Impact of patient sex on selection for abdominal aortic aneurysm repair: a discrete choice experiment
Patient sex alone did not account for real-world disparity observed in selection for surgery. Rather, being a woman was associated with a higher likelihood of being offered AAA repair but also a higher likelihood of being offered less invasive endovascular repair. Increased age decreased the likelihood of surgical selection for women but not men. Preference for less invasive repair, combined with inferior rates of anatomical suitability, and the comparably older age of women at the time of AAA repair selection may account for lower rates of repair for women observed.
Authors
- Linda D. Sharples (ORCID: https://orcid.org/0000-0003-0894-966X)
- Colin Bicknell (ORCID: https://orcid.org/0000-0003-0158-1831)
- Luis Enrique Loría‐Rebolledo (ORCID: https://orcid.org/0000-0002-1391-6478)
- Janet T. Powell (ORCID: https://orcid.org/0000-0002-3905-1468)
- Anna Louise Pouncey (ORCID: https://orcid.org/0000-0003-2329-6193)
- Mandy Ryan
Institutions
- University of Aberdeen (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Imperial College London (GB)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1136/bmjopen-2024-091661
- Citations
- 1
- Primary Topic
- Aortic aneurysm repair treatments
- Type
- article
- Field-Weighted Citation Impact
- 1.52
Funders
- National Institute for Health and Care Research