Short-Term Concerns Primarily Determine Patient Preference for Abdominal Aortic Aneurysm Repair.

Journal Article (Journal Article)

INTRODUCTION: Abdominal aortic aneurysm (AAA) repair may be performed through open or endovascular approaches, but the factors influencing a patient's repair-type preference are not well characterized. Here we performed a qualitative analysis to better understand factors influencing patient preference within the Preference for Open Versus Endovascular Repair of AAA Trial. METHODS: Open-ended responses regarding primary (n = 21) and secondary (n = 47) factors influencing patient preference underwent qualitative analysis using the constant comparative method with iterative reviews. Codes were used to generate themes and themes grouped into categories, with each step conducted via consensus agreement between three researchers. Relative prevalence of themes were compared to ascertain trends in patient preference. RESULTS: Patient responses regarding both primary and secondary factors fell into four categories: Short-term concerns, long-term concerns, advice & experience, and other. Patients most frequently described short-term concerns (23) as their primary influence, with themes including post-op complications, hospitalization & recovery, and intraoperative concerns. Long-term concerns were more prevalent (20) as secondary factors, which included themes such as survival, and chronic management. The average age of patients voicing only long-term concerns as a primary factor was 11 years younger than those listing only short-term concerns. CONCLUSION: Short-term concerns relating to the procedure and recovery are more often the primary factor influencing patient preference, while long term concerns play a more secondary role. Long-term concerns are more often a primary factor in younger patients. Vascular surgeons should consider this information in shared decision making to reach an optimal outcome.

Full Text

Duke Authors

Cited Authors

  • Jones, JM; Hu, YD; Eid, MA; Sensenig, CJ; Mehta, KS; Goldwag, JL; Barnes, JA; Kang, R; Barry, MJ; Spangler, EL; Nelson, PR; Mureebe, L; Tang, G; Tzeng, E; Alabi, O; Halpern, VJ; Stone, DH; Brooke, BS; Moore, K; Henke, P; Scali, S; O'Connell, J; Goodney, PP

Published Date

  • January 2022

Published In

Volume / Issue

  • 269 /

Start / End Page

  • 119 - 128

PubMed ID

  • 34551368

Electronic International Standard Serial Number (EISSN)

  • 1095-8673

Digital Object Identifier (DOI)

  • 10.1016/j.jss.2021.07.019

Language

  • eng

Conference Location

  • United States