Endovascular abdominal aneurysm repair: trends in Germany
As a minimally invasive technique endovascular aneurysm repair (EVAR) reduces the risk of mortality and should be the preferred technique used in older patients. We analysed trends in endovascular and open surgical procedures in patients hospitalized for abdominal aortic aneurysm (AAA) in Germany. W...
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| Veröffentlicht in: | VASA 2012-07, Vol.41 (4), p.268-274 |
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| creator | SANTOSA, Frans MOYSIDIS, Theodoros NOWAK, Thomas HEILMAIER, Christina BERG, Christian LUTHER, Bernd KRÖGER, Knut |
| description | As a minimally invasive technique endovascular aneurysm repair (EVAR) reduces the risk of mortality and should be the preferred technique used in older patients. We analysed trends in endovascular and open surgical procedures in patients hospitalized for abdominal aortic aneurysm (AAA) in Germany.
We used national statistics (DRG statistics) published by the Federal Office of Statistics in Germany to calculate the incidence of patients hospitalised with ruptured (rAAA) and elective (eAAA) AAA. In addition, annual procedure rates of endovascular (EVAR) procedures were calculated.
Incidence rates of eAAA per 100,000 males (females) showed a small increase from 2006 to 2007 but remained almost unchanged with 74.8 (8.8) in 2007 and 74.5 (9.8) in 2009. Incidence rates of rAAA per 100 000 males remained unchanged but showed a decreasing trend in females. The rate of people treated by EVAR increased form 2006 to 2009: in males from 24.0 % to 40.3 % and in females from 17.3 % to 31.0 %. In younger males (55 - 60 years) the increase in those who received EVAR was smaller (from 22.1 % to 33.9 %) than in older males (85 - 90 years) (from 20.4 to 41.6 %). Despite a clear increase in the use of EVAR from 2006 to 2009 there is only a small trend in reduction of the death rates which is more pronounced in rAAA.
There has been a relevant increase in EVAR procedures for the treatment of AAA in Germany in recent years. Parallel to this increase of EVAR, aneurysm-related in-hospital deaths seem be declining slightly. A causal relationship between these trends remains to be proven. |
| doi_str_mv | 10.1024/0301-1526/a000202 |
| format | Article |
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We used national statistics (DRG statistics) published by the Federal Office of Statistics in Germany to calculate the incidence of patients hospitalised with ruptured (rAAA) and elective (eAAA) AAA. In addition, annual procedure rates of endovascular (EVAR) procedures were calculated.
Incidence rates of eAAA per 100,000 males (females) showed a small increase from 2006 to 2007 but remained almost unchanged with 74.8 (8.8) in 2007 and 74.5 (9.8) in 2009. Incidence rates of rAAA per 100 000 males remained unchanged but showed a decreasing trend in females. The rate of people treated by EVAR increased form 2006 to 2009: in males from 24.0 % to 40.3 % and in females from 17.3 % to 31.0 %. In younger males (55 - 60 years) the increase in those who received EVAR was smaller (from 22.1 % to 33.9 %) than in older males (85 - 90 years) (from 20.4 to 41.6 %). Despite a clear increase in the use of EVAR from 2006 to 2009 there is only a small trend in reduction of the death rates which is more pronounced in rAAA.
