Journal of Vascular Surgery
Volume 47, Issue 2 , Pages 287-295.e2 , February 2008

Informed consent for abdominal aortic aneurysm repair: Assessing variations in surgeon opinion through a national survey

Presented at the Annual Meeting of the New England Society for Vascular Surgery, Ledyard, Conn, Oct 6, 2007.

  • Loren Berman, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Loren Berman, Yale University School of Medicine, 333 Cedar Street, IE-61 SHM, New Haven, CT 06520.
    • Dr Berman is supported by the Robert Wood Johnson Clinical Scholars Program and the Foundation for Informed Medical Decision-Making George Bennett Postdoctoral grant.
  • ,
  • Alan Dardik, MD, PhD

      Affiliations

    • Dr Dardik is supported by the National Institutes of Health Career Development award HL079927/American Vascular Association William J. von Liebig Award, as well as with resources and the use of facilities at the VA Connecticut Healthcare System in West Haven, Conn.
  • ,
  • Elizabeth H. Bradley, PhD

      Affiliations

    • Dr Bradley is supported by the Patrick and Catherine Weldon Donaghue Medical Research Foundation Investigator Award.
  • ,
  • Richard J. Gusberg, MD
  • ,
  • Liana Fraenkel, MD, MPH

      Affiliations

    • Dr Fraenkel is supported by the K23 Award AR048826-01 A1.

Received 29 June 2007 ,Accepted 25 October 2007.

References 

  1. Scott RA, Ashton HA, Kay DN. Abdominal aortic aneurysm in 4237 screened patients: prevalence, development and management over 6 years. Br J Surg. 1991;78:1122–1125
  2. Newman AB, Arnold AM, Burke GL, O’Leary DH, Manolio TA. Cardiovascular disease and mortality in older adults with small abdominal aortic aneurysms detected by ultrasonography: the cardiovascular health study. Ann Intern Med. 2001;134:182–190
  3. Lederle FA, Johnson GR, Wilson SE, Chute EP, Littooy FN, Bandyk D, et al. Prevalence and associations of abdominal aortic aneurysm detected through screening (Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Group). Ann Intern Med. 1997;126:441–449
  4. Collin J, Araujo L, Walton J, Lindsell D. Oxford screening program for abdominal aortic aneurysm in men aged 65 to 74 years. Lancet. 1988;2:613–615
  5. Singh K, Bonaa KH, Jacobsen BK, Bjork L, Solberg S. Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study: The Tromso Study. Am J Epidemiol. 2001;154:236–244
  6. Powell JT, Greenhalgh RM. Clinical practice (Small abdominal aortic aneurysms). N Engl J Med. 2003;348:1895–1901
  7. Mortality results for randomized controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms (The UK Small Aneurysm Trial Participants). Lancet. 1998;352:1649–1655
  8. Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW, et al. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med. 2002;346:1437–1444
  9. Brewster DC, Cronenwett JL, Hallett JW, Johnston 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
  10. Prinssen M, Buskens E, Blankensteijn JD. Quality of life endovascular and open AAA repair (Results of a randomized trial). Eur J Vasc Endovasc Surg. 2004;27:121–127
  11. Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618
  12. Blum U, Voshage G, Lammer J, Beyersdorf F, Tollner D, Kretschmer G, et al. Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms. N Engl J Med. 1997;336:13–20
  13. Aarts F, van Sterkenburg S, Blankensteijn JD. Endovascular aneurysm repair versus open aneurysm repair: comparison of treatment outcome and procedure-related reintervention rate. Ann Vasc Surg. 2005;19:699–704
  14. Du Toit DF, Saaiman JA, Carpenter JP, Geldenhuys KM. Endovascular aortic aneurysm repair by a multidisciplinary team: lessons learned and 6-year clinical update. Cardiovasc J S Afr. 2005;16:36–47
  15. Laheij RJ, Buth J, Harris PL, Moll FL, Stelter WJ, Verhoeven EL. Need for secondary interventions after endovascular repair of abdominal aortic aneurysms (Intermediate-term follow-up results of a European collaborative registry (EUROSTAR)). Br J Surg. 2000;87:1666–1673
  16. Harris PL, Vallabhaneni SR, Desgranges P, Becquemin JP, van Marrewijk C, Laheij RJ. Incidence and risk factors of late rupture, conversion, and death after endovascular repair of infrarenal aortic aneurysms: the EUROSTAR experience (European Collaborators on Stent/graft techniques for aortic aneurysm repair). J Vasc Surg. 2000;32:739–749
  17. Schermerhorn ML, Finlayson SR, Fillinger MF, Buth J, van Marrewijk C, Cronenwett JL. Life expectancy after endovascular versus open abdominal aortic aneurysm repair: results of a decision analysis model on the basis of data from EUROSTAR. J Vasc Surg. 2002;36:1112–1120
  18. Finlayson SR, Birkmeyer JD, Fillinger MF, Cronenwett JL. Should endovascular surgery lower the threshold for repair of abdominal aortic aneurysms?. J Vasc Surg. 1999;29:973–985
  19. AMA. America’s medical liability crisis: A national view. http://www.ama-assn.org/ama1/pub/upload/mm/450/med_liab _ jan07.pdf
  20. Kriwanek S, Armbruster C, Beckerhinn P, Blauensteier W, Gschwantler M. Patients’ assessment and recall of surgical information after laparoscopic cholecystectomy. Dig Surg. 1998;15:669–673
  21. Mishra PK, Ozalp F, Gardner RS, Arangannal A, Murday A. Informed consent in cardiac surgery: is it truly informed?. J Cardiovasc Med (Hagerstown). 2006;7:675–681
  22. Stanley BM, Walters DJ, Maddern GJ. Informed consent: how much information is enough?. Aust N Z J Surg. 1998;68:788–791
  23. Turner P, Williams C. Informed consent: patients listen and read, but what information do they retain?. N Z Med J. 2002;115:U218
  24. Vohra HA, Ledsham J, Vohra H, Patel RL. Issues concerning consent in patients undergoing cardiac surgery-the need for patient-directed improvements: a UK perspective. Cardiovasc Surg. 2003;11:64–69
  25. Birnbaum IM, Capron AM. Consent to medical treatment (Treatise on health care law). San Francisco, CA: Matthew Bender; 2007;
  26. Birnbaum IM, Capron AM. Treatise on health care law. Appendix 17A San Francisco, CA: Matthew Bender; 2007;
  27. Devereaux PJ, Anderson DR, Gardner MJ, Putnam W, Flowerdew GJ, Brownell BF, et al. Differences between perspectives of physicians and patients on anticoagulation in patients with atrial fibrillation: observational study. BMJ. 2001;323:1218–1222
  28. Elstein AS, Chapman GB, Knight SJ. Patients’ values and clinical substituted judgments: the case of localized prostate cancer. Health Psychol. 2005;24(4 Suppl):S85–S92
  29. Montgomery AA, Fahey T. How do patients’ treatment preferences compare with those of clinicians?. Qual Health Care. 2001;10(Suppl 1):i39–i43
  30. Burger I, Schill K, Goodman S. Disclosure of individual surgeon’s performance rates during informed consent: ethical and epistemological considerations. Ann Surg. 2007;245:507–513

 Competition of interest: none.Additional material for this article may be found online at www.jvascsurg.org

PII: S0741-5214(07)01754-5

doi: 10.1016/j.jvs.2007.10.050

Journal of Vascular Surgery
Volume 47, Issue 2 , Pages 287-295.e2 , February 2008