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Patient information sources when facing repair of abdominal aortic aneurysm.

Publication ,  Journal Article
Anderson, PB; Wanken, ZJ; Perri, JL; Columbo, JA; Kang, R; Spangler, EL; Newhall, K; Brooke, BS; Dosluoglu, H; Lee, ES; Raffetto, JD; Tang, GL ...
Published in: J Vasc Surg
February 2020

OBJECTIVE: Shared medical decision making is most important when there are competing options for repair such as in treatment of abdominal aortic aneurysm (AAA). We sought to understand the sources of patients' pre-existing knowledge about AAA to better inform treating physicians about patients' needs for preoperative counseling. METHODS: We performed a multicenter survey of patients facing AAA repair at 20 Veterans Affairs hospitals across the United States as part of the Preferences for Open Versus Endovascular Repair of AAA study. A validated survey instrument was administered to examine the sources of information available and commonly used by patients to learn about their repair options. The survey was administered by study personnel before the patient had any interaction with the vascular surgeon because survey data were collected before the vascular clinic visit. RESULTS: Preliminary analysis of data from 99 patients showed that our cohort was primarily male (99%) and elderly (mean age 73 years). Patients commonly had a history of hypertension (86%), prior myocardial infarction (32%), diabetes (32%), and were overweight (58%). Patients arrived at their surgeon's office appointment with limited information. A majority of patients (52%) reported that they had not talked to their primary care physician at all about their options for AAA repair, and one-half (50%) reported that their view of the different surgical options had not been influenced by anyone. Slightly less than one-half of patients reported that they did not receive any information about open surgical aneurysm repair and endovascular aortic aneurysm repair (41% and 37%, respectively). Few patients indicated using the internet as their main source of information about open surgical aneurysm repair and endovascular aortic aneurysm repair (10% and 11%, respectively). CONCLUSIONS: Patients are commonly referred for AAA repair having little to no information regarding AAA pathology or repair options. Fewer than one in five patients searched the internet or had accessed other sources of information on their own. Most vascular surgeons should assume that patients will present to their first vascular surgery appointment with minimal understanding of the treatment options available to them.

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Published In

J Vasc Surg

DOI

EISSN

1097-6809

Publication Date

February 2020

Volume

71

Issue

2

Start / End Page

497 / 504

Location

United States

Related Subject Headings

  • Self Report
  • Prospective Studies
  • Male
  • Information Seeking Behavior
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Female
  • Cardiovascular System & Hematology
  • Aortic Aneurysm, Abdominal
  • Aged
 

Citation

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Anderson, P. B., Wanken, Z. J., Perri, J. L., Columbo, J. A., Kang, R., Spangler, E. L., … PROVE-AAA Study Team, . (2020). Patient information sources when facing repair of abdominal aortic aneurysm. J Vasc Surg, 71(2), 497–504. https://doi.org/10.1016/j.jvs.2019.04.460
Anderson, Peter B., Zachary J. Wanken, Jennifer L. Perri, Jesse A. Columbo, Ravinder Kang, Emily L. Spangler, Karina Newhall, et al. “Patient information sources when facing repair of abdominal aortic aneurysm.J Vasc Surg 71, no. 2 (February 2020): 497–504. https://doi.org/10.1016/j.jvs.2019.04.460.
Anderson PB, Wanken ZJ, Perri JL, Columbo JA, Kang R, Spangler EL, et al. Patient information sources when facing repair of abdominal aortic aneurysm. J Vasc Surg. 2020 Feb;71(2):497–504.
Anderson, Peter B., et al. “Patient information sources when facing repair of abdominal aortic aneurysm.J Vasc Surg, vol. 71, no. 2, Feb. 2020, pp. 497–504. Pubmed, doi:10.1016/j.jvs.2019.04.460.
Anderson PB, Wanken ZJ, Perri JL, Columbo JA, Kang R, Spangler EL, Newhall K, Brooke BS, Dosluoglu H, Lee ES, Raffetto JD, Henke PK, Tang GL, Mureebe L, Kougias P, Johanning J, Arya S, Scali ST, Stone DH, Suckow BD, Orion K, Halpern V, O’Connell J, Inhat D, Nelson P, Tzeng E, Zhou W, Barry M, Sirovich B, Goodney PP, PROVE-AAA Study Team. Patient information sources when facing repair of abdominal aortic aneurysm. J Vasc Surg. 2020 Feb;71(2):497–504.
Journal cover image

Published In

J Vasc Surg

DOI

EISSN

1097-6809

Publication Date

February 2020

Volume

71

Issue

2

Start / End Page

497 / 504

Location

United States

Related Subject Headings

  • Self Report
  • Prospective Studies
  • Male
  • Information Seeking Behavior
  • Humans
  • Health Knowledge, Attitudes, Practice
  • Female
  • Cardiovascular System & Hematology
  • Aortic Aneurysm, Abdominal
  • Aged