Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR
Objectives: Endovascular aneurysm repair (EVAR) is a widely used modality in the treatment of abdominal aortic aneurysms (AAA). Siena EVAR and St.George Vascular Institute (SGVI) scores are risk scores to predict possible EVAR related reinterventions. This study was aimed to validate the risk scores...
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| Format: | Article |
| Language: | English |
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TUBITAK
2020-12-01
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| Series: | Sağlık Akademisi Kastamonu |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/pub/sak/issue/43404/626809 |
| _version_ | 1797914547355385856 |
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| author | Ali Ahmet Arıkan Kamil Turan Berki Şadan Yavuz |
| author_facet | Ali Ahmet Arıkan Kamil Turan Berki Şadan Yavuz |
| author_sort | Ali Ahmet Arıkan |
| collection | DOAJ |
| description | Objectives: Endovascular aneurysm repair (EVAR) is a
widely used modality in the treatment of abdominal aortic aneurysms (AAA).
Siena EVAR and St.George Vascular Institute (SGVI) scores are risk scores to
predict possible EVAR related reinterventions. This study was aimed to validate
the risk scores and compare the predictivity of the scoring systems for
hospital cost-effectiveness in our population.Materials and Methods: 39 patients with unruptured
infrarenal AAA, including both elective and non-elective admissions which had a
follow-up period from at least 6 months are included in our study. Siena EVAR
score and SGVI score are calculated. The relation of the complications
(adjuncts at the index operation, reinterventions during follow up), costs
(index procedure and overall), aneurysm related mortality are compared among
the risk groups. Results: In our study, SGVI score had a predictivity
among high and low-risk groups involving reinterventions during follow up, cost
on index operation and mortality (P < 0.05). Siena EVAR score had no
significant predictivity (p > 0.05).
Conclusion: A high-risk value in SGVI score must warn
the surgeon to reassess the treatment option for AAA. If EVAR is indicated the health care providers
and assurance system can count on a higher cost on index operation, a higher
risk of reintervention and mortality during long term follow up. |
| first_indexed | 2024-04-10T12:28:22Z |
| format | Article |
| id | doaj.art-103b9c741e8b4d89b9236a3d5afa552f |
| institution | Directory Open Access Journal |
| issn | 2548-1010 |
| language | English |
| last_indexed | 2024-04-10T12:28:22Z |
| publishDate | 2020-12-01 |
| publisher | TUBITAK |
| record_format | Article |
| series | Sağlık Akademisi Kastamonu |
| spelling | doaj.art-103b9c741e8b4d89b9236a3d5afa552f2023-02-15T16:15:00ZengTUBITAKSağlık Akademisi Kastamonu2548-10102020-12-015320921810.25279/sak.626809501Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVARAli Ahmet Arıkan0Kamil Turan Berki1Şadan Yavuz2KOCAELI UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF CARDIOVASCULAR SURGERYKOCAELI UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF CARDIOVASCULAR SURGERYKOCAELI UNIVERSITY, FACULTY OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF CARDIOVASCULAR SURGERYObjectives: Endovascular aneurysm repair (EVAR) is a widely used modality in the treatment of abdominal aortic aneurysms (AAA). Siena EVAR and St.George Vascular Institute (SGVI) scores are risk scores to predict possible EVAR related reinterventions. This study was aimed to validate the risk scores and compare the predictivity of the scoring systems for hospital cost-effectiveness in our population.Materials and Methods: 39 patients with unruptured infrarenal AAA, including both elective and non-elective admissions which had a follow-up period from at least 6 months are included in our study. Siena EVAR score and SGVI score are calculated. The relation of the complications (adjuncts at the index operation, reinterventions during follow up), costs (index procedure and overall), aneurysm related mortality are compared among the risk groups. Results: In our study, SGVI score had a predictivity among high and low-risk groups involving reinterventions during follow up, cost on index operation and mortality (P < 0.05). Siena EVAR score had no significant predictivity (p > 0.05). Conclusion: A high-risk value in SGVI score must warn the surgeon to reassess the treatment option for AAA. If EVAR is indicated the health care providers and assurance system can count on a higher cost on index operation, a higher risk of reintervention and mortality during long term follow up.https://dergipark.org.tr/tr/pub/sak/issue/43404/626809aort anevrizmasıabdominal; endovasküler i̇şlemlerrisk değerlendirmesisağlık masraflarıreoperasyonaortic aneurysmabdominal; endovascular proceduresrisk assesmenthealth care costsreoperation |
| spellingShingle | Ali Ahmet Arıkan Kamil Turan Berki Şadan Yavuz Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR Sağlık Akademisi Kastamonu aort anevrizması abdominal; endovasküler i̇şlemler risk değerlendirmesi sağlık masrafları reoperasyon aortic aneurysm abdominal; endovascular procedures risk assesment health care costs reoperation |
| title | Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR |
| title_full | Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR |
| title_fullStr | Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR |
| title_full_unstemmed | Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR |
| title_short | Siena and St George Vascular Institute Risk Scoring Systems in Predicting the Cost-Effectiveness of EVAR |
| title_sort | siena and st george vascular institute risk scoring systems in predicting the cost effectiveness of evar |
| topic | aort anevrizması abdominal; endovasküler i̇şlemler risk değerlendirmesi sağlık masrafları reoperasyon aortic aneurysm abdominal; endovascular procedures risk assesment health care costs reoperation |
| url | https://dergipark.org.tr/tr/pub/sak/issue/43404/626809 |
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