influence of aortic cuffs and iliac limb extensions on the outcome of endovascular abdominal aortic aneurysm repair Roel Hobo, MSc, Robert J.F. Laheij,

Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report Roel Hobo, MSc, Jacob Buth,

Andrew J. Soo Hoo, MD, Kellie R. Brown, MD, Brian D

Abdominal aortic aneurysm prefers to rupture on a dim day

Women derive less benefit from elective endovascular aneurysm repair than men Manish Mehta, MD, MPH, W. John Byrne, MCh, FRCSI(Gen), Handel Robinson,

Robert J. Hinchliffe, MD, MRCS, Janet T

Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: Disparities in outcomes from a nationwide perspective Kelly Lesperance,

Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair Jonathan.

Thomas L. Forbes, MD, Gregory E.J. Harding, MD

Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England Ruby C. Lo, MD, Rodney.

Deep venous thrombosis after repair of nonruptured abdominal aneurysm

Effect of type II endoleaks and antiplatelet therapy on abdominal aortic aneurysm shrinkage after endovascular repair Atsushi Aoki, MD, Takanori Suezawa,

Reconsidering gender relative to risk of rupture in the contemporary management of abdominal aortic aneurysms Afshin A. Skibba, MD, James R. Evans, MD,

Open repair of abdominal aortic aneurysm in a centenarian

Endovascular vs open repair for ruptured abdominal aortic aneurysm

Matthew Thompson, MD, Peter Holt, PhD, Ian Loftus, MD, Thomas L

Presentation transcript:

Cost-effectiveness of abdominal aortic aneurysm repair based on aneurysm size Kate C. Young, PhD, Nadia A. Awad, MD, Marcia Johansson, NP, David Gillespie, MD, Michael J. Singh, MD, Karl A. Illig, MD Journal of Vascular Surgery Volume 51, Issue 1, Pages 27-32 (January 2010) DOI: 10.1016/j.jvs.2009.08.004 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 State transition diagram. Temporary states include minor stroke, MI, bowel ischemia, infection, vessel rupture, and endoleak. Those entering a temporary state are returned to the appropriate post-EVAR or post-open surgical repair. Permanent health states include dialysis, major stroke, and amputation. EVAR, Endovascular repair; MI, myocardial infarction. Journal of Vascular Surgery 2010 51, 27-32DOI: (10.1016/j.jvs.2009.08.004) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Deterministic two-way sensitivity analyses show the relationship between health state preferences of living with an AAA (A) or after EVAR repair (B) and the AAA diameter for EVAR repair. EVAR of small AAAs would be cost-effective, with a willingness to pay of $100,000/QALY, when perceived health with an AAA is poor or when health is greatly improved after repair. AAA, Abdominal aortic aneurysm; EVAR, endovascular repair; QALY, quality-adjusted life-years. Journal of Vascular Surgery 2010 51, 27-32DOI: (10.1016/j.jvs.2009.08.004) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Probabilistic sensitivity analysis. Simultaneously sampling over a range of costs, health state preferences and probabilities demonstrated that observational management of AAAs until 5.5 cm, compared with EVAR between 4.0 cm and 5.4 cm, would be the cost-effective treatment modality about 70% of the time. AAA, Abdominal aortic aneurysm; EVAR, endovascular repair. Journal of Vascular Surgery 2010 51, 27-32DOI: (10.1016/j.jvs.2009.08.004) Copyright © 2010 Society for Vascular Surgery Terms and Conditions