In Reply We would like to thank Goh and Chidambaram for their interest in our recently published study,1 in which we analyzed data from 166 443 patients in the Nationwide Inpatient Sample to describe the association between patient- and hospital-level factors and in-hospital mortality after elective abdominal aortic aneurysm (AAA) repair. They expressed concerns regarding the paucity of data supporting endovascular AAA repair (EVAR) over open AAA repair (OAR) in the long-term, and trends suggesting that outcomes following OAR are heavily influenced by the robustness of an open aortic practice at any given institution. We would like to take this opportunity to address these concerns.
Hicks CW, Malas MB. In-Hospital Mortality After Elective Abdominal Aortic Aneurysm Repair—Reply. JAMA Surg. Published online November 16, 2016. doi:10.1001/jamasurg.2016.4199