Gender differences in abdominal aortic aneurysm therapy - a systematic review

Standard

Gender differences in abdominal aortic aneurysm therapy - a systematic review. / Stoberock, Konstanze; Kölbel, Tilo; Atlihan, Gülsen; Debus, Eike Sebastian; Tsilimparis, Nikolaos; Larena-Avellaneda, Axel; Behrendt, Christian Alexander; Wipper, Sabine.

In: VASA, Vol. 47, No. 4, 06.2018, p. 267-271.

Research output: SCORING: Contribution to journalSCORING: Review articleResearch

Harvard

Stoberock, K, Kölbel, T, Atlihan, G, Debus, ES, Tsilimparis, N, Larena-Avellaneda, A, Behrendt, CA & Wipper, S 2018, 'Gender differences in abdominal aortic aneurysm therapy - a systematic review', VASA, vol. 47, no. 4, pp. 267-271. https://doi.org/10.1024/0301-1526/a000703

APA

Stoberock, K., Kölbel, T., Atlihan, G., Debus, E. S., Tsilimparis, N., Larena-Avellaneda, A., Behrendt, C. A., & Wipper, S. (2018). Gender differences in abdominal aortic aneurysm therapy - a systematic review. VASA, 47(4), 267-271. https://doi.org/10.1024/0301-1526/a000703

Vancouver

Bibtex

@article{8a8096c6c4ea4cceb119a0ab5c1cdad7,
title = "Gender differences in abdominal aortic aneurysm therapy - a systematic review",
abstract = "This article analyses if and to what extent gender differences exist in abdominal aortic aneurysm (AAA) therapy. For this purpose Medline (PubMed) was searched from January 1999 to January 2018. Keywords were: {"}abdominal aortic aneurysm{"}, {"}gender{"}, {"}prevalence{"}, {"}EVAR{"}, and {"}open surgery of abdominal aortic aneurysm{"}. Regardless of open or endovascular treatment of abdominal aortic aneurysms, women have a higher rate of complications and longer hospitalizations compared to men. The majority of studies showed that women have a lower survival rate for surgical and endovascular treatment of abdominal aneurysms after both elective and emergency interventions. Women receive less surgical/interventional and protective medical treatment. Women seem to have a higher risk of rupture, a lower survival rate in AAA, and a higher rate of complications, regardless of endovascular or open treatment. The gender differences may be due to a higher age of women at diagnosis and therapy associated with higher comorbidity, but also because of genetic, hormonal, anatomical, biological, and socio-cultural differences. Strategies for treatment in female patients must be further defined to optimize outcome.",
keywords = "Age Factors, Aortic Aneurysm, Abdominal/diagnostic imaging, Comorbidity, Endovascular Procedures/adverse effects, Female, Health Status Disparities, Healthcare Disparities, Humans, Life Style, Male, Postoperative Complications/mortality, Risk Factors, Sex Factors, Treatment Outcome, Vascular Surgical Procedures/adverse effects",
author = "Konstanze Stoberock and Tilo K{\"o}lbel and G{\"u}lsen Atlihan and Debus, {Eike Sebastian} and Nikolaos Tsilimparis and Axel Larena-Avellaneda and Behrendt, {Christian Alexander} and Sabine Wipper",
year = "2018",
month = jun,
doi = "10.1024/0301-1526/a000703",
language = "English",
volume = "47",
pages = "267--271",
journal = "VASA",
issn = "0301-1526",
publisher = "Hans Huber",
number = "4",

}

RIS

TY - JOUR

T1 - Gender differences in abdominal aortic aneurysm therapy - a systematic review

AU - Stoberock, Konstanze

AU - Kölbel, Tilo

AU - Atlihan, Gülsen

AU - Debus, Eike Sebastian

AU - Tsilimparis, Nikolaos

AU - Larena-Avellaneda, Axel

AU - Behrendt, Christian Alexander

AU - Wipper, Sabine

PY - 2018/6

Y1 - 2018/6

N2 - This article analyses if and to what extent gender differences exist in abdominal aortic aneurysm (AAA) therapy. For this purpose Medline (PubMed) was searched from January 1999 to January 2018. Keywords were: "abdominal aortic aneurysm", "gender", "prevalence", "EVAR", and "open surgery of abdominal aortic aneurysm". Regardless of open or endovascular treatment of abdominal aortic aneurysms, women have a higher rate of complications and longer hospitalizations compared to men. The majority of studies showed that women have a lower survival rate for surgical and endovascular treatment of abdominal aneurysms after both elective and emergency interventions. Women receive less surgical/interventional and protective medical treatment. Women seem to have a higher risk of rupture, a lower survival rate in AAA, and a higher rate of complications, regardless of endovascular or open treatment. The gender differences may be due to a higher age of women at diagnosis and therapy associated with higher comorbidity, but also because of genetic, hormonal, anatomical, biological, and socio-cultural differences. Strategies for treatment in female patients must be further defined to optimize outcome.

AB - This article analyses if and to what extent gender differences exist in abdominal aortic aneurysm (AAA) therapy. For this purpose Medline (PubMed) was searched from January 1999 to January 2018. Keywords were: "abdominal aortic aneurysm", "gender", "prevalence", "EVAR", and "open surgery of abdominal aortic aneurysm". Regardless of open or endovascular treatment of abdominal aortic aneurysms, women have a higher rate of complications and longer hospitalizations compared to men. The majority of studies showed that women have a lower survival rate for surgical and endovascular treatment of abdominal aneurysms after both elective and emergency interventions. Women receive less surgical/interventional and protective medical treatment. Women seem to have a higher risk of rupture, a lower survival rate in AAA, and a higher rate of complications, regardless of endovascular or open treatment. The gender differences may be due to a higher age of women at diagnosis and therapy associated with higher comorbidity, but also because of genetic, hormonal, anatomical, biological, and socio-cultural differences. Strategies for treatment in female patients must be further defined to optimize outcome.

KW - Age Factors

KW - Aortic Aneurysm, Abdominal/diagnostic imaging

KW - Comorbidity

KW - Endovascular Procedures/adverse effects

KW - Female

KW - Health Status Disparities

KW - Healthcare Disparities

KW - Humans

KW - Life Style

KW - Male

KW - Postoperative Complications/mortality

KW - Risk Factors

KW - Sex Factors

KW - Treatment Outcome

KW - Vascular Surgical Procedures/adverse effects

U2 - 10.1024/0301-1526/a000703

DO - 10.1024/0301-1526/a000703

M3 - SCORING: Review article

C2 - 29733253

VL - 47

SP - 267

EP - 271

JO - VASA

JF - VASA

SN - 0301-1526

IS - 4

ER -