Treatment for aortic valve disease has changed greatly over the last several years. Now, many patients are eligible to have a surgical aortic valve replacement (SAVR) or a transcatheter aortic valve replacement (TAVR), but the risks for each procedure are different. The Aortic Valve ADVICE Risk Calculator was created to help patients (like you) better understand the risks associated with SAVR versus TAVR in order to have an informed discussion with your physician and health care team about which treatment option is right for you. The Calculator was developed by a team of patients who have experienced severe aortic valve disease, caregivers, clinicians, and researchers.
The Development of the Risk Calculator:
This Aortic Valve ADVICE Risk Calculator uses information from three national databases:
- Society of Thoracic Surgeons (STS)
- Transcatheter Valve Therapy (TVT) Registry
- Centers for Medicare & Medicaid Services (CMS)
The STS database includes patients who have had SAVR and captures immediate post-operative outcomes. The TVT Registry database includes patients who have had TAVR and captures immediate post-operative outcomes. The CMS database includes patients who have had both SAVR and TAVR and captures health care information for up to one year post-treatment.
In order to compare outcomes between patients who received SAVR and TAVR, patients must have a similar medical history. Each patient who received SAVR was “matched” to a similar patient who received TAVR. Unfortunately, some patients have a medical history that could not be “matched” to a similar patient and thus the Calculator can only predict risk for certain patients.
Funding: This project was funded by the Patient-Centered Outcomes Research Institute (PCORI), which is a nonprofit nongovernmental organization focused on helping patients make informed decisions about their health care. Learn more about PCORI.