Physician specialty and variation in carotid revascularization technique selected for Medicare patients
作者: Jessica B. WallaertBrian W. NolanDavid H. StoneRichard J. PowellJeremiah R. BrownJack L. CronenwettPhilip P. Goodney
作者单位: 1Division of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH
2Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH
刊名: Journal of Vascular Surgery, 2016, Vol.63 (1), pp.89-97
来源数据库: Elsevier Journal
DOI: 10.1016/j.jvs.2015.08.068
英文摘要: Objective(#br)Carotid artery stenting (CAS) has become an alternative to carotid endarterectomy (CEA) for select patients with carotid atherosclerosis. We hypothesized that the choice of CAS vs CEA varies as a function of treating physician specialty, which would result in regional variation in the relative use of these treatment types.(#br)Methods(#br)We used Medicare claims (2002-2010) to calculate annual rates of CAS and CEA and examined changes by procedure type over time. To assess regional preferences surrounding CAS, we calculated the proportion of revascularizations by CAS, across hospital referral regions, defined according to the Dartmouth Atlas of Healthcare . We then examined relationships between patient factors, physician specialty, and regional use of...
全文获取路径: Elsevier  (合作)
影响因子:2.879 (2012)

  • carotid 颈动脉
  • specialty 盖印合同
  • variation 变异
  • selected 被选
  • technique 技术