{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:22:57Z","timestamp":1761060177106},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,8,4]],"date-time":"2016-08-04T00:00:00Z","timestamp":1470268800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Foundation for Surgery New Zealand Research Scholarship"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,5]]},"abstract":"Background<\/jats:title>In New Zealand (NZ<\/jats:styled-content>), there are two major sources of operative data for abdominal aortic aneurysm (AAA<\/jats:styled-content>) repair: the Australasian Vascular Audit (AVA<\/jats:styled-content>) and the National Minimum Data Set (NMDS<\/jats:styled-content>). Since the introduction of the AVA<\/jats:styled-content> in NZ<\/jats:styled-content>, there has not been any attempt at the validation of outcome data. The aims of this study were to report the outcomes of AAA<\/jats:styled-content> repair and validate the AAA<\/jats:styled-content> data captured by AVA<\/jats:styled-content> using the NMDS<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>\nAAA<\/jats:styled-content> procedures performed in NZ<\/jats:styled-content> from January 2010 to December 2014 were extracted from the AVA<\/jats:styled-content> and NMDS<\/jats:styled-content>. Patients identified from the AVA<\/jats:styled-content> had their survival status matched to the NMDS<\/jats:styled-content>. Only primary AAA<\/jats:styled-content> procedures were included for the analysis, with re\u2010interventions and graft infections excluded. Demographical, risk factors and outcome data were used for validation.<\/jats:p><\/jats:sec>Results<\/jats:title>The number of patients undergoing primary AAA<\/jats:styled-content> procedure from AVA<\/jats:styled-content> and NMDS<\/jats:styled-content> was 1713 and 2078, respectively. The AVA<\/jats:styled-content> inpatient mortality for elective and rupture AAA<\/jats:styled-content> was 1.6 and 32.2%, respectively. The NMDS<\/jats:styled-content> 30\u2010day mortality from AAA<\/jats:styled-content> was 2.5 and 31.5%. Overall, 1604 patients were available for matching, and the NMDS<\/jats:styled-content> correctly reported 98.1% of endovascular aneurysm repair and 94.2% of elective AAA<\/jats:styled-content> repairs; however, there were major differences in comorbidity reporting between the data sets.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Both data sets were incomplete, but combining administrative (NMDS<\/jats:styled-content>) and clinical (AVA<\/jats:styled-content>) data sets provided a more accurate assessment of mortality figures. More than 80% of AAA<\/jats:styled-content> repairs are captured by AVA<\/jats:styled-content>, but further work to improve compliance and comorbidity documentation is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13702","type":"journal-article","created":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T04:18:34Z","timestamp":1470370714000},"page":"394-398","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Abdominal aortic aneurysm repair in New Zealand: a validation of the Australasian Vascular Audit"],"prefix":"10.1111","volume":"87","author":[{"given":"Manar","family":"Khashram","sequence":"first","affiliation":[{"name":"Department of Surgery University of Otago Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian A.","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Surgery Dunedin Hospital Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory T.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Dunedin School of Medicine, University of Otago Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin A.","family":"Roake","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Otago Christchurch New Zealand"},{"name":"Department of Vascular Endovascular and Transplant Surgery Christchurch Hospital Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9723"},{"key":"e_1_2_7_3_1","first-page":"7","article-title":"Mortality and morbidity rates after conventional abdominal aortic aneurysm repair","volume":"5","author":"Blankensteijn JD","year":"2000","journal-title":"Semin. Interv. Cardiol."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.06.102"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12760"},{"key":"e_1_2_7_6_1","first-page":"10","article-title":"Abdominal aortic aneurysm disease in New Zealand: epidemiology and burden between 2002 and 2006","volume":"125","author":"Nair N","year":"2012","journal-title":"N. Z. Med. J."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.01.021"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)10137-X"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7680"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7772"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.12.015"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.09.007"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13702","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13702","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.13702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T22:17:30Z","timestamp":1695507450000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.13702"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,4]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/ans.13702"],"URL":"https:\/\/doi.org\/10.1111\/ans.13702","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,4]]},"assertion":[{"value":"2016-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-08-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}