This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Meta‐analysis of prospective trials determining the short‐ and mid‐term effect of elective open and endovascular repair of abdominal aortic aneurysms on quality of life. BJS 2013; 100: 448-455.

Published: 19th December 2012

Authors: P. A. Coughlin, D. Jackson, A. D. White, M. A. Bailey, C. Farrow, D. J. A. Scott et al.

Background

Repair of an abdominal aortic aneurysm (AAA) is undertaken to prevent rupture. Intervention is by either open repair (OR) or a more minimally invasive endovascular repair (EVAR). Quality‐of‐life (QoL) analysis is an important health outcome and a number of single studies have assessed QoL following OR and EVAR. This was a meta‐analysis of published studies to assess the effect of an intervention on QoL in patients with an AAA.

Method

A systematic literature search was undertaken for studies prospectively reporting QoL analysis in patients with an AAA undergoing elective intervention. A multivariable meta‐analysis model was developed in which the outcomes were mean changes in QoL scores over time, both for all AAA repairs (OR and EVAR) and comparing OR with EVAR.

Results

Data were collated from 16 studies (14 OR, 12 EVAR). The results suggested that treating an AAA had an effect on patient‐reported QoL, evident from the statistically significant changes predominantly in domains assessing physical ability and pain. QoL was affected most within the first 3 months after any form of intervention, and was more pronounced following OR. Furthermore, a deterioration in the Physical Component Summary score following an AAA repair (either OR or EVAR) was evident at 12 months after intervention.

Conclusion

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