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

Long-term cost-effectiveness in the Veterans Affairs open vs endovascular repair study of aortic abdominal aneurysm. A randomized clinical trial. JAMA Surg 2016; 151: 1139-1144.

Published: 1st March 2017

Authors: Lederle FA, Stroupe KT, Kyriakides TC, Ge L, Freischlag JA, for the Open vs Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group et al.

Conclusion

This study included 881 patients followed for a mean of 5.2 years. Total mean health care costs and mean QALYs were similar in both groups. Lower initial costs due to shorter hospitalisation after endovascular repair were offset by increased costs from secondary procedures.

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