{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:40:32Z","timestamp":1747183232359,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,23]],"date-time":"2023-04-23T00:00:00Z","timestamp":1682208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Given the ageing population and uptake of transcatheter approaches for treating aortic stenosis (AS), a renewed evaluation of outcomes after surgical aortic valve replacement (SAVR) is warranted. With guidelines recommending age\u2010based indications for surgical and transcatheter approaches, this study critically evaluates outcomes in age\u2010based subgroups, with the aim to refine management of AS in the elderly, where there is often no clear consensus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Six hundred and thirteen consecutive patients who underwent SAVR in an Australian tertiary cardiac centre between 1 June 2014 and 13 January 2022 were retrospectively analysed. Of these, 70.31% were &lt;75\u2009years (Group 1) and 29.69% were \u226575\u2009years (Group 2). Groups were compared with respect to early and long\u2010term outcomes. Logistic regression, Kaplan\u2013Meier survival estimates and Cox proportional hazards regression were performed for all patients and an AS\u2010specific sub\u2010group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients aged \u226575\u2009years were more likely to be female and have hypercholesterolemia, hypertension, and pre\u2010existing arrhythmia (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Group 1 experienced a higher incidence of renal failure compared with Group 2, in the overall cohort and AS\u2010specific subgroup (<jats:italic>P<\/jats:italic>\u2009=\u20090.02). The incidence of stroke was similar between groups, in the overall cohort (<jats:italic>P<\/jats:italic>\u2009=\u20090.22) and the AS\u2010specific subgroup (<jats:italic>P<\/jats:italic>\u2009=\u20090.32). Age\u2009\u2265\u200975 was not found to be an independent predictor of 30\u2010day, 1\u2010year or 5\u2010year mortality. Temporal trends revealed low consistently low complication rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Elderly patients should not be denied surgery based on age, despite guideline\u2010driven age\u2010based recommendations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18486","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T04:14:10Z","timestamp":1682309650000},"page":"1564-1570","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A contemporary evaluation of surgical aortic valve replacement outcomes and temporal trends"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6492-3742","authenticated-orcid":false,"given":"Shantel","family":"Chang","sequence":"first","affiliation":[{"name":"School of Medicine and Dentistry Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew S.","family":"Yong","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrie","family":"Stroebel","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Hughes","sequence":"additional","affiliation":[{"name":"Office for Research Governance Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Scuffham","sequence":"additional","affiliation":[{"name":"Menzies Health Institute Queensland Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"He","sequence":"additional","affiliation":[{"name":"School of Medicine and Dentistry Griffith University  Gold Coast Queensland Australia"},{"name":"Department of Cardiothoracic Surgery Gold Coast University Hospital  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.05.015"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezab516"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezr039"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-019-00853-8"},{"key":"e_1_2_7_6_1","first-page":"e72","article-title":"2020 ACC\/AHA guideline for the Management of Patients with Valvular Heart Disease: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"143","author":"Otto CM","year":"2021","journal-title":"Circulation"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2021.06.011"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.109.848259"},{"volume-title":"ANZSCTS National Cardiac Surgery Database Data Definitions Manual Version 4","year":"2018","key":"e_1_2_7_10_1"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06843-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.09.864"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2014.03.017"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/20009666.2020.1843235"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2013.08.001"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2010.09.001"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492313497950"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.18486","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T12:12:02Z","timestamp":1706098322000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.18486"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,23]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1111\/ans.18486"],"URL":"https:\/\/doi.org\/10.1111\/ans.18486","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2023,4,23]]},"assertion":[{"value":"2023-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}