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Administrative Data: Can Quantity Replace Quality?

  • Jérémie Jayet
    Affiliations
    Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt, France

    UMR 1018, Inserm-Paris11 – CESP, Versailles Saint-Quentin-en-Yvelines University, Paris-Saclay University, Paul Brousse Hospital, Villejuif, France
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  • Raphaël Coscas
    Correspondence
    Corresponding author. Department of Vascular Surgery, Ambroise Paré University Hospital, 9 avenue Charles de Gaulle, 92104 Boulogne Cedex, France.
    Affiliations
    Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt, France

    UMR 1018, Inserm-Paris11 – CESP, Versailles Saint-Quentin-en-Yvelines University, Paris-Saclay University, Paul Brousse Hospital, Villejuif, France
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Published:December 16, 2022DOI:https://doi.org/10.1016/j.ejvs.2022.12.022
      In the present issue of EJVES, Falster et al. publish a timely and large cohort comparative study of the majority of the current devices used for endovascular aortic aneurysm repair (EVAR).
      • Falster M.O.
      • Garland S.K.
      • Jorm L.R.
      • Beiles C.B.
      • Freeman A.J.
      • Sedrakyan A.
      • et al.
      Comparison of outcomes for major contemporary endograft devices used for endovascular repair of intact abdominal aortic aneurysms.
      The authors used the administrative data of 2 874 patients who had elective EVAR between 2010 and 2019 in Australia. They compared mortality, secondary rupture, and subsequent aneurysm repair rates between the Cook (Zenith; Cook Medical, Bloomington, IN, USA), Medtronic (Endurant; Medtronic, Minneapolis, MN, USA), and Gore (Excluder; W.L. Gore, Flagstaff, AZ, USA) devices over a median 4.1 year follow up. Mortality and secondary rupture rates were not different, but subsequent aneurysm repairs were more common after implantation of the Medtronic and Gore devices. These results remained significant for the Medtronic device after adjustment. Does the current study allow for improved decision making and endograft choice, or should we consider it as a signal warranting further evaluation?
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