Is there a difference in operative mortality between endovascular aneurysm repair and open surgery in elective abdominal aortic aneurysm?
Abbotts J, McIntosh H
Record ID 32013000475
English
Authors' recommendations:
Summary
The published evidence indicates that operative mortality for EVAR is around a third that of OSR. Over
the longer-term time horizon taken into account in cost-effectiveness analysis (that is costs and effects
are considered over a longer period than just around the time of the operation), EVAR is unlikely to be
cost-effective relative to OSR for most elective AAA patients, but it may be cost effective for patients at
higher risk of operative mortality. NICE recommended EVAR as a potential treatment option in patients fit for surgery; the decision to be made jointly between doctor and patient taking account of aneurysm size and morphology; patient age, life expectancy and fitness for open surgery; and the short- and long-term benefits and risks of the procedures.
Details
Project Status:
Completed
Year Published:
2012
URL for published report:
http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/earlier_scoping_reports/technologies_scoping_report_3.aspx
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Scotland, United Kingdom
MeSH Terms
- Vascular Surgical Procedures
- Endovascular Procedures
Contact
Organisation Name:
Scottish Health Technologies Group
Contact Address:
Scottish Health Technologies Group, Delta House, 50 West Nile Street, Glasgow, G1 2NP Tel: 0141 225 6998
Contact Name:
his.shtg@nhs.scot
Contact Email:
his.shtg@nhs.scot
Copyright:
Healthcare Improvement Scotland
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.