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 journalArticlepeer-review

48 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 languageEnglish
Pages (from-to)55-61
Number of pages7
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume39
Issue number1
DOIs
Publication statusPublished - Jan 2010
Externally publishedYes

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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