the preference for open vs endovascular repair of aaa...
TRANSCRIPT
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The Preference for Open vs Endovascular Repair of AAA (PROVE-AAA) Trial:
Focusing on the Patient’s Preference for the Type of Repair
The PROVE-AAA Study TeamJune 15th, 2018
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DISCLOSUREPhilip Goodney
• No relevant financial relationship reported
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Annals of Vascular Surgery 5(6):491-9 · December 1991 Cited 2,800 times
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Journal of Vascular Surgery 2018 67(6)
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Annals of Vascular Surgery 5(6):491-9 · December 1991 Cited 2,800 times
![Page 6: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/6.jpg)
Annals of Vascular Surgery 5(6):491-9 · December 1991 Cited 2,800 times
![Page 7: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/7.jpg)
Annals of Vascular Surgery 5(6):491-9 · December 1991 Cited 2,800 times
![Page 8: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/8.jpg)
Annals of Vascular Surgery 5(6):491-9 · December 1991 Cited 2,800 times
![Page 9: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/9.jpg)
![Page 10: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/10.jpg)
![Page 11: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/11.jpg)
• Surgeons Like EVAR• Less Invasive• Lower operative
mortality
• Patients Like EVAR• Less Invasive• Lower mortality
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• Surgeons Like EVAR• Less Invasive• Lower operative
mortality
• Patients Like EVAR• Less Invasive• Lower operative
mortality
![Page 13: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/13.jpg)
• Surgeons Like EVAR• Less Invasive• Lower operative
mortality
• Patients Like EVAR• Less Invasive• Lower operative
mortality
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Device Brand A
Device Brand B
Years After Repair
10 Year Reintervention-Free Survival In VQI
ProportionSurviving
Free From Re-intervention
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Device Brand A
Device Brand B
Years After Repair
10 Year Reintervention-Free Survival In VQI
ProportionSurviving
Free From Re-intervention 40% of Patients In VQI Needed
Reintervention by 10 years
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• Surgeons Like EVAR• Less Invasive• Lower mortality
• Patients Like EVAR• Less Invasive• Lower mortality
• Surgeons Don’t Follow Patients• Costly• Burdensome
• EVARs fail over time• 40% at 10 years• No “flattening” of failure curves
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• Surgeons Like EVAR• Less Invasive• Lower mortality
• Patients Like EVAR• Less Invasive• Lower mortality
• Surgeons Don’t Follow Patients• Costly• Burdensome
• EVARs fail over time• 40% at 10 years• No “flattening” of failure curves
![Page 21: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/21.jpg)
• Surgeons Like EVAR• Less Invasive• Lower mortality
• Patients Like EVAR• Less Invasive• Lower mortality
• Surgeons Don’t Follow Patients• Costly• Burdensome
• EVARs fail over time• 40% at 10 years• No “flattening” of failure curves
![Page 22: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/22.jpg)
• Surgeons Like EVAR• Less Invasive• Lower mortality
• Patients Like EVAR• Less Invasive• Lower mortality
• Surgeons Don’t Follow Patients• Costly• Burdensome
• EVARs fail over time• 40% at 10 years• No “flattening” of failure curves
![Page 23: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/23.jpg)
• Surgeons Like EVAR• Less Invasive• Lower mortality
• Patients Like EVAR• Less Invasive• Lower mortality
• Surgeons Don’t Follow Patients• Costly• Burdensome
• EVARs fail over time• 40% at 10 years• No “flattening” of failure curves
![Page 24: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/24.jpg)
• Surgeons Like EVAR• Less Invasive• Lower mortality
• Patients Like EVAR• Less Invasive• Lower mortality
• Surgeons Don’t Follow Patients• Costly• Burdensome
• EVARs fail over time• 40% at 10 years• No “flattening” of failure curves
![Page 25: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/25.jpg)
Decision Aids • Tools designed to help patients participate in
healthcare decisions
• Provide information on competing options
• Help patients clarify and communicate their values
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Decision Aids • Medical Treatments
• Steroids vs. Biologics for Arthritis
• Medical vs. Surgical Treatment• Medical management vs. arthroplasty for degenerative joint
disease
• Surgical Treatments
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Decision Aids • Medical Treatments
• Steroids vs. Biologics for Arthritis
• Medical vs. Surgical Treatment• Medical management vs. arthroplasty for degenerative joint
disease
• Surgical Treatments
![Page 28: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/28.jpg)
Decision Aids • Medical Treatments
• Steroids vs. Biologics for Arthritis
• Medical vs. Surgical Treatment• Medical management vs. arthroplasty for degenerative joint
disease
• Surgical Treatments
![Page 29: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/29.jpg)
Options for Abdominal Aortic Aneurysm Repair
Open • Invasive• Longer recovery• Durable
Endovascular • Less invasive• Shorter recovery• Less durable
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Study Objective• To implement a decision aid designed to help Veterans choose
between an open and endovascular repair for their AAA.
