Patient Preference for Surgical Method of Abdominal Aortic Aneurysm Repair: Postal Survey

J. A. Reise; H. Sheldon; J. Earnshaw; A. R. Naylor; F. Dick; J. T. Powell; R. M. Greenhalgh

doi:10.1016/j.ejvs.2009.08.008

Patient Preference for Surgical Method of Abdominal Aortic Aneurysm Repair: Postal Survey

J. A. Reise, H. Sheldon, J. Earnshaw, A. R. Naylor, F. Dick, J. T. Powell, R. M. Greenhalgh^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

52 Citations (Scopus)

Abstract

Objectives: To determine whether men with small abdominal aortic aneurysm have a preference between either endovascular or open aneurysm repair for future treatment. Design: Prospective study of self-declared treatment preference following receipt of a validated patient information pack. Participants: Men aged 65-84 years (n = 237) with asymptomatic aneurysm (4.0-5.4 cm) detected by population-based screening. Methods: An unbiased, validated patient information pack and questionnaire were developed to conduct a postal survey. Results: One hundred sixty seven participants (70%) returned a completed questionnaire; 24 (10%) did not respond at all. Initially, only 38 (23%) declared a treatment preference. After reading the information pack, 130 participants (80%) declared a treatment preference: 30 preferred open repair (18%), 77 endovascular repair (46%), 23 were happy with either option (14%) and only 34 remained without any preference (20%). Nearly all (92%) thought that the information pack had prepared them well for future discussions with clinicians and with no single feature identified as influencing the preference-making process, 66 respondents (40%) still opted to 'take the advice of the doctor'. Conclusion: The patient information pack facilitated the development of treatment preferences with endovascular repair being preferred to open repair. Nevertheless for patient-centred care, vascular centres must continue to safely provide both open and endovascular repair.

Original language	English
Pages (from-to)	55-61
Number of pages	7
Journal	European Journal of Vascular and Endovascular Surgery
Volume	39
Issue number	1
DOIs	https://doi.org/10.1016/j.ejvs.2009.08.008
Publication status	Published - Jan 2010
Externally published	Yes

Bibliographical note

Funding Information:
Funding was obtained from the Graham Dixon Charitable Trust and Camelia Botnar Arterial Research Foundation. The funding bodies had no influence on the course of the study.

Keywords

Abdominal aortic aneurysm
Patient satisfaction
Questionnaires, consumer health information
Vascular surgical procedures

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10.1016/j.ejvs.2009.08.008

Cite this

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title = "Patient Preference for Surgical Method of Abdominal Aortic Aneurysm Repair: Postal Survey",

abstract = "Objectives: To determine whether men with small abdominal aortic aneurysm have a preference between either endovascular or open aneurysm repair for future treatment. Design: Prospective study of self-declared treatment preference following receipt of a validated patient information pack. Participants: Men aged 65-84 years (n = 237) with asymptomatic aneurysm (4.0-5.4 cm) detected by population-based screening. Methods: An unbiased, validated patient information pack and questionnaire were developed to conduct a postal survey. Results: One hundred sixty seven participants (70%) returned a completed questionnaire; 24 (10%) did not respond at all. Initially, only 38 (23%) declared a treatment preference. After reading the information pack, 130 participants (80%) declared a treatment preference: 30 preferred open repair (18%), 77 endovascular repair (46%), 23 were happy with either option (14%) and only 34 remained without any preference (20%). Nearly all (92%) thought that the information pack had prepared them well for future discussions with clinicians and with no single feature identified as influencing the preference-making process, 66 respondents (40%) still opted to 'take the advice of the doctor'. Conclusion: The patient information pack facilitated the development of treatment preferences with endovascular repair being preferred to open repair. Nevertheless for patient-centred care, vascular centres must continue to safely provide both open and endovascular repair.",

keywords = "Abdominal aortic aneurysm, Patient satisfaction, Questionnaires, consumer health information, Vascular surgical procedures",

author = "Reise, {J. A.} and H. Sheldon and J. Earnshaw and Naylor, {A. R.} and F. Dick and Powell, {J. T.} and Greenhalgh, {R. M.}",

note = "Funding Information: Funding was obtained from the Graham Dixon Charitable Trust and Camelia Botnar Arterial Research Foundation. The funding bodies had no influence on the course of the study. ",

year = "2010",

month = jan,

doi = "10.1016/j.ejvs.2009.08.008",

language = "English",

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AU - Sheldon, H.

AU - Earnshaw, J.

AU - Naylor, A. R.

AU - Dick, F.

AU - Powell, J. T.

AU - Greenhalgh, R. M.

N1 - Funding Information: Funding was obtained from the Graham Dixon Charitable Trust and Camelia Botnar Arterial Research Foundation. The funding bodies had no influence on the course of the study.

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AB - Objectives: To determine whether men with small abdominal aortic aneurysm have a preference between either endovascular or open aneurysm repair for future treatment. Design: Prospective study of self-declared treatment preference following receipt of a validated patient information pack. Participants: Men aged 65-84 years (n = 237) with asymptomatic aneurysm (4.0-5.4 cm) detected by population-based screening. Methods: An unbiased, validated patient information pack and questionnaire were developed to conduct a postal survey. Results: One hundred sixty seven participants (70%) returned a completed questionnaire; 24 (10%) did not respond at all. Initially, only 38 (23%) declared a treatment preference. After reading the information pack, 130 participants (80%) declared a treatment preference: 30 preferred open repair (18%), 77 endovascular repair (46%), 23 were happy with either option (14%) and only 34 remained without any preference (20%). Nearly all (92%) thought that the information pack had prepared them well for future discussions with clinicians and with no single feature identified as influencing the preference-making process, 66 respondents (40%) still opted to 'take the advice of the doctor'. Conclusion: The patient information pack facilitated the development of treatment preferences with endovascular repair being preferred to open repair. Nevertheless for patient-centred care, vascular centres must continue to safely provide both open and endovascular repair.

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Patient Preference for Surgical Method of Abdominal Aortic Aneurysm Repair: Postal Survey

Abstract

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Keywords

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