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May 16, 1986JAMA

Changing Patterns in the Practice of Carotid Endarterectomy in a Large Metropolitan Area

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Why the study?

Did the morbidity and mortality of carotid endarterectomy improve between 1980 and 1983-1984?

Population

1,181 patients undergoing carotid endarterectomy in the greater Cincinnati area. 50% had asymptomatic…

Comparison

Carotid endarterectomy performed between July… vs Carotid endarterectomy performed in 1980

Design

Cohort

Follow-up

perioperative

Authors

TBThomas G. BrottVascular Medicine

Discussion

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Overview

Perioperative risks declined yet exceeded the 3% threshold for asymptomatic carotid endarterectomy; leaves open whether modern outcomes now meet benchmarks.

Structured PICO

Did the morbidity and mortality of carotid endarterectomy improve between 1980 and 1983-1984?

P
Population
1,181 patients undergoing carotid endarterectomy in the greater Cincinnati area (431 in 1980, 750 from July 1983 through June 1984). 50% had asymptomatic carotid artery disease.
I
Intervention
Carotid endarterectomy performed between July 1983 and June 1984
C
Comparator
Carotid endarterectomy performed in 1980
O
Outcome
Perioperative stroke rate, operative mortality, and combined stroke or death ratehard clinical

While perioperative morbidity and mortality for carotid endarterectomy declined between 1980 and 1984, the complication rates for asymptomatic patients remained higher than the recommended acceptable threshold.

Cite This Study

Thomas G. Brott (1986) studied this question.

synapsesocial.com/papers/6a70d9565671bbf00bc2c8e2https://doi.org/10.1001/jama.1986.03370190093030
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Also Consider

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  1. 1Cerebral Protection in Carotid Surgery1982 · 139 citations
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  3. 3The decline of stroke.1984 · 186 citations
  4. 4"AICLA" controlled trial of aspirin and dipyridamole in the secondary prevention of athero-thrombotic cerebral ischemia.1983 · 612 citations
  5. 5Fundamentals of Biostatistics.1969 · 4,603 citations