• To test if the decision aid makes it more likely for Veterans to receive the type of aneurysm repair that is align with their preference.
![Page 31: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/31.jpg)
Study Objective• To implement a decision aid designed to help Veterans choose
between an open and endovascular repair for their AAA.
• To test if the decision aid makes it more likely for Veterans to receive the type of aneurysm repair that is align with their preference.
![Page 32: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/32.jpg)
Veterans with Existing AAA
≥5.0 cmOpen/EVARCandidate
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Veterans with Existing AAA
≥5.0 cmOpen/EVARCandidate
Control Sites (10 VA Hospitals):1. Repair Preferences Survey*2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
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Veterans with
Existing AAA
≥5.0 cm
Open/EVAR
Candidate
Control Sites (10 VA Hospitals):1. Repair Preferences Survey*
2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
Intervention Sites (n=10 VA Hospitals):1. Pre-Survey, Decision Aid, Repair Survey*
2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
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Veterans with
Existing AAA
≥5.0 cm
Open/EVAR
Candidate
Control Sites (10 VA Hospitals):1. Repair Preferences Survey*
2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
Intervention Sites (n=10 VA Hospitals):1. Pre-Survey, Decision Aid, Repair Survey*
2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
![Page 36: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/36.jpg)
Veterans with
Existing AAA
≥5.0 cm
Open/EVAR
Candidate
Control Sites (10 VA Hospitals):1. Repair Preferences Survey*
2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
Intervention Sites (n=10 VA Hospitals):1. Pre-Survey, Decision Aid, Repair Survey*
2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
Follow Veterans for Two Years to See What Happens When AAA Repair Occurs
![Page 37: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/37.jpg)
Veterans with Existing AAA
≥5.0 cmOpen/EVARCandidate
Control Sites (10 VA Hospitals):1. Repair Preferences Survey*2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
Main Outcome Measure:
Did Preferred AAA Repair Type = Actual Repair Type
Intervention Sites (n=10 VA Hospitals):1. Pre-Survey, Decision Aid, Repair Survey*2. Vascular Surgery Consultation3. Surgeon Survey, Decision Process Score
Follow Veterans for Two Years to See What Happens When AAA Repair Occurs
![Page 38: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/38.jpg)
Overall Study Goals• Identify factors associated with patient preference for open surgical
repair or EVAR for when facing treatment for AAA
• More broadly, help identify the best ways to help Veterans make the best decisions when facing surgery.
![Page 39: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/39.jpg)
Overall Study Goals• Identify factors associated with patient preference for open surgical
repair or EVAR for when facing treatment for AAA
• More broadly, help identify the best ways to help patients make the best decisions when facing surgery.
![Page 40: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/40.jpg)
Participating Sites
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Participating Sites
PReferences for Open Versus Endovascular AAARepair Trial (PROVE-AAA)
VA HSR&D
PIs: Goodney, Ayra, Dosuoglu, Raffetto, Henke, Tang, Mureebee, Kougias, Zhou, Johanning, Scali, Stone, Orion,
Spangler, Tzeng, Halpern, Inhat, O’Connell, Brooke, Nelson, and Brewster
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Summary • Patient preferences may play an important role in choosing between
open repair and EVAR.
• Implementing a decision aid to help Veterans choose their type of aneurysm repair in vascular surgery clinics within the VA is achievable and efficient.
• Our future work aims to test, whether the decision aid will improve alignment with Veteran preferences and their treatment.
![Page 46: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/46.jpg)
Summary • Patient preferences may play an important role in choosing between
open repair and EVAR.
• Implementing a decision aid to help Veterans choose their type of aneurysm repair in vascular surgery clinics within the VA is achievable and efficient.
• Our future work aims to test, whether the decision aid will improve alignment with Veteran preferences and their treatment.
![Page 47: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/47.jpg)
Summary • Patient preferences may play an important role in choosing between
open repair and EVAR.
• Implementing a decision aid to help Veterans choose their type of aneurysm repair in vascular surgery clinics within the VA is achievable and efficient.
• Our future work will help us decide if a decision aid will improve alignment with Veteran preferences and their treatment for AAA.
![Page 48: The Preference for Open vs Endovascular Repair of AAA ...pnec-seattle.org/wp-content/uploads/2018/10/0800PreferenceforOpenGoodney.pdfControl Sites (10 VA Hospitals): 1. Repair Preferences](https://reader034.vdocuments.net/reader034/viewer/2022042406/5f207bb2eff2393ee20f65af/html5/thumbnails/48.jpg)
Thank You!