Objective. To report cost related to gained life years after repair of ruptured abdominal aortic aneurysms in patients aged 80 or older. Design. A retrospective study based on prospectively registered data. Patients and methods. Fifty-three patients aged 80 or older were operated on for ruptured abdominal aortic aneurysm over a 20-year period from 1983 to 2002. Thirty-one (58%) patients had systolic BT < 80 mmHg. Operative mortality (< 30 days) and long-term survival were studied. The number of life-years gained from the operations was estimated. Based on diagnose related group (DRG) values, the cost of each gained life-year was calculated. Results. The operative mortality was 47%. Long-term survival of those patients who survived the operation was similar to that of an age and sex matched population. The 53 operations resulted in 145 gained life-years, which leaves a mean survival of 2.7 years of all the patients and 5.2 years of those who survived the operation. The estimated cost per gained life year was €6817. Conclusions. The operative mortality of ruptured abdominal aortic aneurysm remains high. The long-term survival of patients who survive the operation is acceptable. The price of each gained life-year is low, as compared to other established treatment modalities. Improved results with endovascular treatment may even decrease the cost per gained life year. © 2003 Elsevier Ltd. All rights reserved.
Aune, S., Laxdal, E., Pedersen, G., & Dregelid, E. (2004). Lifetime gain related to cost of repair of ruptured abdominal aortic aneurysm in octogenarians. European Journal of Vascular and Endovascular Surgery, 27(3), 299–304. https://doi.org/10.1016/j.ejvs.2003.12.008