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

Comparative clinical effectiveness and cost effectiveness of endovascular strategy v open repair for ruptured abdominal aortic aneurysm. BMJ 2017; 359: j4859.

Published: 25th January 2018

Authors: Improve Trial Investigators

Conclusion

Of 502 patients with ruptured AAA, repaired and followed for three years, mortality was lower in those randomized to an endovascular strategy: odds ratio 0.62, 95 per cent confidence interval 0.43 to 0.88. The probability that the endovascular strategy was cost effective was over 90%.

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