Small Abdominal Aortic Aneurysms in the over 85s: do we need to survey them all?

Maryosh, Sally, Gwilym, Brenig, Lewis, Peter, McLain, Alexander D., Lewis, David and Bosanquet, David C. ORCID: https://orcid.org/0000-0003-2304-0489 2023. Small Abdominal Aortic Aneurysms in the over 85s: do we need to survey them all? European Journal of Vascular and Endovascular Surgery 65 (6) , pp. 911-912. 10.1016/j.ejvs.2023.03.019

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Abstract

Patients with small abdominal aortic aneurysms (AAAs) typically enter either local or national surveillance programmes. Recent data suggest that elderly patients (e.g., those aged > 80 or > 85 years) with small AAAs are unlikely to come for treatment; either they die of other causes before reaching the aneurysm threshold (> 54.9 mm), or they reach the threshold but are not offered surgery because of their comorbidities.1, 2, 3 Surveillance in this patient cohort may not be cost effective; however, screening cost effectiveness models do not consider the removal of patients with subthreshold AAAs from surveillance.4,5 Apart from advising those with “very limited life expectancy” not to undergo surveillance,6 no guidelines exist on how to, or whether, patients should be removed from surveillance. The aim of this study was to evaluate the proportion of elderly patients with small AAAs under local surveillance who could be removed following consultation.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	European Society for Vascular Surgery
ISSN:	1078-5884
Last Modified:	21 Jun 2024 01:08
URI:	https://orca.cardiff.ac.uk/id/eprint/170008

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