Skip header and navigation

1 records – page 1 of 1.

Determination of patient preference for location of elective abdominal aortic aneurysm surgery.

https://arctichealth.org/en/permalink/ahliterature114793
Source
Vasc Endovascular Surg. 2013 May;47(4):288-93
Publication Type
Article
Date
May-2013
Author
John H Landau
Teresa V Novick
Luc Dubois
Adam H Power
Jeremy R Harris
Guy Derose
Thomas L Forbes
Author Affiliation
Division of Vascular Surgery, London Health Sciences Centre & Western University, London, Ontario, Canada.
Source
Vasc Endovascular Surg. 2013 May;47(4):288-93
Date
May-2013
Language
English
Publication Type
Article
Keywords
Aged
Aortic Aneurysm, Abdominal - diagnosis - mortality - surgery
Catchment Area (Health)
Female
Health Care Surveys
Health Services Accessibility
Hospitals, High-Volume
Hospitals, Low-Volume
Humans
Male
Ontario
Outcome and Process Assessment (Health Care)
Patient Preference
Quality Indicators, Health Care
Questionnaires
Risk assessment
Risk factors
Surgical Procedures, Elective
Treatment Outcome
Vascular Surgical Procedures - adverse effects - mortality
Abstract
Aneurysm repair is centralized in higher volume centers resulting in reduced mortality, with longer travel distances. The purpose of this study is to explore patients' preference between local care versus longer distances and lower mortality rates.
Patients with abdominal aortic aneurysm (AAA) measuring 4 to 5 cm and living at least a 1-hour drive from our hospital were asked to assume it had grown to 5.5 cm, and repair was recommended with a mortality risk of 2%. The level of additional risk they would accept to undergo surgery locally was determined.
A total of 67 patients were surveyed. If mortality risk was equivalent at the local and regional hospitals, 44% preferred care at our tertiary center, while 56% preferred surgery locally. If perioperative mortality was increased at the local hospital, 9% preferred local surgery.
The vast majority of patients with AAA will accept longer travel distances for care as long as it results in a reduction in perioperative mortality.
PubMed ID
23579366 View in PubMed
Less detail