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

ABSTRACT:

Objectives

Women with an abdominal aortic aneurysm (AAA) are less likely to receive elective repair than men. This study explored the effect of patient sex and other attributes on vascular surgeons' decision-making for infrarenal AAA repair.

Design

Discrete choice experiment.

Setting

Simulated environment using case scenarios with varying patient attributes.

Participants

Vascular surgeons.

Interventions

Surgical decision-making.

Main outcome measures

AAA repair versus no repair and endovascular versus open repair.

Results

182 surgeons completed 2987 scenarios. When all other attributes were equal, a woman was more likely to be offered an AAA repair (marginal rate of substitution (MRS) 3.86 (95% CI 2.93, 4.79)), while very high anaesthetic r

SUBMITTER: Pouncey AL 

PROVIDER: S-EPMC11865737 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature