Slow rebalancing, not “seismic overnight change” in practice expected after NICE AAA guidelines

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Nick Cheshire (London, UK) interviews Andrew Bradbury (Birmingham, UK) for VEITHtv at VEITH 2019 (19–23 November, New York, USA) about the draft National Institute for Health and Care Excellence (NICE) guideline on abdominal aortic aneurysm (AAA) repair. This guideline has been in the centre of a storm since it was first made public, (largely due to the controversial recommendation around EVAR), and has since remained unpublished. Bradbury, who is chairman of the guideline committee, shares his hope that the guideline, which has been significantly worked on to incorporate feedback from the community, will be published in the new year.

Bradbury, says that NICE has “taken on board” feedback and that the committee has made changes in response to certain criticisms in order to bring the vascular fraternity on board, but adds that the “future direction of travel is towards open repair and away from endovascular repair”.

Bradbury explains that NICE has very strict procedures and that his job as chair does not mean he has greater powers over the output of the committee than any other members. He also reflects on some of the criticism he has received in his role and how he has personally dealt with it.

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