Journal of Vascular Surgery
Volume 45, Issue 5 , Pages 891-899 , May 2007

The impact of gender on presentation, therapy, and mortality of abdominal aortic aneurysm in the United States, 2001-2004

Podium presentation given at the annual meeting of the New England Society for Vascular Surgeons, Boston, Mass, Sept 22-24, 2006.

  • James T. McPhee, MD

      Affiliations

    • University of Massachusetts Medical School, Department of Surgery, Worcester, MA
    • Corresponding Author InformationReprint requests: Mohammad H. Eslami, MD, University of Massachusetts Medical School, Division of Vascular Surgery, 55 Lake Avenue North, Worcester, MA 01655.
    • ,
  • Joshua S. Hill, MD

      Affiliations

    • University of Massachusetts Medical School, Department of Surgery, Worcester, MA
    • ,
  • Mohammad H. Eslami, MD

      Affiliations

    • University of Massachusetts, Division of Vascular Surgery, Worcester, MA

Received 30 October 2006 ,Accepted 8 January 2007.

References 

  1. Brown LC, Powell JT. Risk factors for aneurysm rupture in patients kept under ultrasound surveillance (UK Small Aneurysm Trial Participants). Ann Surg. 1999;230:289–297
  2. Katz DJ, Stanley JC, Zelenock GB. Gender differences in abdominal aortic aneurysm prevalence, treatment, and outcome. J Vasc Surg. 1997;25:561–568
  3. Fillinger MF, Marra SP, Raghavan ML, Kennedy FE. Prediction of rupture risk in abdominal aortic aneurysm during observation: wall stress versus diameter. J Vasc Surg. 2003;37:724–732
  4. Brown PM, Zelt DT, Sobolev B. The risk of rupture in untreated aneurysms: the impact of size, gender, and expansion rate. J Vasc Surg. 2003;37:280–284
  5. Forbes TL, Lawlor DK, DeRose G, Harris KA. Gender differences in relative dilatation of abdominal aortic aneurysms. Ann Vasc Surg. 2006;20:564–568
  6. Solberg S, Singh K, Wilsgaard T, Jacobsen BK The Tromso Study. Increased growth rate of abdominal aortic aneurysms in women. Eur J Vasc Endovasc Surg. 2005;29:145–149
  7. Semmens JB, Norman PE, Lawrence-Brown MMD, Holman CD’AJ. Influence of gender on outcome from ruptured abdominal aortic aneurysm. Br J Surg. 2000;87:191–194
  8. Brewster DC, Cronewett JL, Hallett JW, Johnson KW, Krupski WC, Matsumura JS. Guidelines for the treatment of abdominal aortic aneurysms: report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg. 2003;37:1106–1117
  9. Dimick JB, Stanley JC, Axelrod DA, Kazmer A, Henke PK, Jacobs LA, et al. Variation in death rate after abdominal aortic aneurysmectomy in the United States: impact of hospital volume, gender, and age. Ann Surg. 2002;235:579–585
  10. Huber TS, Wang JG, Derrow AE, Dame DA, Ozaki CK, Zelenock GB, et al. Experience in the United States with intact abdominal aortic aneurysm repair. J Vasc Surg. 2001;33:304–311
  11. Dardik A, Lin JW, Gordon TA, Williams GM, Perler BA. Results of elective abdominal aortic aneurysm repair in the 1990s: a population-based analysis of 2335 cases. J Vasc Surg. 1999;30:985–995
  12. Katz DJ, Stanley JC, Zelenock GB. Operative mortality rates for intact and ruptured abdominal aortic aneurysms in Michigan: an eleven-year statewide experience. J Vasc Surg. 1994;19:804–817
  13. Manheim LM, Sohn MW, Feinglass J, Ujiki M, Parker MA, Pearch WH. Hospital vascular surgery volume and procedure mortality rates in California, 1982-1994. J Vasc Surg. 1998;28:45–58
  14. Steyerberg EW, Kievit J, de Mol Van Otterloo JC, can Bockel JH, Eijkemans MJ, Habbema JD. Perioperative mortality of elective abdominal aortic aneurysm surgery: a clinical prediction rule based on literature and individual patient data. Arch Intern Med. 1995;155:1998–2004
  15. Dillavou DE, Muluk SC, Makaroun MS. A decade of change in abdominal aortic aneurysm repair in the United States: Have we improved outcomes between men and women?. J Vasc Surg. 2006;43:230–238
  16. Dillavou ED, Muluk SC, Makaroun MS. Improving aneurysm-related outcomes: nationwide benefits of endovascular repair. J Vasc Surg. 2006;43:446–452
  17. Nationwide Inpatient Sample (NIS) Overview. Available at: http://www.hcup-us.ahrq.gov/nisoverview.jsp.
  18. US Department of Health and Human Services. International classification of diseases, ninth revision, clinical modification. Washington (DC): US Government Printing Office; 1998;
