What are the decision-making preferences of patients in vascular surgery? A mixed-methods study

Conclusions The vast majority of vascular surgical patients preferred, but did not experience a shared role in the decision-making process, although the concept of SDM was insufficiently clear to some patients. This emphasises the importance of explaining the concept of SDM and implementing it in the clinical encounter.
Source: BMJ Open - Category: Journals (General) Authors: Tags: Open access, Communication, Evidence based practice, Patient-centred medicine, Qualitative research, Surgery Source Type: research

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With a focus on renal function, the goal of this multicentre study was to assess peri-operative complications and late mortality of open surgical repair (OSR) of juxtarenal abdominal aortic aneurysms (JRAAA).
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
Conclusions: Nearly half of rAAA patients have a door-to-intervention time longer than recommended societal guidelines. Sex differences in mortality after rAAA repair seem to be driven by in-hospital treatment delays.
Source: Annals of Surgery - Category: Surgery Tags: PAPERS OF THE 139TH ASA ANNUAL MEETING Source Type: research
Condition:   Abdominal Aortic Aneurysm Intervention:   Procedure: Endovascular repair or Open surgery Sponsor:   Hospital Sao Joao Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Abstract The role of Non-POU-domain-containing octamer-binding protein (NONO) in the formation and development of angiotensin II (Ang II)-induced abdominal aortic aneurysm (AAA) in apolipoprotein E-knockout (ApoE-/- ) mice is still unknown. In Part I, the protein level of NONO was suggestively greater in the AAA tissues compare to that in the normal abdominal aortas. In Part II, 20 ApoE-/- male mice were used to examine the transfection efficiency of lentivirus by detecting GFP fluorescence. In Part III, mice were arbitrarily separated into two groups: one was the control group without Ang II infusion, and another...
Source: J Cell Mol Med - Category: Molecular Biology Authors: Tags: J Cell Mol Med Source Type: research
New England Journal of Medicine,Volume 381, Issue 11, September 2019.
Source: New England Journal of Medicine - Category: Internal Medicine Source Type: research
A 55-year-old man with schizophrenia, and recent open abdominal aortic aneurysm repair was admitted for new abdominal pain. The abdominal aortic aneurysm repair had been complicated by the development of intraabdominal abscesses, which had been treated with antibiotics and drainage and the patient was discharged. Three days later he presented to the Emergency Department for new abdominal pain. On presentation, the patient was agitated and combative with providers. He reported “total body pain” and abdominal pain.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research
Patients older than 80  years have significantly lower early mortality with endovascular aneurysm repair (EVAR) compared with open repair for abdominal aortic aneurysms (AAAs), but long-term results remain poorly studied. We analyzed the results of both emergent and elective AAA repair in patients aged 80 years or older who had at least 5 years of follow-up.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Endovascular abdominal aortic aneurysm repair (EVAR) has been rigorously compared with open repair for the treatment of abdominal aortic aneurysms in randomized trials and observational studies, but a comparison of individual devices is lacking, and single-device registries and trials are limited by small sample size. Here we report a descriptive analysis of the Effectiveness of Custom Seal with Ovation: Review of the Evidence (ENCORE) database, pooled results of multiple studies evaluating the midterm results of EVAR with the Ovation Abdominal Stent Graft Platform.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Failure to rescue (FTR), a patient safety indicator (PSI) defined, codified, and adjudicated by the Agency for Healthcare Research and Quality, is classified as a preventable inpatient death following major complications. FTR has been reported to be a significant driver of postoperative mortality after open abdominal aortic aneurysm (OAAA) repair. The association between hospital volume (HV) and mortality is well known; however, the mechanisms responsible for these improved outcomes and relative contribution to observed interhospital variation is poorly understood.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Conditions:   Delirium;   AAA;   Intensive Care Unit Delirium;   Surgery--Complications;   Surgery;   Aortic Aneurysm, Abdominal Intervention:   Other: Surgery Sponsor:   Amphia Hospital Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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