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.

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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

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article

Impact of patient sex on selection for abdominal aortic aneurysm repair: a discrete choice experiment

Linda D. Sharples, Colin Bicknell, Luis Enrique Loría‐Rebolledo, Janet T. Powell et al.
1 citations
BMJ Open
Aortic aneurysm repair treatments
1.52
article

Impact of patient sex on selection for abdominal aortic aneurysm repair: a discrete choice experiment

Linda D. Sharples, Colin Bicknell, Luis Enrique Loría‐Rebolledo, Janet T. Powell, Anna Louise Pouncey, Mandy Ryan
article en
1 citations

Abstract

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.

BMJ OpenVol. 15(2)
University of Aberdeen (GB), London School of Hygiene & Tropical Medicine (GB), Imperial College London (GB)
National Institute for Health and Care Research
Peace, Justice and strong institutions
Openalex Percentile: Top 21%
Aortic aneurysm repair treatments
1.52
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