Variations in Abdominal Aortic Aneurysm Care A Report From the International Consortium of Vascular Registries
Variations in Abdominal Aortic Aneurysm Care A Report From the International Consortium of Vascular Registries
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DOI：
10.1161/circulationaha.116.024870
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发表时间：
2016-12-13
期刊：
影响因子：
37.8
通讯作者：
Mani, Kevin
中科院分区：
文献类型：
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作者：
Beck, Adam W.;Sedrakyan, Art;Mani, Kevin
背景：该项目由ICVR（国际血管注册协会）（由11个血管外科质量注册中心组成）开展，旨在评估当代腹主动脉瘤（AAA）管理的国际差异，并与血管外科学会和欧洲血管外科学会推荐的治疗指南相关。方法：收集2010年至2013年来自11个国家的开放和血管内AAA修复（EVAR）的注册数据。比较了不同国家和国家内部不同中心在患者选择和治疗方面的差异。结果：在51 153例患者中，86%的患者接受了完整AAA （iAAA）治疗，14%的患者接受了破裂AAA治疗。女性占整个队列的18%(范围：瑞士12% -美国21%
BACKGROUND: This project by the ICVR (International Consortium of Vascular Registries), a collaboration of 11 vascular surgical quality registries, was designed to evaluate international variation in the contemporary management of abdominal aortic aneurysm (AAA) with relation to recommended treatment guidelines from the Society for Vascular Surgery and the European Society for Vascular Surgery.METHODS: Registry data for open and endovascular AAA repair (EVAR) during 2010 to 2013 were collected from 11 countries. Variations in patient selection and treatment were compared across countries and across centers within countries.RESULTS: Among 51 153 patients, 86% were treated for intact AAA (iAAA) and 14% for ruptured AAA. Women constituted 18% of the entire cohort (range, 12% in Switzerland-21% in the United States; P