National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population
National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population
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DOI：
10.1016/j.jvs.2013.12.047
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发表时间：
2014-07-01
影响因子：
4.3
通讯作者：
Stone, David H.
中科院分区：
文献类型：
--
作者：
Jones, Douglas W.;Goodney, Philip P.;Stone, David H.
目的：胸主动脉血管内修复术（TEVAR）的应用改变了胸主动脉疾病的治疗模式。我们试图更好地定义TEVAR或开放式手术修复（OSR）治疗B型主动脉夹层的具体治疗模式和结果。方法：使用经过验证的《国际疾病分类》第九版诊断和基于程序代码的算法对2000-2010年接受B型胸主动脉夹层修补术的医疗保险患者进行识别。根据手术类型（OSR vs TEVAR）分析了使用趋势，并检查了患者特征和结果的模式。结果：2000年至2010年间，全胸主动脉夹层的修复率增加了21%（每10万名医保患者中有2.5至3人；P = 0.001）。在同一时间段内，TEVAR也随之升高(0.03 ~ 0.8 / 100000
Objective: The application of thoracic endovascular aortic repair (TEVAR) has changed treatment paradigms for thoracic aortic disease. We sought to better define specific treatment patterns and outcomes for type B aortic dissection treated with TEVAR or open surgical repair (OSR).Methods: Medicare patients undergoing type B thoracic aortic dissection repair (2000-2010) were identified by use of a validated International Classification of Diseases, Ninth Revision diagnostic and procedural code-based algorithm. Trends in utilization were analyzed by procedure type (OSR vs TEVAR), and patterns in patient characteristics and outcomes were examined.Results: Total thoracic aortic dissection repairs increased by 21% between 2000 and 2010 (2.5 to 3 per 100,000 Medicare patients; P = .001). A concomitant increase in TEVAR was seen during the same interval (0.03 to 0.8 per 100,000; P