Reporting standards for endovascular surgery: should existing standards be modified for newer procedures?
Appropriate standards for reports on endovascular procedures are discussed in terms of whether existing standards suffice or should be revised. SVS/ISCVS and SCVIR reporting standards form the basis for recommendations. The recently revised SVS/ISCVS "recommended standards for reports dealing with lower extremity ischemia" serves appropriately for most outcome comparisons for occlusive disease, that is, where open surgical and endovascular procedures should be assessed by the same standards. Existing endovascular reporting standards are used to augment these where specific considerations pertinent only to endovascular procedures, such as description of lesion, are needed. In some aspects, such as the reporting of complications that are specific to endovascular procedures (eg, contrast-related, medication-related, device-related, and some entry site and deployment-related complications), recent SCVIR recommendations are endorsed. Although some of these apply, additional reporting standards are required for reporting the results of endograft treatment of aneurysmal disease. The former are identified, and the latter are taken from recent recommendations for reports on the endograft repair of infrarenal AAAs and experiences from recent endograft trials. Public disclosures, at professional meetings or press releases, of data lacking the objectivity and uniformity of these reporting standards, because of the time lag before firm data can reach peer-reviewed journals, may mislead and impede progress.
Rutherford
R B
RB
University of Colorado School of Medicine, Denver, USA.
D005544:Forecasting; D006801:Humans; D017410:Practice Guidelines as Topic; D014481:United States; D014652:Vascular Diseases / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000592:standards* / Q000639:trends