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. 2024 Dec 1;110(12):8241-8245.
doi: 10.1097/JS9.0000000000002114.

Mortality trends, sex, and racial disparities in older adults due to abdominal aortic aneurysm: a nationwide cross-sectional analysis

Aman Goyal  1 , Humza Saeed  2 , Syeda Shahnoor  3 , Muhammad Khubaib Arshad  2 , Abdul Wasay  2 , Abdullah  2 , Mohamed Daoud  4 , Amir Humza Sohail  5
Affiliations

Mortality trends, sex, and racial disparities in older adults due to abdominal aortic aneurysm: a nationwide cross-sectional analysis

Aman Goyal et al. Int J Surg. .

Abstract

Abdominal aortic aneurysms (AAAs) are a significant vascular pathology in older adults, often asymptomatic but with high mortality upon rupture. Despite advancements in diagnostic imaging and surgical interventions, AAAs remain a public health concern. This research letter analyzed CDC WONDER data on AAA-related deaths (ICD-10 I71.3 and I71.4) among US adults aged 65+ from 1999 to 2020. Age-adjusted mortality rates (AAMRs) and annual percent change (APC) were calculated by year, sex, age group, race/ethnicity, geography, and urbanization status. Between 1999 and 2020, there were 180 037 reported deaths in older adults due to AAA. The overall AAMR decreased from 32.6 to 13.2 per 100 000, with a significant decline from 2014 to 2020 (APC: -1.66; 95% CI: -2.48 to -0.48). Older men had a significantly higher AAMR than older women (31.2 vs. 12). Among racial and ethnic groups, Non-Hispanic (NH) Whites had the highest AAMR at 21.7, followed by NH American Indian or Alaska Native (14.5), NH Black (12.6), NH Asian or Pacific Islander (10.1), and Hispanic populations (8.4). Additionally, non-metropolitan areas exhibited higher AAMRs compared to metropolitan areas (23.9 vs. 18.7). While mortality rates have declined, disparities remain, with higher rates among older men, NH Whites, and non-metropolitan residents, highlighting the need for targeted and equitable interventions.

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Conflict of interest statement

The authors declare no conflicts of interest.

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Figures

None
Graphical abstract
Figure 1
Figure 1
Overall and sex-stratified abdominal aortic aneurysm-related age-adjusted mortality rates per 100 000 in older adults in the United States, 1999–2020. *Indicates that the annual percentage change (APC) is significantly different from zero at α = 0.05.
Figure 2
Figure 2
Abdominal aortic aneurysm-related age-adjusted mortality rates per 100 000, stratified by race in older adults in the United States, 1999–2020. *Indicates that the annual percentage change (APC) is significantly different from zero at α = 0.05. NH, non-Hispanic.
Figure 3
Figure 3
Abdominal aortic aneurysm-related age-adjusted mortality rates per 100 000, stratified by (A) state and (B) urbanization in older adults in the United States, 1999–2020. *Indicates that the annual percentage change (APC) is significantly different from zero at α = 0.05.
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