Journal of Vascular Surgery
Volume 48, Issue 1 , Pages 29-36.e1 , July 2008

Regionalization of abdominal aortic aneurysm repair: Evidence of a shift to high-volume centers in the endovascular era

  • Joshua S. Hill, MD

      Affiliations

    • Department of Surgery, University of Massachusetts Medical School, Worcester, Mass
    • ,
  • James T. McPhee, MD

      Affiliations

    • Department of Surgery, University of Massachusetts Medical School, Worcester, Mass
    • ,
  • Louis M. Messina, MD

      Affiliations

    • Department of Surgery, University of Massachusetts Medical School, Worcester, Mass
    • ,
  • Rocco G. Ciocca, MD

      Affiliations

    • Department of Surgery, Caritas St. Elizabeth's Medical Center, Brighton, Mass.
    • ,
  • Mohammad H. Eslami, MD

      Affiliations

    • Department of Surgery, University of Massachusetts Medical School, Worcester, Mass
    • Corresponding Author InformationReprint requests: Mohammad H. Eslami, Division of Vascular Surgery, Department of Surgery, 55 Lake Ave, Worcester, MA 01655.

Received 13 November 2007 ,Accepted 19 February 2008.

  • Image Result

    Adoption of endovascular aneurysm repair technology since 2000 for low- (white bars), medium- (gray bars), and high-volume (black bars) centers.

    Adoption of endovascular aneurysm repair technology since 2000 for low- (white bars), medium- (gray bars), and high-volume (black bars) centers.

  • Image Result

    Percentage of abdominal aortic aneurysm repairs performed by hospitals of low- (black bars), medium- (gray bars), and high-volume (white bars) classification between 1998 and 2004.

    Percentage of abdominal aortic aneurysm repairs performed by hospitals of low- (black bars), medium- (gray bars), and high-volume (white bars) classification between 1998 and 2004.

  • Image Result

    The mortality rate in patients undergoing abdominal aortic aneurysm repair was significantly reduced between 1998 and 2004 (Mantel-Haenszel test of trend, P < .0001). Shown in heavy solid line is the

    The mortality rate in patients undergoing abdominal aortic aneurysm repair was significantly reduced between 1998 and 2004 (Mantel-Haenszel test of trend, P < .0001). Shown in heavy solid line is the overall mortality, light gray lines represent open repair, and dashed lines represent endovascular aneurysm repair (EVAR).

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org.

PII: S0741-5214(08)00301-7

doi: 10.1016/j.jvs.2008.02.048

Journal of Vascular Surgery
Volume 48, Issue 1 , Pages 29-36.e1 , July 2008

Article Tools

* Image Usage & Resolution