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Health Related Quality of Life after Surgical Repair of Asymptomatic Abdominal Aortic Aneurysms

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  • David Epstein

    (Universidad de Granada. Spain. Applied Economic Department)

Abstract

This paper describes and analyses the health related quality of life (HRQOL) reported by participants in the EVAR-1 trial over 10 years, comparing endovascular repair (EVAR) with open surgical repair of asymptomatic abdominal aortic aneurysms (AAA). HRQOL was measured by the EuroQol EQ-5D-3L instrument. Mixed models were used. Open repair has a substantial negative impact on HRQOL in the first three months following AAA repair. The impact is much smaller on patients undergoing EVAR and recovery to pre-surgery HRQOL is faster. However, by one year patients who underwent open repair report slightly better HRQOL than those with EVAR. After one year, the difference is not significant but the trend remains for patients to report slightly lower HRQOL after EVAR. HRQOL is significantly diminished in the six months after complications and re-interventions, and declines sharply and progressively in the two years up to end of life.

Suggested Citation

  • David Epstein, 2016. "Health Related Quality of Life after Surgical Repair of Asymptomatic Abdominal Aortic Aneurysms," FEG Working Paper Series 02/16, Faculty of Economics and Business (University of Granada).
    • Handle: RePEc:gra:fegper:02/16
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