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Can Patients Select the Best Hospital for Carotid Revascularization?
1Department of Neurology and Stroke Program, University of Miami Miller School of Medicine, Miami, FL, USA.
Insights
Public reporting of carotid surgery outcomes is lacking in the USA. Patient data on carotid endarterectomy and stenting complications is insufficient, hindering informed decision-making for revascularization procedures.
Area of Science:
- Vascular Surgery
- Health Services Research
- Patient Outcomes
Background:
- Public reporting of cardiac surgery outcomes is established in the USA.
- Availability of public data on carotid endarterectomy and stenting outcomes remains unexamined.
Purpose of the Study:
- To assess the availability of public outcome data for carotid endarterectomy and stenting in the USA.
- To evaluate the transparency of information for patients undergoing carotid revascularization.
Main Methods:
- Analysis of the Medicare Hospital Compare website.
- Examination of data for carotid endarterectomy and stenting volume and complications.
Main Results:
- Carotid endarterectomy volume data was reported by less than half of hospitals in a major metropolitan area.
- No data on morbidity or mortality for endarterectomy was available.
- No public information was found regarding carotid stenting outcomes.
Conclusions:
- The quality of publicly available information for carotid revascularization procedures in the USA is inadequate.
- Increased transparency regarding outcomes for these common procedures is necessary.
- Consideration should be given to adopting reporting practices similar to those in the UK.
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.
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