Why the study?
What factors influence the decision of Canadian physicians to recommend carotid endarterectomy?
What factors influence the decision of Canadian physicians to recommend carotid endarterectomy?
Canadian physicians across multiple specialties demonstrate consistent knowledge of randomized clinical trial results when deciding to recommend carotid endarterectomy, prioritizing degree of stenosis.
Supports uniform CEA decision-making across specialties; leaves open effects on patient selection and outcomes.
Various interpretations of the indications for carotid endarterectomy exist. Physician knowledge as it relates to the decision to proceed or recommend carotid endarterectomy was investigated, using disaggregate discrete choice analysis. Canadian neurologists, neurosurgeons, vascular surgeons, and internists were surveyed. The degree of stenosis was most important, followed by symptoms, comorbid illness, and arterial imaging modality. No differences existed by specialty. Canadian physicians in four specialties are knowledgeable about results of randomized clinical trials for carotid endarterectomy.
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Hill et al. (2004) studied this question.
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