biostudies-literatureMarcaccio CLAHRQ HHSNHLBI NIH HHS1205-1215.e4https://www.ebi.ac.uk/biostudies/studies/S-EPMC9613484biostudies-literatureUnknown76(5)<h4>Objectives</h4>Sex, racial, and ethnic disparities in postoperative outcomes following abdominal aortic aneurysm repair have been described, but differences in long-term outcomes are poorly understood. Our aim was to identify differences in 5-year outcomes and imaging surveillance after elective endovascular aortic aneurysm repair (EVAR) by sex, race, and ethnicity and to explore potential mechanisms underlying these differences.<h4>Methods</h4>We identified patients undergoing elective EVAR in the Vascular Quality Initiative from 2003 to 2017 with linkage to Medicare claims through 2018 for long-term outcomes. Our primary outcome was 5-year aneurysm rupture. Secondary outcomes were 5-year reintervention and mortality and 2-year loss-to-imaging follow-up (defined as no aortic imaging fJournal of vascular surgeryDisparities in 5-year outcomes and imaging surveillance following elective endovascular repair of abdominal aortic aneurysm by sex, race, and ethnicity.PMC9613484F32 HS027285T32 HL007734Marcaccio CLde Guerre LEVMAnjorin AScali STSchermerhorn MLWade JEPatel PBSedrakyan ASoden PAHughes KRastogi VfalseDisparities in 5-year outcomes and imaging surveillance following elective endovascular repair of abdominal aortic aneurysm by sex, race, and ethnicity.<h4>Objectives</h4>Sex, racial, and ethnic disparities in postoperative outcomes following abdominal aortic aneurysm repair have been described, but differences in long-term outcomes are poorly understood. Our aim was to identify differences in 5-year outcomes and imaging surveillance after elective endovascular aortic aneurysm repair (EVAR) by sex, race, and ethnicity and to explore potential mechanisms underlying these differences.<h4>Methods</h4>We identified patients undergoing elective EVAR in the Vascular Quality Initiative from 2003 to 2017 with linkage to Medicare claims through 2018 for long-term outcomes. Our primary outcome was 5-year aneurysm rupture. Secondary outcomes were 5-year reintervention and mortality and 2-year loss-to-imaging follow-up (defined as no aortic imaging f2022-01-01T00:00:00Z2022 Nov2025-04-18T14:32:51.153Z2025-04-07T00:46:43ZS-EPMC96134843556972710.1016/j.jvs.2022.03.886