There has been a relevant increase in EVAR procedures for the treatment of AAA in Germany in recent years. Parallel to this increase of EVAR, aneurysm-related in-hospital deaths seem be declining slightly. A causal relationship between these trends remains to be proven.</description><identifier>ISSN: 0301-1526</identifier><identifier>EISSN: 1664-2872</identifier><identifier>DOI: 10.1024/0301-1526/a000202</identifier><identifier>PMID: 22825860</identifier><identifier>CODEN: VASAAH</identifier><language>eng</language><publisher>Bern: Huber</publisher><subject>Age Distribution ; Age Factors ; Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - mortality ; Aortic Aneurysm, Abdominal - surgery ; Aortic Rupture - mortality ; Aortic Rupture - surgery ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - mortality ; Blood Vessel Prosthesis Implantation - trends ; Cardiology. Vascular system ; Diseases of the aorta ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Elective Surgical Procedures - trends ; Endovascular Procedures - adverse effects ; Endovascular Procedures - mortality ; Endovascular Procedures - trends ; Female ; Germany - epidemiology ; Hospitalization - trends ; Humans ; Incidence ; Male ; Medical sciences ; Middle Aged ; Mortality - trends ; Risk Assessment ; Risk Factors ; Sex Factors ; Time Factors ; Treatment Outcome</subject><ispartof>VASA, 2012-07, Vol.41 (4), p.268-274</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c246t-33eee18b1a7cb51258e1bddac92628c4df2d2792797a980bc04704c08fcd7e393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26141282$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22825860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SANTOSA, Frans</creatorcontrib><creatorcontrib>MOYSIDIS, Theodoros</creatorcontrib><creatorcontrib>NOWAK, Thomas</creatorcontrib><creatorcontrib>HEILMAIER, Christina</creatorcontrib><creatorcontrib>BERG, Christian</creatorcontrib><creatorcontrib>LUTHER, Bernd</creatorcontrib><creatorcontrib>KRÖGER, Knut</creatorcontrib><title>Endovascular abdominal aneurysm repair: trends in Germany</title><title>VASA</title><addtitle>Vasa</addtitle><description>As a minimally invasive technique endovascular aneurysm repair (EVAR) reduces the risk of mortality and should be the preferred technique used in older patients. We analysed trends in endovascular and open surgical procedures in patients hospitalized for abdominal aortic aneurysm (AAA) in Germany.
We used national statistics (DRG statistics) published by the Federal Office of Statistics in Germany to calculate the incidence of patients hospitalised with ruptured (rAAA) and elective (eAAA) AAA. In addition, annual procedure rates of endovascular (EVAR) procedures were calculated.
Incidence rates of eAAA per 100,000 males (females) showed a small increase from 2006 to 2007 but remained almost unchanged with 74.8 (8.8) in 2007 and 74.5 (9.8) in 2009. Incidence rates of rAAA per 100 000 males remained unchanged but showed a decreasing trend in females. The rate of people treated by EVAR increased form 2006 to 2009: in males from 24.0 % to 40.3 % and in females from 17.3 % to 31.0 %. In younger males (55 - 60 years) the increase in those who received EVAR was smaller (from 22.1 % to 33.9 %) than in older males (85 - 90 years) (from 20.4 to 41.6 %). Despite a clear increase in the use of EVAR from 2006 to 2009 there is only a small trend in reduction of the death rates which is more pronounced in rAAA.
There has been a relevant increase in EVAR procedures for the treatment of AAA in Germany in recent years. Parallel to this increase of EVAR, aneurysm-related in-hospital deaths seem be declining slightly. A causal relationship between these trends remains to be proven.</description><subject>Age Distribution</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - mortality</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Rupture - mortality</subject><subject>Aortic Rupture - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - mortality</subject><subject>Blood Vessel Prosthesis Implantation - trends</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Elective Surgical Procedures - trends</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Endovascular Procedures - mortality</subject><subject>Endovascular Procedures - trends</subject><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality - trends</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0301-1526</issn><issn>1664-2872</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtLAzEQgIMotlZ_gBfZi-BlbSbJJllvUmoVCl70vMwmWVjZR026wv57U7pWZmAO882Dj5BboI9AmVhSTiGFjMklUkoZZWdkDlKKlGnFzsn81J-RqxC-IgIaxCWZMaZZpiWdk3zd2f4Hgxka9AmWtm_rDpsEOzf4MbSJdzus_VOy966zIam7ZON8i914TS4qbIK7meqCfL6sP1av6fZ987Z63qaGCblPOXfOgS4BlSkziGcdlNaiyZlk2ghbMctUHlNhrmlpqFBUGKorY5XjOV-Qh-Pene-_Bxf2RVsH45omvtgPoYgmlOZZjIjCETW-D8G7qtj5ukU_RujAieJgpDgYKSZjceZuWj-UrbOniT9FEbifgGgJm8pjZ-rwz0kQEFn-C9XhcjA</recordid><startdate>201207</startdate><enddate>201207</enddate><creator>SANTOSA, Frans</creator><creator>MOYSIDIS, Theodoros</creator><creator>NOWAK, Thomas</creator><creator>HEILMAIER, Christina</creator><creator>BERG, Christian</creator><creator>LUTHER, Bernd</creator><creator>KRÖGER, Knut</creator><general>Huber</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201207</creationdate><title>Endovascular