Key result
Carotid endarterectomy was substantially overused, with only 35% of procedures performed for appropriate reasons and 32% for inappropriate reasons, alongside a 9.8% major complication rate.
Why the study?
Is carotid endarterectomy performed for appropriate indications and what is the associated complication rate in Medicare patients?
Population
1,302 Medicare patients in three geographic areas who underwent carotid endarterectomy in 1981
Design
Cohort
Follow-up
30 days
Authors
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May warrant review of CEA indications in Medicare patients; leaves open whether updated criteria would reduce overuse and complications.
Observational (n=1,302)
Yes
Is carotid endarterectomy performed for appropriate indications and what is the associated complication rate in Medicare patients?
Carotid endarterectomy was substantially overused in the studied Medicare population, with nearly a third of procedures deemed inappropriate and a high major complication rate of 9.8%.
Winslow et al. (1988) conducted an observational in Carotid endarterectomy (n=1,302). Carotid endarterectomy was evaluated on Appropriateness of carotid endarterectomy. Carotid endarterectomy was substantially overused, with only 35% of procedures performed for appropriate reasons and 32% for inappropriate reasons, alongside a 9.8% major complication rate.
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