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February 1, 2008

Denying May Yet Make Sense

Author Affiliations

Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2008

Arch Surg. 2008;143(2):209. doi:10.1001/archsurg.2007.45

Timaran and others1 report on what essentially appears to be a registry-based observational study and go at length to explain why their results may be used to refute the results of the EVAR (endovascular aortic aneurysm repair) 2 trial.2 They recognize the fact that by definition their design is inferior but still claim that no patients should be denied “rescue” by a vascular surgeon. Interestingly, framing the message as denying care instead of what more appropriately may be called offering optimal medical care already sets the scene.