Rural residence linked to larger aneurysms and lower EVAR follow-up

A Vascular Quality Initiative analysis of 62,503 EVAR patients (2003-2021) examined associations between rural versus urban residence and aneurysm presentation and follow-up. The study reported that rural residence was associated with 9% higher odds of repair at diameter over 6.5 cm, 18% higher odds of urgent versus elective repair, and 14% higher odds of being lost to follow-up; among those followed, rural residence was associated with 10% lower odds of in-person follow-up but 13% higher odds of follow-up imaging. The authors stated these findings suggest geographic disparities in AAA screening, repair, and post-operative surveillance access.

Most relevant for: Patients with abdominal aortic aneurysms undergoing endovascular repair who reside in rural areas.

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