  19. Lee AW, Carter JW, Upchurch G, Seeger JM, Huber TS. Perioperative outcomes after open and endovascular repair of intact abdominal aortic aneurysms in the United States during 2001. J Vasc Surg. 2004;39:491–496
  20. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:3–5
  21. The EVAR trial Participants. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomized controlled trial. Lancet. 2004;364:843–848
  22. Prinssen M, Verhoeven ELG, Buth J, Cuypers PWM, van Sambeek MRHM, Balm R, et al. Dutch Randomized Endovascular Aneurysm Management (DREAM) Trial Group A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618
  23. Silane MF, Conte KM, Fantini GA, Kazam E. Aortic aneurysmal disease in woman: is there a greater incidence of suprarenal involvement?. Ann NY Acad Sci. 1996;800:256–257
  24. Rosen SF, Fantini GA. Juxtarenal aortic aneurysm repair. Vasc Surg. 2000;34:25–32
  25. Lederle FA, Johnson GR, Wilson SE, Gordon IL, Chute EP, Littooy FN, et al. The Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Investigators Relationship of age, gender, race, and body size to infrarenal aortic diameter. J Vasc Surg. 1997;26:595–601
  26. Sandgren T, Sonesson B, Ahlgren R, Lanne T. The diameter of the common femoral artery in healthy human: influence of gender, sex, and body size. J Vasc Surg. 1999;29:503–510
  27. Wolf YG, Arko FR, Hill BB, Olcott IV C, Harris EJ, Fogarty TJ, et al. Gender differences in endovascular abdominal aortic aneurysm repair with the AneuRx stent graft. J Vasc Surg. 2002;35:882–886
  28. Brewster DC, Jones JE, Chung TK, Lamuraglia GM, Kwolek CJ, Watkins MT, et al. Long-term outcomes after endovascular abdominal aortic aneurysm repair (The first decade). Ann Surg. 2006;244:426–438
  29. Ouriel K, Greenberg RK, Clair DG, O’Hara PJ, Srivastava SD, Lyden SP, et al. Endovascular aneurysm repair: gender specific results. J Vasc Surg. 2003;38:93–98
  30. Mathison M, Becker GJ, Katzen BT, Benenati JF, Zemel G, Powell A, et al. The influence of female gender on the outcome of endovascular abdominal aortic aneurysm repair. J Vasc Interv Radiol. 2001;12:1047–1051
  31. McLafferty RB, Dunnington GL, Mattos MA, Markwell SJ, Ramsey DE, Henretta JP, et al. Factors affecting the diagnosis of peripheral vascular disease before vascular surgery referral. J Vasc Surg. 2000;31:870–879
  32. Ashton HA, Buxton MJ, Day NE, Kim LG, Marteau TM, Scott RA, et al. The Multicenter Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomized controlled trial. Lancet. 2002;360:1531–1539
  33. Lindholt JS, Juul S, Fasting H, Henneberg EW. Preliminary ten year results from a randomized single centre mass screening trial for abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2006;32:608–614
  34. Fleming C, Whitlock EP, Beil TL, Lederle FA. Screening for abdominal aortic aneurysm: a best evidence systematic review for the US preventive services task force. Arch Intern Med. 2005;142:203–211
  35. Norman PE, Jamrozik K, Lawrence-Brown MM, Le MT, Spencer CA, Tuohy RJ, et al. Population based randomization controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ, doi:10.1136/bmj.38272.478438.55.
  36. Scott RA, Bridgewater SG, Ashton HA. Randomized clinical trial of screening for abdominal aortic aneurysm in women. Br J Surg. 2002;89:283–285
  37. Wanhainen A, Lundkvist J, Bergqvist D, Björck M. Cost-effectiveness of screening women for abdominal aortic aneurysm. J Vasc Surg. 2006;43:908–914
  38. Longo C, Upchurch GR. Abdominal aortic aneurysm screening: recommendations and controversies. Vasc Endovasc Surg. 2005;39:213–219
  39. Daly C, Clemens F, Lopez Sendon JL, Tavazzi L, Boersma E, Danchin N, et al. Gender differences in the management and clinical outcome of stable angina. Circulation. 2006;113:490–498
  40. Iezzoni L, Foley SM, Daley J, Hughes J, Fisher ES, Heeren T. Comborbidities, complications, and coding bias: does the number of diagnosis codes matter in predicting in-hospital mortality?. JAMA. 1992;267:2197–2203

 Competition of interest: none.

PII: S0741-5214(07)00059-6

doi: 10.1016/j.jvs.2007.01.043

Journal of Vascular Surgery
Volume 45, Issue 5 , Pages 891-899 , May 2007

Article Tools

* Image Usage & Resolution