Validation of Australian data in the Australasian Vascular Audit

Beiles, Barry; Bourke, Bernie

doi:10.1111/ans.12760

Cited by 25 publications

(24 citation statements)

References 6 publications

(9 reference statements)

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“…However, the international analyses of threshold for iAAA repair, operative technique, and age at repair are not affected by these parameters. The participating registries are validated locally, with several showing excellent internal and external validity for AAA data, 27–30 but no validation of the ICVR data set as a whole was possible. Some of the participating registries are center or region based and do not cover all AAA repairs for a particular population base, which limits the possibility for detailed epidemiological assessment.…”

Section: Discussionmentioning

confidence: 99%

Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries

et al. 2016

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“…In 2010-2011, 69% of AAA repairs according to the Australian Institute of Health and Welfare (AIHW) and Australian Vascular Audit (AVA) data were repaired endovascularly. 17 We still perform the majority of aneurysms with open repair for several reasons. First, throughout this period we have had excellent OAR results with very low mortality.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcomes and factors influencing late survival following elective abdominal aortic aneurysm repair: A 24-year experience

et al. 2015

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Open repair offers a good long-term treatment option for patients with an abdominal aortic aneurysm and in our experience there is no significant difference in late survival between open abdominal aortic aneurysms repair and endovascular repair. Consideration of the factors identified in this study that predict reduced long-term survival for open abdominal aortic aneurysms repair and endovascular repair should be considered when deciding repair of abdominal aortic aneurysm.

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“…Aortic surgery outcomes in the endovascular eraUnfortunately, despite repeated attempts to include all procedures in the AVA, the capture rate for open aortic surgery is 66% in Australia; however, validation has confirmed that the accuracy of data entry is excellent. 13 Thus, some AAA interventions performed in Australasia will not have been included in this audit and is a weakness in this study as there is a potential for bias. The attainment of complete participation remains a goal of the Society.…”

Section: Discussionmentioning

confidence: 99%

Mortality after open aortic aneurysm surgery by Australasian surgeons trained in the endovascular era

Beiles¹,

Walker

2016

ANZ Journal of Surgery

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Background Reduced exposure of trainees to open repair (OR) of abdominal aortic aneurysm (AAA) during training has been considered detrimental to outcome. The Australasian experience is examined. Methods The Australasian Vascular Audit (AVA) was interrogated for AAA procedures between 1 January 2010 and 31 December 2014. Surgeons completing training before 2006 (group 1) were compared with those attaining their qualification subsequently (group 2). The Australian Institute of Health and Welfare (AIHW) database was also interrogated to confirm the trends over time of open and endovascular repair (EVAR) since 2000. Actual exposure to OR and EVAR of AAA by trainees from 2010 to 2014 was also extracted. Results One hundred and forty‐six surgeons in group 1 performed 3049 OR compared with 997 for the 66 surgeons in group 2. Overall mortality for group 1 was 9.8% and for group 2, 15% (P < 0.0001). However, proportionately more ruptured AAA were treated in group 2 (31.5%) compared to group 1 (21.6%) (P < 0.0001). There was a slightly higher mortality in group 2 for ruptured but not intact aneurysm repair. Logistic regression analysis did not show the consultant group to be a significant variable in the model. EVAR was performed in 7409 patients during the study period; group 1 had a 1.5% mortality rate compared with 1.6% for group 2 (P = 0.76). AIHW data showed a trend of increasing EVAR with time. Considerable variation in OR exposure by trainees exists. Conclusion Reduced exposure to OR by younger trainees did not significantly affect surgical outcome when compared with those surgeons trained in an earlier period.

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Validation of Australian data in the Australasian Vascular Audit

Abstract: There is a need to increase compliance with vascular audit in Australia and data accuracy is acceptable but could be improved.

Cited by 25 publications

References 6 publications

Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries

Variations in Abdominal Aortic Aneurysm Care: A Report From the International Consortium of Vascular Registries

Long-term outcomes and factors influencing late survival following elective abdominal aortic aneurysm repair: A 24-year experience

Mortality after open aortic aneurysm surgery by Australasian surgeons trained in the endovascular era

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