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Leila Mureebe, MD, MPH, RPVI, FACS

Associate Professor of Surgery

 
What is your specific area of interest in health services?
Decision-making in vascular surgery
 
What is an example of your best work in health services research?
The Screening Abdominal Aortic Aneurysms Very Efficiently (SAAAVE) Act was implemented on January 1, 2007. The SAAAVE Act was provided for a one-time abdominal aortic aneurysm (AAA) screening as part of the "Welcome to Medicare" exam for men with a history of smoking or anyone with a family history of AAA. We hypothesize that the SAAAVE Act has identified more aneurysms, leading to fewer emergent aneurysm repairs over the study period. However, our analysis showed that the SAAAVE Act has yet to affect the number of patients presenting with rupture. There has been concern that small aneurysms identified early will undergo unnecessary repair; however, an increase in endovascular aneurism repair (EVAR) has not occurred. Screening targets need to be reassessed or made more widely available for the SAAAVE Act to have the desired impact. 
 
In your opinion, what is an important health services research question that needs to be answered in the field of vascular surgery?
When and what type of intervention, if any, is of meaningful benefit to patients with claudication. 
 
Fun fact about Dr. Mureebe! 
She is a licensed US Merchant Mariner—USCG Captain 50 Ton Inland Master