Surgery
Volume 118, Issue 1 , Pages 16-24 , July 1995

Late survival risk factors for abdominal aortic aneurysm repair: Experience from fourteen Department of Veterans Affairs hospitals

    PhD
  • Joe Feinglass

      Affiliations

    • Division of General Internal Medicine Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Northwestern University, Hines Veterans Affairs Hospital, USA
    • Veterans Affairs Health Services Research and Development Service Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Veterans Affairs Lakeside Medical Center, Chicago, Ill., USA
    • Corresponding Author InformationReprint requests: Joe Feinglass, PhD, Division of General Internal Medicine/NUMS, 303 E. Ohio, Suite 300, Chicago, IL 60611.
  • , MA
  • Diane Cowper

      Affiliations

    • Division of General Internal Medicine Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Northwestern University, Hines Veterans Affairs Hospital, USA
    • Veterans Affairs Health Services Research and Development Service Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Veterans Affairs Lakeside Medical Center, Chicago, Ill., USA
  • , PhD
  • Dorothy Dunlop

      Affiliations

    • Division of General Internal Medicine Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Northwestern University, Hines Veterans Affairs Hospital, USA
    • Veterans Affairs Health Services Research and Development Service Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Veterans Affairs Lakeside Medical Center, Chicago, Ill., USA
  • , RN, MA
  • Real Slavensky

      Affiliations

    • Division of General Internal Medicine Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Northwestern University, Hines Veterans Affairs Hospital, USA
    • Veterans Affairs Health Services Research and Development Service Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Veterans Affairs Lakeside Medical Center, Chicago, Ill., USA
  • , MD
  • Gary J. Martin

      Affiliations

    • Division of General Internal Medicine Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Northwestern University, Hines Veterans Affairs Hospital, USA
    • Veterans Affairs Health Services Research and Development Service Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Veterans Affairs Lakeside Medical Center, Chicago, Ill., USA
  • , MD
  • William H. Pearce

      Affiliations

    • Division of General Internal Medicine Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Northwestern University Medical School, Hines Veterans Affairs Hospital, USA
    • Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Northwestern University, Hines Veterans Affairs Hospital, USA
    • Veterans Affairs Health Services Research and Development Service Center for Health Services and Policy Research, Hines Veterans Affairs Hospital, USA
    • Division of Vascular Surgery, Veterans Affairs Lakeside Medical Center, Chicago, Ill., USA

,Accepted 21 December 1994.

References 

  1. Ernst CB. Abdominal aortic aneurysm. N Engl J Med. 1993;328:1169–1172
  2. AHCPR Publication 93-0043 Agency for Health Care and Policy Research . Clinical classifications for health policy research: discharge statistics by principal diagnosis and procedure. In: Provider Studies Research Note. US Department of Health and Human Services; August 1993;p. 17
  3. Hannan EL, Kilburn H, O'Donnell JF, et al. A logitudinal analysis of the relationship between in-hospital mortality in New York State and the volume of abdominal aortic aneurysm surgeries performed. Health Serv Res. 1992;27:517–542
  4. Junuary Collin J, Araujo L, Walton J. A community detection program for abdominal aortic aneurysm. Angiology. 1990;53–57
  5. Lederle FA, Walker JM, Reinke DB. Selective screening for abdominal aortic aneurysm with physical examination and ultrasound. Arch Intern Med. 1998;148:1753–1756
  6. Guirguis EM, Barber GG. The natural history of abdominal aortic aneurysms. Am J Surg. 1991;162:481–483
  7. Lederle F. Management of small abdominal aortic aneurysms. Ann Intern Med. 1990;113:731–732
  8. Feinglass J, Pearce W, Martin GJ. Late survival after abdominal aortic aneurysm surgery: a review of the literature. West J Med. 1993;159:474–480
  9. Katz DA. Surgical decision making: the repair of abdominal aortic aneurysms. West J Med. 1993;159:502–503
  10. Katz DA, Littenberg B, Cronenwett JL. Management of small abdominal aortic aneurysms: early surgery versus watchful waiting. JAMA. 1992;268:2678–2686
  11. Wisselink W, Hollier LH. Principles and techniques of endovascular grafting for aneurysms. In: Yao JST, Pearce WH editor. Aneurysms: new findings and treatments. Norwalk, Connecticut: Appleton & Lange; 1993;p. 317–324
  12. System Sciences Inc. . Final report, contract no V101(93) P-1206. In: Washington DC: Department of Veterans Affairs, Office of Quality Management; June 1989;
  13. Goldman L. Cardiac risks and complications of non-cardiac surgery. Ann Intern Med. 1983;98:504–513
  14. Dripps RD, Lamont A, Eckenhoff JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261–266
  15. McEnroe CS, O'Donnell TF, Yeager A, Konstam M, Mackey WC. Comparison of ejection fraction and Goldman risk factor analysis to dipyridamole-thallium 201 studies in the evaluation of cardiac morbidity after aortic aneurysm surgery. J Vasc Surg. 1990;11:497–504
  16. Abraham SA, Coles NA, Coley CM, Strauss HW, Boucher CA, Eagle KA. Coronary risk of non-cardiac surgery. Prog Cardiovasc Dis. 1991;34:205–234
  17. Kalbfleisch JD, Prentice RL. The statistical analysis of failure time data. New York: John Wiley and Sons; 1980;
  18. vol. II Section 6, DHHS publication no (PHS) 93-1104 National Center for Health Statistics . Vital statistics of the United States, 1989: life tables. In: US Department of Health and Human Services; 1992;
  19. Veith FJ, Goldsmith J, Leather RP, Hannan EL. The need for quality assurance in vascular surgery. J Vasc Surg. 1991;13:523–526
  20. Melton LJ. Selection bias in the referral of patients and the natural history of surgical conditions. In: Mayo Clin Proc. 60:1985;p. 880–889
  21. White GH, Advani S, Williams RA, Wilson SE. Cardiac risk index as a predictor of long-term survival after repair of abdominal aortic aneurysm. Am J Surg. 1988;156:103–107
  22. Roger VL, Ballard DJ, Hallett JW, Osmundson PJ, Puetz PA, Gersh BJ. Influence of coronary artery disease on morbidity and mortality after abdominal aortic aneurysmectomy: a population-based study, 1971–1987. J Am Coll Card. 1989;14:1245–1252
  23. Johnston KW. Canadian study of late results of abdomonal aortic aneurysm repair. In: Yao JST, Pearce WH editor. Aneurysms: new findings and treatments. Norwalk, Connecticut: Appleton & Lange; 1993;p. 79–87
  24. Freeman WK, Gersh BJ, Gloviczki P. Abdominal aortic aneurysm and coronary artery disease: frequent companions, but an uneasy relationship. J Vasc Surg. 1990;12:73–77
  25. Young JR, Hertzer NR, Beven EG, et al. Coronary artery disease in patients with aortic aneurysm: a classification of 302 coronary angiograms and results of surgical management. Ann Vasc Surg. 1986;1:36–42
  26. Hertzer NR. Basic data concerning associated coronary disease in peripheral vascular patients. Ann Vasc Surg. 1987;1:616–620
  27. Scott RAP, Wilson NM, Ashton HA, Kay DN. Is surgery necessary for abdominal aortic aneurysm less than 6 cm in diameter. Lancet. 1993;342:1395–1396

* Supported by grant IIR 91-100.A from the Veterans Affairs Health Services Research and Development Service.

PII: S0039-6060(05)80004-2

Surgery
Volume 118, Issue 1 , Pages 16-24 , July 1995