surgery: what’s the risk?
TRANSCRIPT
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SURGERY
What’s the risk?
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AAADon’t operate unless > 55 mm
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UK Small Aneurysm Trial (1993): 46 mm
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UK Small Aneurysm Trial (1993): 46 mm
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UK Small Aneurysm Trial (1993): 46 mm
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UK Small Aneurysm Trial (1993): 46 mm
0 1 2 3 4 5 6 7 8 9 10 11 120
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AAAOperate if > 46 mm?
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UK Small Aneurysm Trial (1993): 46 mminitial monthly mortality 0.40%
0 1 2 3 4 5 6 7 8 9 10 11 120
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UK Small Aneurysm Trial (2016): 46 mminitial monthly mortality 0.20%
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UK Small Aneurysm Trial (2016): 46 mminitial monthly mortality 0.20%
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 180
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AAAOperate if > 41 mm?
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AAA size, mortality hazard & survival
20 30 40 50 60 70 80 90
0.01
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Aneurysm diameter (mm)
Mon
thly
mor
talit
y ha
zard
(%)
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20 30 40 50 60 70 80 90
0.01
0.1
1
Aneurysm diameter (mm)
Mon
thly
mor
talit
y ha
zard
(%)
AAA size, mortality hazard & survival
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AAA size, mortality hazard & survival
20 30 40 50 60 70 80 90
0.01
0.1
1
Aneurysm diameter (mm)
Mon
thly
mor
talit
y ha
zard
(%)
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AAAOperate if > your MLE threshold?
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SURGERY
What’s the risk?