Mostrar el registro sencillo del ítem

dc.contributor.author
Calderón, María  
dc.contributor.author
Brito, Viviana  
dc.contributor.author
Alcaraz, Andrea  
dc.contributor.author
Rey Ares, Lucila  
dc.contributor.author
Augustovski, Federico Ariel  
dc.contributor.author
García Martí, Sebastián  
dc.contributor.author
Bardach, Ariel Esteban  
dc.contributor.author
Ciapponi, Agustín  
dc.contributor.author
López, Analía  
dc.contributor.author
Pichón-Riviere, Andrés  
dc.date.available
2020-01-31T20:44:35Z  
dc.date.issued
2018-12  
dc.identifier.citation
Calderón, María; Brito, Viviana; Alcaraz, Andrea; Rey Ares, Lucila; Augustovski, Federico Ariel; et al.; Reparación Endovascular para Aneurisma de Aorta: Revisión Panorámica sobre su evidencia en el mundo y su aplicación en Latinoamérica; Elsevier Inc; Value in Health Regional Issues; 17; 12-2018; 94-101  
dc.identifier.issn
2212-1099  
dc.identifier.uri
http://hdl.handle.net/11336/96445  
dc.description.abstract
Background Aortic aneurysm (AA) is a pathology with high morbidity and mortality. The management can be expectant, surgical, or through endovascular repair (EVAR). In Latin America the incidence of AA has increased and the analysis of therapeutic options, especially if they are expensive, is fundamental. Objective To analyze available evidence on the effectiveness, safety and coverage policies of the EVAR. Methodology Panoramic review in the main bibliographical bases (MEDLINE, LILACS, EMBASE, Cochrane Library, DARE) and generic internet searchers, main health technology assessment (HTA) agencies and health insurance companies. Systematic reviews (SR), clinical practice guidelines (CPG), HTA and coverage policies, followed by the identification of primary studies published after the SR search date were included. A search of studies published until November 2015 in English and Spanish was carried out. Results 311 references were recovered, from which seven SRs were selected, one clinical study and 15 CPGs, consensus or coverage policies and ETS. Conclusions For abdominal AA, high quality evidence showed no differences inlong-term survival with the use of EVAR compared to conventional surgery, but lower early mortality was observed (OR = 0.33, 95% CI 0.20 −0.55). EVAR was associated with a greater need for re-intervention. In the case of other types of AA, further evidence is still required to establish the benefit of EVAR. The CPGs, consensus, HTAs and coverage policies identified, mostly consider open surgery as the treatment of choice, reserving the EVAR for patients with high surgical risk for conventional surgery in the presence of favorable anatomy.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Elsevier Inc  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/  
dc.subject
AORTIC ANEURYSM  
dc.subject
ENDOVASCULAR  
dc.subject
STENT  
dc.subject.classification
Otras Ciencias de la Salud  
dc.subject.classification
Ciencias de la Salud  
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Reparación Endovascular para Aneurisma de Aorta: Revisión Panorámica sobre su evidencia en el mundo y su aplicación en Latinoamérica  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2020-01-31T19:01:38Z  
dc.identifier.eissn
2212-1102  
dc.journal.volume
17  
dc.journal.pagination
94-101  
dc.journal.pais
Países Bajos  
dc.journal.ciudad
Amsterdam  
dc.description.fil
Fil: Calderón, María. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: Brito, Viviana. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: Alcaraz, Andrea. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: Rey Ares, Lucila. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: Augustovski, Federico Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.description.fil
Fil: García Martí, Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: Bardach, Ariel Esteban. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.description.fil
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: López, Analía. Instituto de Efectividad Clínica y Sanitaria; Argentina  
dc.description.fil
Fil: Pichón-Riviere, Andrés. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina  
dc.journal.title
Value in Health Regional Issues  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2212109918300542  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.vhri.2018.01.011