{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T19:40:44Z","timestamp":1783453244159,"version":"3.55.0"},"reference-count":23,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: There are no reports about the nationwide trends in abdominal aortic aneurysm (AAA) repair and mortality rates. This study aims to evaluate the trend in AAA treatment and related mortality, including ruptured AAAs (rAAAs) and intact AAAs (iAAAs) over the last 13 years. Methods: This serial, cross-sectional study investigated the time trends in patients who were treated for an AAA and underwent an aneurysm repair between 2010 and 2022. Data from the Health Insurance Review and Assessment Service (HIRA) and Statistics Korea were used. A linear-by-linear association and Poisson regression analysis were performed to determine the changes in the treatment of AAAs and related mortality. Results: The number of patients with an rAAA increased from 462 in 2010 to 770 in 2022 (relative risk, RR 1.57; p &lt; 0.0001). The number of patients with an iAAA increased from 3685 to 12,399 in the same period (RR 3.16; p &lt; 0.0001). Endovascular aneurysm repair (EVAR) has been more commonly performed since 2011. During the study period, EVAR increased from 406 to 1161 (RR 2.68; p &lt; 0.0001). Although the annual mortality rates after iAAA treatment decreased from 1.4% to 0.7% (mean mortality rate, 1.1%), the mortality rates after rAAA treatment were similar, ranging from 34.6% to 34.2%, during the study period (mean mortality rate, 35.2%). Conclusions: During the last 13 years, the annual number of patients with rAAAs and iAAAs has increased. Since 2011, EVAR has been more commonly performed. The annual iAAA-related mortality rate decreased along with the increasing trend in EVAR. However, the annual rAAA-related mortality rate did not change.<\/jats:p>","DOI":"10.3390\/jcm14155277","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T14:40:02Z","timestamp":1753454402000},"page":"5277","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["EVAR Trends over the Past Decade and Their Impact on Aneurysm Mortality: National Health Insurance Data Analysis"],"prefix":"10.3390","volume":"14","author":[{"given":"Sungsin","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Surgery, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8533-6755","authenticated-orcid":false,"given":"Jin Hyun","family":"Joh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/BF02015271","article-title":"Transfemoral intraluminal graft implantation for abdominal aortic aneurysms","volume":"5","author":"Parodi","year":"1991","journal-title":"Ann. Vasc. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/S0140-6736(04)16979-1","article-title":"Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: Randomised controlled trial","volume":"364","author":"Greenhalgh","year":"2004","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1056\/NEJMoa042002","article-title":"A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms","volume":"351","author":"Prinssen","year":"2004","journal-title":"N. Engl. J. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1001\/jama.2009.1426","article-title":"Outcomes following endovascular vs open repair of abdominal aortic aneurysm: A randomized trial","volume":"302","author":"Lederle","year":"2009","journal-title":"JAMA"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.jvs.2017.10.044","article-title":"Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm","volume":"67","author":"Chaikof","year":"2018","journal-title":"J. Vasc. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","article-title":"European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms","volume":"67","author":"Wanhainen","year":"2024","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e2014008","DOI":"10.4178\/epih\/e2014008","article-title":"A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples","volume":"36","author":"Kim","year":"2014","journal-title":"Epidemiol. Health"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1016\/j.jvs.2010.11.053","article-title":"Increased prevalence of abdominal aortic aneurysm in patients undergoing inguinal hernia repair compared with patients without hernia receiving aneurysm screening","volume":"53","author":"Antoniou","year":"2011","journal-title":"J. Vasc. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1649","DOI":"10.1002\/bjs.8897","article-title":"Final follow-up of the Multicentre Aneurysm Screening Study (MASS) randomized trial of abdominal aortic aneurysm screening","volume":"99","author":"Thompson","year":"2012","journal-title":"Br. J. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"321","DOI":"10.7326\/M13-1844","article-title":"Ultrasonography screening for abdominal aortic aneurysms: A systematic evidence review for the U.S. Preventive Services Task Force","volume":"160","author":"Beil","year":"2014","journal-title":"Ann. Intern. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.jvs.2018.03.411","article-title":"A systematic review of short-term vs long-term effectiveness of one-time abdominal aortic aneurysm screening in men with ultrasound","volume":"68","author":"Ali","year":"2018","journal-title":"J. Vasc. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.jvs.2015.03.042","article-title":"The impact of endovascular repair on specialties performing abdominal aortic aneurysm repair","volume":"62","author":"Hurks","year":"2015","journal-title":"J. Vasc. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/096721090100900401","article-title":"Public awareness of aortic aneurysm","volume":"9","author":"Tilson","year":"2001","journal-title":"Cardiovasc. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"794","DOI":"10.14740\/jocmr4376","article-title":"Gender-Based Differences in Abdominal Aortic Aneurysm Rupture: A Retrospective Study","volume":"12","author":"Malayala","year":"2020","journal-title":"J. Clin. Med. Res."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Stuntz, M., Audibert, C., and Su, Z. (2017). Persisting disparities between sexes in outcomes of ruptured abdominal aortic aneurysm hospitalizations. Sci. Rep., 7.","DOI":"10.1038\/s41598-017-18451-2"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1093\/aje\/154.3.236","article-title":"Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study: The Troms\u00f8 Study","volume":"154","author":"Singh","year":"2001","journal-title":"Am. J. Epidemiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1002\/bjs.9838","article-title":"Age-specific incidence, risk factors and outcome of acute abdominal aortic aneurysms in a defined population","volume":"102","author":"Howard","year":"2015","journal-title":"Br. J. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Gormley, S., Bernau, O., Xu, W., Sandiford, P., and Khashram, M. (2023). Incidence and Outcomes of Abdominal Aortic Aneurysm Repair in New Zealand from 2001 to 2021. J. Clin. Med., 12.","DOI":"10.3390\/jcm12062331"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e2212081","DOI":"10.1001\/jamanetworkopen.2022.12081","article-title":"Long-term Outcomes Associated with Open vs Endovascular Abdominal Aortic Aneurysm Repair in a Medicare-Matched Database","volume":"5","author":"Yei","year":"2022","journal-title":"JAMA Netw. Open."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta22050","article-title":"The UK EndoVascular Aneurysm Repair (EVAR) randomised controlled trials: Long-term follow-up and cost-effectiveness analysis","volume":"22","author":"Patel","year":"2018","journal-title":"Health Technol. Assess."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.1056\/NEJMoa1715955","article-title":"Open versus Endovascular Repair of Abdominal Aortic Aneurysm","volume":"380","author":"Lederle","year":"2019","journal-title":"N. Engl. J. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1001\/archsurg.2009.132","article-title":"Mortality after endovascular repair of ruptured abdominal aortic aneurysms: A systematic review and meta-analysis","volume":"144","author":"Karkos","year":"2009","journal-title":"Arch. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1016\/j.ejvs.2007.11.019","article-title":"Meta analysis on mortality of ruptured abdominal aortic aneurysms","volume":"35","author":"Hoornweg","year":"2008","journal-title":"Eur. J. Vasc. Endovasc. 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