Cochrane · systematic review · CD001835

Surgery for small asymptomatic abdominal aortic aneurysms

Ulug, P, Powell, JT, Martinez, M-MA, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 4 · 44.4%Very low 0 · 0%Low 3 · 33.3%Moderate 1 · 11.1%High 1 · 11.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Early open repair compared to ultrasound surveillance for small asymptomatic abdominal aortic aneurysms

Population: small asymptomatic AAA
4 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality (
Early open repair vs ultrasound surveillance
HR 0.992 studies · 2226 participantsHigh
Costs (per participant) (
Early open repair vs ultrasound surveillance
no estimate extracted1 study · 1090 participantsModerate
Downgraded: imprecision
QoLc (
Early open repair vs ultrasound surveillance
no estimate extracted2 studies · 2226 participantsUngraded
Aneurysm rupture (
Early open repair vs ultrasound surveillance
no estimate extracted2 studies · 2226 participantsUngraded

Early endovascular repair compared to ultrasound surveillance for small asymptomatic abdominal aortic aneurysms

Population: small asymptomatic AAA
5 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality (
Early endovascular repair vs ultrasound surveillance
RR 1.92 [0.73, 5.06]2 studies · 846 participantsLow
Downgraded: risk of bias, imprecision
Costs (
Early endovascular repair vs ultrasound surveillance
MD 271 study · 614 participantsLow
Downgraded: risk of bias, imprecision
Costs (
Early endovascular repair vs ultrasound surveillance
MD 25571 study · 614 participantsLow
Downgraded: risk of bias, imprecision
QoL (
Early endovascular repair vs ultrasound surveillance
no estimate extracted2 studies · 605 participantsUngraded
Aneurysm rupture (overall
Early endovascular repair vs ultrasound surveillance
no estimate extracted2 studies · 1088 participantsUngraded