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National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population  Douglas W. Jones, MD, Philip.

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Presentation on theme: "National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population  Douglas W. Jones, MD, Philip."— Presentation transcript:

1 National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population  Douglas W. Jones, MD, Philip P. Goodney, MD, MS, Brian W. Nolan, MD, Benjamin S. Brooke, MD, PhD, Mark F. Fillinger, MD, Richard J. Powell, MD, David H. Stone, MD  Journal of Vascular Surgery  Volume 60, Issue 1, Pages e1 (July 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Rates of type B aortic dissection repair in Medicare patients, , stratified by procedure type. CI, Confidence interval; TEVAR, thoracic endovascular aortic repair. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Proportion of open surgical repair (OSR) vs thoracic endovascular aortic repair (TEVAR) in Medicare patients undergoing type B dissection repair, Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Mean Charlson comorbidity score of Medicare patients undergoing type B dissection repair in 2-year increments, , stratified by procedure type. TEVAR, Thoracic endovascular aortic repair. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Rates of perioperative mortality in Medicare patients undergoing type B aortic dissection repair, , stratified by procedure type. Thoracic endovascular aortic repair (TEVAR) years 2000 and 2001 are condensed to a single time point because of low total numbers of TEVAR in those years. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Kaplan-Meier curves for overall survival in open surgical repair (OSR) vs thoracic endovascular aortic repair (TEVAR) with life-table analysis showing 3-year survival (inset). P value from log-rank test. Total patients at risk for various time points are also shown (bottom). Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Kaplan-Meier curves for overall survival in men vs women after open surgical repair (OSR; top) and thoracic endovascular aortic repair (TEVAR; bottom). P value from log-rank test. Three-year survival estimates, from life-table analysis (right). Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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