{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:52:29Z","timestamp":1753876349529,"version":"3.41.2"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Chang Gung Memorial Hospital, Taiwan","award":["CMRPG3K0051","CMRPG3K0052"],"award-info":[{"award-number":["CMRPG3K0051","CMRPG3K0052"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>In Taiwan, endovascular aneurysm repair for treating abdominal aortic aneurysms (AAA) was introduced in 2004 and became reimbursable in February 2010. We evaluated the real-world practice and safety of endovascular aneurysm repair in Taiwan.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Patients who underwent repair operations for AAA (open or endovascular) from 2000 to 2016 were enrolled (n\u2009=\u200911485). Outcome statistics (during the index hospitalization: length of stay, rate of ischaemic bowel disease and 30-day mortality; after discharge: 30-day readmission rate, 2-year mortality, 2-year reintervention rate and 2-year paraplegia rate) were calculated for each half-year cohort. Propensity score-based stabilized weights were used to balance covariates among each half-year cohort. Interrupted time-series analysis was then performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The elective and emergency ratio of AAA repair was 50:50 from 2000 to 2004 and became 60:40 from 2010 to 2016. The half-year rate of endovascular aneurysm repair was 0% in 2000 to 2004\/06, 83.16% in 2010 and 98.1% in 2016. Interrupted time series analysis revealed that after endovascular aneurysm repair became reimbursable, both elective and emergency groups had a reduction in length of stay (\u22124.2\u2009days, P\u2009&amp;lt;\u20090.0001; \u22121.5\u2009days, P\u2009=\u20090.0928) and 30-day mortality (\u22125.22%, P\u2009=\u20090.0702; \u22127.76%, P\u2009=\u20090.0086) but a significant increase in the reintervention rate (5.05%, P\u2009=\u20090.0031; 4.36%, P\u2009=\u20090.0097).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Endovascular aneurysm repair was predominantly used in treating AAAs after it was reimbursed in Taiwan. Endovascular aneurysm repair is efficacious regarding short-term outcomes but increased the 2-year reintervention rate in both groups.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac370","type":"journal-article","created":{"date-parts":[[2022,7,25]],"date-time":"2022-07-25T15:11:39Z","timestamp":1658761899000},"source":"Crossref","is-referenced-by-count":1,"title":["Safety of the endovascular aneurysm repair procedure: real-world evidence using interrupted-time series analysis"],"prefix":"10.1093","volume":"62","author":[{"given":"Chi-Nan","family":"Tseng","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Linkou , Taoyuan City, Taiwan"},{"name":"Department of Medicine, Chang Gung University , Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng-Yueh","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Linkou , Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya-Ting","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Chang Gung Children's Hospital at Linkou , Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Sheng","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine, Chang Gung University , Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun-Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Chang Gung Memorial Hospital, Tucheng Branch , New Taipei City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lai-Chu","family":"See","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medicine, Chang Gung University , Taoyuan City, Taiwan"},{"name":"Biostatistics Core Laboratory, Molecular Medicine Research Center, Chang Gung University , Taoyuan City, Taiwan"},{"name":"Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou , Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,7,25]]},"reference":[{"key":"2022073010515259500_ezac370-B1","first-page":"11","article-title":"Abdominal aortic aneurysm: a comprehensive review","volume":"16","author":"Aggarwal","year":"2011","journal-title":"Exp Clin 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