Can Patients Select the Best Hospital for Carotid Revascularization?

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Public reporting of cardiac surgery outcomes has been available for many years in the USA. Whether public information regarding carotid endarterectomy or stenting outcomes is available has not been studied previously. Methods: The Medicare Hospital Compare website was analyzed for carotid endarterectomy and stenting volume and complications data. Results: Within a large metropolitan area, endarterectomy volume data was provided in less than half of hospitals, with no information provided on morbidity or mortality. No information was available on carotid stenting. Conclusions: The quality of information available to patients in the USA contemplating a carotid revascularization procedure is suboptimal. Considering the volume of these procedures, greater transparency with regard to outcomes is desirable. Adoption of carotid procedure reporting practices as used in the UK should be considered.

Original languageEnglish (US)
JournalEuropean Journal of Vascular and Endovascular Surgery
DOIs
StateAccepted/In press - Jun 4 2015

Fingerprint

Carotid Endarterectomy
Endarterectomy
Medicare
Thoracic Surgery
Morbidity
Mortality

Keywords

  • Carotid endarterectomy
  • Carotid stenting
  • Public reporting of quality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

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title = "Can Patients Select the Best Hospital for Carotid Revascularization?",
abstract = "Background: Public reporting of cardiac surgery outcomes has been available for many years in the USA. Whether public information regarding carotid endarterectomy or stenting outcomes is available has not been studied previously. Methods: The Medicare Hospital Compare website was analyzed for carotid endarterectomy and stenting volume and complications data. Results: Within a large metropolitan area, endarterectomy volume data was provided in less than half of hospitals, with no information provided on morbidity or mortality. No information was available on carotid stenting. Conclusions: The quality of information available to patients in the USA contemplating a carotid revascularization procedure is suboptimal. Considering the volume of these procedures, greater transparency with regard to outcomes is desirable. Adoption of carotid procedure reporting practices as used in the UK should be considered.",
keywords = "Carotid endarterectomy, Carotid stenting, Public reporting of quality",
author = "Seemant Chaturvedi and I. Loftus",
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AU - Chaturvedi, Seemant

AU - Loftus, I.

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N2 - Background: Public reporting of cardiac surgery outcomes has been available for many years in the USA. Whether public information regarding carotid endarterectomy or stenting outcomes is available has not been studied previously. Methods: The Medicare Hospital Compare website was analyzed for carotid endarterectomy and stenting volume and complications data. Results: Within a large metropolitan area, endarterectomy volume data was provided in less than half of hospitals, with no information provided on morbidity or mortality. No information was available on carotid stenting. Conclusions: The quality of information available to patients in the USA contemplating a carotid revascularization procedure is suboptimal. Considering the volume of these procedures, greater transparency with regard to outcomes is desirable. Adoption of carotid procedure reporting practices as used in the UK should be considered.

AB - Background: Public reporting of cardiac surgery outcomes has been available for many years in the USA. Whether public information regarding carotid endarterectomy or stenting outcomes is available has not been studied previously. Methods: The Medicare Hospital Compare website was analyzed for carotid endarterectomy and stenting volume and complications data. Results: Within a large metropolitan area, endarterectomy volume data was provided in less than half of hospitals, with no information provided on morbidity or mortality. No information was available on carotid stenting. Conclusions: The quality of information available to patients in the USA contemplating a carotid revascularization procedure is suboptimal. Considering the volume of these procedures, greater transparency with regard to outcomes is desirable. Adoption of carotid procedure reporting practices as used in the UK should be considered.

KW - Carotid endarterectomy

KW - Carotid stenting

KW - Public reporting of quality

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