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Cost-effective carotid endarterectomy in community practice

B F Gibbs1, V J Guzzetta, D Furmanski

  • 1Sharp Hospital System, San Diego, Calif., USA.

Annals of Vascular Surgery
|September 1, 1995
PubMed

Insights

Hospital charges for carotid endarterectomy vary widely among surgeons. Cost-effective approaches can achieve similar or better patient outcomes, highlighting the need for developing efficient clinical pathways.

Area of Science:

  • Vascular Surgery
  • Health Economics
  • Healthcare Management

Background:

  • Carotid endarterectomy is a common surgical procedure.
  • Hospital charges for this procedure can be influenced by multiple factors.
  • Variability in cost necessitates an examination of surgeon-specific practices.

Purpose of the Study:

  • To compare hospital charges for carotid endarterectomy on a surgeon-specific basis.
  • To identify factors contributing to cost variations.
  • To correlate cost-effectiveness with surgical outcomes.

Main Methods:

  • Analysis of length of stay and average hospital charges for 18 surgeons.
  • Review of 344 carotid endarterectomies performed across three hospitals.
  • Evaluation of outcome data alongside financial metrics.

Main Results:

  • Significant variation in hospital charges was observed among different surgeons.
  • Surgeons employing cost-effective strategies achieved comparable or superior patient outcomes.
  • Cost-effectiveness did not compromise the quality of surgical results.

Conclusions:

  • Surgeon practices significantly impact the cost of carotid endarterectomy.
  • Development of cost-effective clinical pathways is crucial in managed care.
  • Carotid endarterectomy can be performed at a lower cost without sacrificing quality through guideline adherence.

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