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Related Experiment Videos

Carotid endarterectomy: are we under-performing?

A H Davies1, Y G Wilson, P M Lamont

  • 1Department of Vascular Studies, Bristol Royal Infirmary, UK.

Cardiovascular Surgery (London, England)
|December 1, 1995
PubMed
Summary

Carotid endarterectomy rates in the South Western region are significantly lower than the estimated 600 annual operations needed. This under-performance in carotid surgery may stem from limited awareness of its benefits.

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Area of Science:

  • Vascular Surgery
  • Public Health

Background:

  • Carotid endarterectomy is a crucial procedure for stroke prevention.
  • The South Western region has specific targets for carotid endarterectomy procedures.

Purpose of the Study:

  • To audit the number of carotid endarterectomies performed in the South Western region over a four-year period.
  • To compare the actual number of procedures with the estimated annual requirement.

Main Methods:

  • Retrospective audit of surgical case numbers.
  • Data collected for the years 1990, 1991, 1992, and 1993.

Main Results:

  • The number of carotid endarterectomies performed were 126 (1990), 165 (1991), 165 (1992), and 164 (1993).
  • This represents a significant shortfall compared to the estimated 600 operations per annum required for the region.

Conclusions:

  • There is a substantial under-performance in carotid endarterectomy rates in the South Western region.
  • This may indicate a deficit in healthcare provider and/or patient knowledge regarding the benefits of carotid endarterectomy for stroke prevention.

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