Journal of Vascular Surgery
Volume 48, Issue 4 , Pages 802-807 , October 2008

More patients are treated for nonruptured abdominal aortic aneurysms, but the proportion of women remains unchanged

  • Emma Larsson, MD

      Affiliations

    • Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
    • Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden
    • Corresponding Author InformationReprint requests: Emma Larsson, MD, Department of Vascular Surgery, N2:06, Karolinska University Hospital, 171 76 Stockholm, Sweden
  • ,
  • Fredrik Granath, PhD

      Affiliations

    • Department of Internal Medicine, Clinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden
  • ,
  • Jesper Swedenborg, MD, PhD

      Affiliations

    • Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
    • Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden
  • ,
  • Rebecka Hultgren, MD, PhD

      Affiliations

    • Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
    • Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden

Received 19 February 2008 ,Accepted 4 May 2008.

References 

  1. Bengtsson H, Bergqvist D, Sternby NH. Increasing prevalence of abdominal aortic aneurysms (A necropsy study). Eur J Surg. 1992;158:19–23
  2. Acosta S, Ogren M, Bengtsson H, Bergqvist D, Lindblad B, Zdanowski Z. Increasing incidence of ruptured abdominal aortic aneurysm: a population-based study. J Vasc Surg. 2006;44:237–243
  3. Best VA, Price JF, Fowkes FG. Persistent increase in the incidence of abdominal aortic aneurysm in Scotland, 1981-2000. Br J Surg. 2003;90:1510–1515
  4. Filipovic M, Goldacre MJ, Roberts SE, Yeates D, Duncan ME, Cook-Mozaffari P. Trends in mortality and hospital admission rates for abdominal aortic aneurysm in England and Wales, 1979-1999. Br J Surg. 2005;92:968–975
  5. Olsson C, Thelin S, Stahle E, Ekbom A, Granath F. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation. 2006;114:2611–2618
  6. Hultgren R, Olofsson P, Wahlberg E. Gender differences in vascular interventions for lower limb ischaemia. Eur J Vasc Endovasc Surg. 2001;21:22–27
  7. Pleumeekers HJ, Hoes AW, van der Does E, van Urk H, Hofman A, de Jong PT, et al. Aneurysms of the abdominal aorta in older adults (The Rotterdam Study). Am J Epidemiol. 1995;142:1291–1299
  8. Scott RA, Bridgewater SG, Ashton HA. Randomized clinical trial of screening for abdominal aortic aneurysm in women. Br J Surg. 2002;89:283–285
  9. Dueck AD, Johnston KW, Alter D, Laupacis A, Kucey DS. Predictors of repair and effect of gender on treatment of ruptured abdominal aortic aneurysm. J Vasc Surg. 2004;39:784–787
  10. Dillavou ED, Muluk SC, Makaroun MS. A decade of change in abdominal aortic aneurysm repair in the United States: have we improved outcomes equally between men and women?. J Vasc Surg. 2006;43:230–238discussion 238
  11. Semmens JB, Norman PE, Lawrence-Brown MM, Holman CD. Influence of gender on outcome from ruptured abdominal aortic aneurysm. Br J Surg. 2000;87:191–194
  12. Menard MT, Chew DK, Chan RK, Conte MS, Donaldson MC, Mannick JA, et al. Outcome in patients at high risk after open surgical repair of abdominal aortic aneurysm. J Vasc Surg. 2003;37:285–292
  13. Akkersdijk GJ, Prinssen M, Blankensteijn JD. The impact of endovascular treatment on in-hospital mortality following non-ruptured AAA repair over a decade: a population based study of 16,446 patients. Eur J Vasc Endovasc Surg. 2004;28:41–46
  14. Brown LC, Powell JT. Risk factors for aneurysm rupture in patients kept under ultrasound surveillance (UK Small Aneurysm Trial Participants). Ann Surg. 1999;230:289–296discussion 296-7
  15. Solberg S, Singh K, Wilsgaard T, Jacobsen BK. Increased growth rate of abdominal aortic aneurysms in women (The Tromso study). Eur J Vasc Endovasc Surg. 2005;29:145–149
  16. Schouten O, van Laanen JH, Boersma E, Vidakovic R, Feringa HH, Dunkelgrun M, et al. Statins are associated with a reduced infrarenal abdominal aortic aneurysm growth. Eur J Vasc Endovasc Surg. 2006;32:21–26
