Πέμπτη 13 Δεκεμβρίου 2018

Is In Hospital Mortality Following EVAR Still a Valid Outcome Measure?

This registry based study from Australia investigated the impact of hospital and surgeon volume on the outcome of abdominal aortic aneurysm repair over a seven year period.1 In keeping with contemporary data the authors were unable to identify any volume effect for endovascular aneurysm repair (EVAR),2 and somewhat more surprisingly no volume effect for open repair at surgeon or hospital level. The EVAR group included both complex EVAR cases and thoracic endovascular aneurysm repairs (TEVARs), both of which had expected higher mortalities, of 2.6% and 5.6%, respectively.

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