Elective endovascular abdominal aortic aneurism repair versus open surgery: a review of the clinical and cost-effectiveness
Perras C, Ho C, Spry C, Argaez C, Fitzsimmons H
Record ID 32011001239
English
Authors' recommendations:
In elective patients with AAAs ≥ 5.5 cm, meta-analyses of four RCTs provided evidence that EVAR reduces 30-day all-cause mortality and length of hospital stay, but not mid-term (4 years) mortality. Other meta-analyses that included non-RCTs also found benefits with EVAR but these are subject to bias which leads to caution in interpretation of the findings. Economic analyses showed that EVAR have a higher cost per QALY compared with open surgery.In emergency patients, EVAR also shows clinical benefits and appears to be cost-effective compared to open repair, but RCTs are required to confirm these findings.
Details
Project Status:
Completed
URL for project:
http://www.cadth.ca/media/pdf/L0129_EVAR_versus_Open_Surgery.pdf
Year Published:
2009
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
Contact
Organisation Name:
Canadian Agency for Drugs and Technologies in Health
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Agency for Drugs and Technologies in Health (CADTH)
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