abdominal aneurysm repair: trends in Germany</title><author>SANTOSA, Frans ; MOYSIDIS, Theodoros ; NOWAK, Thomas ; HEILMAIER, Christina ; BERG, Christian ; LUTHER, Bernd ; KRÖGER, Knut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c246t-33eee18b1a7cb51258e1bddac92628c4df2d2792797a980bc04704c08fcd7e393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Age Distribution</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - mortality</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortic Rupture - mortality</topic><topic>Aortic Rupture - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - mortality</topic><topic>Blood Vessel Prosthesis Implantation - trends</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Elective Surgical Procedures - trends</topic><topic>Endovascular Procedures - adverse effects</topic><topic>Endovascular Procedures - mortality</topic><topic>Endovascular Procedures - trends</topic><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Hospitalization - trends</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality - trends</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SANTOSA, Frans</creatorcontrib><creatorcontrib>MOYSIDIS, Theodoros</creatorcontrib><creatorcontrib>NOWAK, Thomas</creatorcontrib><creatorcontrib>HEILMAIER, Christina</creatorcontrib><creatorcontrib>BERG, Christian</creatorcontrib><creatorcontrib>LUTHER, Bernd</creatorcontrib><creatorcontrib>KRÖGER, Knut</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>VASA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SANTOSA, Frans</au><au>MOYSIDIS, Theodoros</au><au>NOWAK, Thomas</au><au>HEILMAIER, Christina</au><au>BERG, Christian</au><au>LUTHER, Bernd</au><au>KRÖGER, Knut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular abdominal aneurysm repair: trends in Germany</atitle><jtitle>VASA</jtitle><addtitle>Vasa</addtitle><date>2012-07</date><risdate>2012</risdate><volume>41</volume><issue>4</issue><spage>268</spage><epage>274</epage><pages>268-274</pages><issn>0301-1526</issn><eissn>1664-2872</eissn><coden>VASAAH</coden><abstract>As a minimally invasive technique endovascular aneurysm repair (EVAR) reduces the risk of mortality and should be the preferred technique used in older patients. We analysed trends in endovascular and open surgical procedures in patients hospitalized for abdominal aortic aneurysm (AAA) in Germany.
We used national statistics (DRG statistics) published by the Federal Office of Statistics in Germany to calculate the incidence of patients hospitalised with ruptured (rAAA) and elective (eAAA) AAA. In addition, annual procedure rates of endovascular (EVAR) procedures were calculated.
Incidence rates of eAAA per 100,000 males (females) showed a small increase from 2006 to 2007 but remained almost unchanged with 74.8 (8.8) in 2007 and 74.5 (9.8) in 2009. Incidence rates of rAAA per 100 000 males remained unchanged but showed a decreasing trend in females. The rate of people treated by EVAR increased form 2006 to 2009: in males from 24.0 % to 40.3 % and in females from 17.3 % to 31.0 %. In younger males (55 - 60 years) the increase in those who received EVAR was smaller (from 22.1 % to 33.9 %) than in older males (85 - 90 years) (from 20.4 to 41.6 %). Despite a clear increase in the use of EVAR from 2006 to 2009 there is only a small trend in reduction of the death rates which is more pronounced in rAAA.
There has been a relevant increase in EVAR procedures for the treatment of AAA in Germany in recent years. Parallel to this increase of EVAR, aneurysm-related in-hospital deaths seem be declining slightly. A causal relationship between these trends remains to be proven.</abstract><cop>Bern</cop><pub>Huber</pub><pmid>22825860</pmid><doi>10.1024/0301-1526/a000202</doi><tpages>7</tpages></addata></record> |
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| subjects | Age Distribution Age Factors Aged Aged, 80 and over Aortic Aneurysm, Abdominal - mortality Aortic Aneurysm, Abdominal - surgery Aortic Rupture - mortality Aortic Rupture - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - mortality Blood Vessel Prosthesis Implantation - trends Cardiology. Vascular system Diseases of the aorta Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Elective Surgical Procedures - trends Endovascular Procedures - adverse effects Endovascular Procedures - mortality Endovascular Procedures - trends Female Germany - epidemiology Hospitalization - trends Humans Incidence Male Medical sciences Middle Aged Mortality - trends Risk Assessment Risk Factors Sex Factors Time Factors Treatment Outcome |
| title | Endovascular abdominal aneurysm repair: trends in Germany |
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