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- Title
Qualitative Impact of the Endovascular Era on Vascular Surgeons’ Comfort Level and Enjoyment With Open and Endovascular AAA Repairs.
- Authors
Ullery, Brant W.; Nathan, Derek P.; Jackson, Benjamin M.; Wang, Grace J.; Fairman, Ronald M.; Woo, Edward Y.
- Abstract
Objective: To evaluate the qualitative impact of training in the endovascular era (post-2000) on vascular surgeons’ comfort level and enjoyment with abdominal aortic aneurysm (AAA) repairs. Methods: A sample of vascular surgeons (n = 1754) were sent a survey pertaining to their fellowship training and practice of AAA repair. The influence of training- and practice-related variables on qualitative outcomes was assessed. Results: A total of 382 (22%) surgeons completed the survey. Surgeons who performed more endovascular aneurysm repairs (EVARs) than open AAA repairs were more likely to enjoy EVAR (P < .001). Those completing fellowship after 2000 reported a higher level of procedure-related comfort with EVAR (P = .001) compared to those completing fellowship before 2000. Conversely, surgeons completing fellowship before 2000 reported a higher level of procedure-related comfort with open AAA repair (P = .001). Conclusion: The advent of EVAR has changed fellowship training of AAA repair and has translated into changes in both practice patterns and comfort level.
- Subjects
ABDOMINAL aortic aneurysms; CHI-squared test; VASCULAR surgery; CLINICAL competence; CONFIDENCE intervals; STUDY &; teaching of medicine; MULTIVARIATE analysis; QUESTIONNAIRES; STATISTICS; SURGEONS; U-statistics; QUALITATIVE research; LOGISTIC regression analysis; MULTIPLE regression analysis; DATA analysis software; PHYSICIANS' attitudes; DESCRIPTIVE statistics; PSYCHOLOGY
- Publication
Vascular & Endovascular Surgery, 2012, Vol 46, Issue 2, p150
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574411432147