Screened individuals' preferences in the delivery of abdominal aortic aneurysm repair

Br J Surg. 2010 Apr;97(4):504-10. doi: 10.1002/bjs.6939.


Background: This study aimed to determine preferences for service attributes in a population screened for abdominal aortic aneurysm.

Methods: A questionnaire was designed to encompass various aspects of service provision. Questions were calibrated against the time an individual was willing to travel to access specific attributes. Subjects attending an aneurysm screening programme were asked to complete a questionnaire before their screening ultrasound scan. Statistical analysis was through pairwise analysis of the median travel times with the signed rank test. The Wilcoxon rank sum, analysed by the Kruskal-Wallis test, was used to compare preference ratings.

Results: A total of 262 individuals were asked to complete the questionnaire; the response rate was 98.5 per cent. Approximately 92 per cent of individuals stated a willingness to travel for at least 1 h beyond their nearest hospital in order to access services with a 5 per cent lower perioperative mortality rate, a 2 per cent lower amputation or stroke rate, a high annual caseload of aneurysm repairs, and routine availability of endovascular repair.

Conclusion: Patients attending aneurysm screening were willing to travel beyond their nearest hospital to access a service with better outcomes, higher surgical volumes and endovascular surgery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Amputation / statistics & numerical data
  • Aortic Aneurysm, Abdominal / prevention & control
  • Aortic Aneurysm, Abdominal / psychology*
  • Aortic Aneurysm, Abdominal / surgery
  • Delivery of Health Care*
  • Endarterectomy / psychology
  • Health Services Accessibility*
  • Humans
  • Length of Stay
  • Male
  • Mass Screening / psychology
  • Patient Satisfaction*
  • Stroke / etiology
  • Surveys and Questionnaires
  • Travel
  • Waiting Lists