Thursday September 15
| Short communications
Patient reported quality and functional life after AAA repair Manar Khashram1, Michaela Mullen1, Gregory Jones2, Justin Roake1 1. Department of Surgery, University of Otago, Christchurch, Christchurch, New Zealand 2. Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
Introduction Patient reported outcomes are becoming an important health measure. Long term results from the DREAM trial shows that patients that underwent open aneurysm repair (OAR) have an improved quality of life (QOL) compared to patients that received EVAR. The aims of this study were to assess the QOL and functional outcomes for patients that underwent AAA repair in the clinical setting. Methods Consecutive patients who have undergone AAA repair between January 2009 and December 2014 were identified from a prospective maintained database. A questionnaire relevant for post AAA patients was developed from a literature review and the Short Form Health Survey (SF-12) was used. Patients were invited to attend a 30-minute clinical assessment appointment or a phone interview. Results There were 381 patients that had an AAA repair, of which 101 (26.5%) were not alive and were excluded from further analysis. Of the 280 eligible patients, 228 (85.7%) were males, 229 (74.3%) were elective procedures and 134 (43.5%) were EVAR. The minimum and median follow-up period was 12 and 42 months. In all, 223 patients were recruited and completed follow-up (inclusion rate 80%). There was no difference in SF-12 components between patients receiving OAR and EVAR. The percentage of patients that were living independently, driving and working preoperatively was 99, 93 and 27 respectively and corresponding percentages following AAA repair were: 98, 86 and 18. There was no difference between any of the SF-12 components within an age-sex matched population. Conclusions There were no perceived differences in QOL of patients receiving OAR or EVAR and the majority still enjoy a good QOL and have returned to their baseline activities without considerable limitations. These results may help clinicians inform realistic expectations to patients, not only on 5-year survival but also on functional outcomes when consenting or offering AAA repair.
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IMAD 2016, September 15-17
IMAD