Patient preference for surgical method of abdominal aortic aneurysm repair: postal survey

Eur J Vasc Endovasc Surg. 2010 Jan;39(1):55-61. doi: 10.1016/j.ejvs.2009.08.008. Epub 2009 Sep 22.


Objectives: To determine whether men with small abdominal aortic aneurysm have a preference between either endovascular or open aneurysm repair for future treatment.

Design: Prospective study of self-declared treatment preference following receipt of a validated patient information pack.

Participants: Men aged 65-84 years (n=237) with asymptomatic aneurysm (4.0-5.4 cm) detected by population-based screening.

Methods: An unbiased, validated patient information pack and questionnaire were developed to conduct a postal survey.

Results: One hundred sixty seven participants (70%) returned a completed questionnaire; 24 (10%) did not respond at all. Initially, only 38 (23%) declared a treatment preference. After reading the information pack, 130 participants (80%) declared a treatment preference: 30 preferred open repair (18%), 77 endovascular repair (46%), 23 were happy with either option (14%) and only 34 remained without any preference (20%). Nearly all (92%) thought that the information pack had prepared them well for future discussions with clinicians and with no single feature identified as influencing the preference-making process, 66 respondents (40%) still opted to 'take the advice of the doctor'.

Conclusion: The patient information pack facilitated the development of treatment preferences with endovascular repair being preferred to open repair. Nevertheless for patient-centred care, vascular centres must continue to safely provide both open and endovascular repair.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aortic Aneurysm, Abdominal / diagnosis
  • Aortic Aneurysm, Abdominal / surgery*
  • Choice Behavior
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Mass Screening
  • Patient Education as Topic*
  • Patient Preference*
  • Patient-Centered Care
  • Postal Service*
  • Prospective Studies
  • Surveys and Questionnaires
  • Vascular Surgical Procedures*