It is important for surgeons to review the safety of new technology, and Rose and colleagues1 in this issue of JAMA Surgery have used Patient Safety Indicators (PSIs)2 to compare endovascular and open abdominal aortic aneurysm repair. The results, perhaps not surprisingly, show that endovascular repair is safer than open repair. Endovascular repair (3.0%) was less likely to have a PSI compared with open repair (11.2%). In fact, the study confirms what vascular surgeons have already put into practice as endovascular repair has surpassed open repair in the past decade.
Suding PN, Paxton LD. How to Use Patient Safety Indicators to Monitor Vascular Surgery Technologies. JAMA Surg. 2014;149(9):933. doi:10.1001/jamasurg.2014.1026