A comparison of open and endovascular revascularization for chronic mesenteric ischemia in a clinical decision model
Hogendoorn W, Hunink MG, Schlösser FJ, Moll FL, Muhs BE, Sumpio BE. A comparison of open and endovascular revascularization for chronic mesenteric ischemia in a clinical decision model. Journal Of Vascular Surgery 2014, 60: 715-725.e2. PMID: 24721175, DOI: 10.1016/j.jvs.2014.03.009.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overComparative Effectiveness ResearchComputer SimulationCost-Benefit AnalysisDecision Support TechniquesEndovascular ProceduresFemaleHealth Care CostsHumansIschemiaMaleMarkov ChainsMesenteric IschemiaMiddle AgedPatient SelectionPredictive Value of TestsQuality of LifeQuality-Adjusted Life YearsReoperationRisk AssessmentRisk FactorsSex FactorsTime FactorsTreatment OutcomeVascular DiseasesVascular PatencyVascular Surgical ProceduresConceptsChronic mesenteric ischemiaIncremental cost-effectiveness ratioEndovascular revascularizationCost-effectiveness ratioMesenteric ischemiaFemale patientsMortality riskAge groupsGood short-term resultsDisease-specific mortality riskPatients 60 yearsOverall mortality riskMarkov state transition modelTreatment of choiceExpensive treatment strategiesShort-term resultsHealth care perspectiveHealth care costsDifferent clinical scenariosProbabilistic sensitivity analysesClinical decision modelDecision analysis modelOlder patientsConservative managementYounger patientsA clinical decision model for selecting the most appropriate therapy for uncomplicated chronic dissections of the descending aorta
Hogendoorn W, Hunink MG, Schlösser FJ, Moll FL, Sumpio BE, Muhs BE. A clinical decision model for selecting the most appropriate therapy for uncomplicated chronic dissections of the descending aorta. Journal Of Vascular Surgery 2014, 60: 20-30. PMID: 24613191, DOI: 10.1016/j.jvs.2014.01.054.Peer-Reviewed Original ResearchConceptsInitial aortic diameterOptimal medical therapyOpen surgical repairHigh-risk patientsLow-risk patientsLarger aortic diametersAortic diameterPreferred treatment optionElderly patientsClinical decision modelDecision analysis modelYounger patientsPatient cohortTreatment optionsChronic Stanford type B aortic dissectionStanford type B aortic dissectionImmediate open surgical repairType B aortic dissectionAortic diameter thresholdSmaller aortic diametersB aortic dissectionEndovascular aortic repairMaximum aortic diameterMarkov decision analysis modelBest available evidence