Background: The aim of this study was to present preliminary data on quality of life (QoL), symptoms
and treatment satisfaction gathered using three new abdominal aortic aneurysm (AAA)-specific
patient-reported outcome measures (PROMs).

Methods: Patients with AAA were recruited from five National Health Service Trusts to complete the
three new PROMs: the AneurysmDQoL, AneurysmSRQ and AneurysmTSQ. Patients were either under
surveillance or had undergone AAA repair (open or endovascular) during the preceding 24 months. Data
were initially collected as part of a study assessing the psychometric properties of the new measures,
before being used in the observational analysis of outcomes presented here.

Results: Results, although largely non-significant, showed interesting trends. The impact of AAA repair
on QoL appeared to worsen progressively after open repair (OR) and improve progressively after
endovascular aneurysm repair (EVAR). Conversely, symptoms seemed to become progressively worse
after EVAR and progressively better after OR. Information and understanding were key sources of
dissatisfaction before the intervention, whereas postoperative dissatisfaction was related to bother from
symptoms, follow-up and feedback about scan results.

Conclusion: Although a larger, prospective data set is necessary to explore outcomes more fully with
the new AAA-specific PROMs, the observational data presented here suggest there may be clinically
important differences in the symptoms, impact on QoL and treatment satisfaction associated with OR
and EVAR.

Paper accepted 2 March 2016
Published online inWiley Online Library (www.bjs.co.uk). DOI: 10.1002/bjs.10182