AAA Repair

Sociodemographic Disparities in Management and Outcomes

This article examines the relationship between socioeconomic variables and the utilization and outcomes of a procedure to repair abdominal aortic aneurysms. This procedure, called endovascular abdominal aortic repair (EVAR), has been shown to be an effective treatment for abdominal aortic aneurysms, but little is known about how the procedure is utilized across racial, gender and economic categories.

The authors analyzed data from the State Inpatient Databases for New Jersey. Between 2001 and 2006, 6,227 patients underwent repair for abdominal aortic aneurysms.

Key Findings:

  • Of the 6,227 patients, approximately half received EVAR and half received open surgery. Patients receiving EVAR were more likely to be older, male, non-Hispanic and have Medicare coverage.
  • Black patients and octogenarians were at significantly greater risk of death following EVAR.

Disparities exist in both utilization of EVAR and outcomes following the procedure, suggesting a need for analysis and policy to address these disparities.