  17. Mofidi R, Goldie VJ, Kelman J, Dawson AR, Murie JA, Chalmers RT. Influence of sex on expansion rate of abdominal aortic aneurysms. Br J Surg. 2007;94:310–314
  18. Lanne T, Sandgren T, Sonesson B. A dynamic view on the diameter of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 1998;15:308–312
  19. Visser P, Akkersdijk GJ, Blankensteijn JD. In-hospital operative mortality of ruptured abdominal aortic aneurysm: a population-based analysis of 5593 patients in The Netherlands over a 10-year period. Eur J Vasc Endovasc Surg. 2005;30:359–364
  20. McPhee JT, Hill JS, Eslami MH. The impact of gender on presentation, therapy, and mortality of abdominal aortic aneurysm in the United States, 2001-2004. J Vasc Surg. 2007;45:891–899
  21. Norman PE, Semmens JB, Lawrence-Brown MM, Holman CD. Long term relative survival after surgery for abdominal aortic aneurysm in western Australia: population based study. BMJ. 1998;317:852–856
  22. Reitsma JB, Pleumeekers HJ, Hoes AW, Kleijnen J, de Groot RM, Jacobs MJ, et al. Increasing incidence of aneurysms of the abdominal aorta in The Netherlands. Eur J Vasc Endovasc Surg. 1996;12:446–451
  23. European Society for Vascular Surgery. First Vascunet database report. The European Society for Vascular Surgery; September 2007. http://www.esvs.org/?vis=57
  24. Kantonen I, Lepantalo M, Brommels M, Luther M, Salenius JP, Ylonen K. Mortality in ruptured abdominal aortic aneurysms (The Finnvasc Study Group). Eur J Vasc Endovasc Surg. 1999;17:208–212
  25. Dueck AD, Kucey DS, Johnston KW, Alter D, Laupacis A. Long-term survival and temporal trends in patient and surgeon factors after elective and ruptured abdominal aortic aneurysm surgery. J Vasc Surg. 2004;39:1261–1267
  26. Causes of Death 2005. “Hälsa och Sjukdomar” Centre for Epidemiology of the National Board of Health and Welfare. 2007;15
  27. 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
  28. Evans SM, Adam DJ, Bradbury AW. The influence of gender on outcome after ruptured abdominal aortic aneurysm. J Vasc Surg. 2000;32:258–262
  29. Kantonen I, Lepantalo M, Salenius JP, Matzke S, Luther M, Ylonen K. Mortality in abdominal aortic aneurysm surgery–the effect of hospital volume, patient mix and surgeon's case load. Eur J Vasc Endovasc Surg. 1997;14:375–379
  30. Holt PJ, Poloniecki JD, Gerrard D, Loftus IM, Thompson MM. Meta-analysis and systematic review of the relationship between volume and outcome in abdominal aortic aneurysm surgery. Br J Surg. 2007;94:395–403
  31. Eckstein HH, Bruckner T, Heider P, Wolf O, Hanke M, Niedermeier HP, et al. The relationship between volume and outcome following elective open repair of abdominal aortic aneurysms (AAA) in 131 German hospitals. Eur J Vasc Endovasc Surg. 2007;34:260–266
  32. Hultgren R, Granath F, Swedenborg J. Different disease profiles for women and men with abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2007;33:556–560
  33. Johnston KW. Influence of sex on the results of abdominal aortic aneurysm repair (Canadian Society for Vascular Surgery Aneurysm Study Group). J Vasc Surg. 1994;20:914–923discussion 923-6
  34. Wanhainen A, Bylund N, Bjorck M. Outcome after abdominal aortic aneurysm repair in Sweden 1994-2005. Br J Surg. 2008;95:564–570
  35. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet. 2004;364:843–848
  36. 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;351:1607–1608
  37. Blankensteijn JD, de Jong SE, Prinssen M, van der Ham AC, Buth J, van Sterkenburg SM, et al. Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2005;352:2398–2405
  38. Patel ST, Korn P, Haser PB, Bush HL, Kent KC. The cost-effectiveness of repairing ruptured abdominal aortic aneurysms. J Vasc Surg. 2000;32:247–257

 Financial support was provided through the Regional Agreement on Medical Training and Clinical Research (ALF) between Stockholm County Council and the Karolinska Institutet, and by the European Society of Vascular Surgery.

 Competition of interest: none.

PII: S0741-5214(08)00730-1

doi: 10.1016/j.jvs.2008.05.016

Journal of Vascular Surgery
Volume 48, Issue 4 , Pages 802-807 , October 2008