An epidemiological needs assessment of carotid endarterectomy in an English health region. Is the need being met?

BMJ

Volumn 317, Issue 7156, 1998, Pages 447-451

  Ferris, G ^a   Roderick, P ^a   Smithies, A ^a   George, S ^a   Gabbay, J ^a   Couper, N ^a   Chant, A ^b  

^a UNIVERSITY OF SOUTHAMPTON   (United Kingdom)

^b Department of Haematology   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BIOSTATISTICS; CAROTID ARTERY OBSTRUCTION; CAROTID ENDARTERECTOMY; FEMALE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE NEED; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; MALE; PATIENT REFERRAL; PRACTICE GUIDELINE; PRIORITY JOURNAL; STROKE; SURGEON; TRANSIENT ISCHEMIC ATTACK; UNITED KINGDOM;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CAROTID STENOSIS; CEREBROVASCULAR DISORDERS; CHILD; CHILD, PRESCHOOL; ENDARTERECTOMY, CAROTID; ENGLAND; FEMALE; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INFANT; INFANT, NEWBORN; ISCHEMIC ATTACK, TRANSIENT; MALE; MIDDLE AGED;

EID: 0032529254     PISSN: 09598138     EISSN: 14685833     Source Type: Journal    
DOI: 10.1136/bmj.317.7156.447     Document Type: Article

References (21)

1. Secretary of State for Health The health of the nation: A consultative document. London: HMSO, 1991(Cm 1523.)
2. Wade DT. Stroke (acute cerebrovascular disease). In: Stevens A, Raftery J, eds. Health care needs assessment., Vol 1 Oxford: Radcliffe Medical Press, 1994: 111–255.
3. Lambert M. Should carotid endarterectomy be purchased? Purchasers need a broader perspective BMJ 1995; 310: 317–8.
4. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high grade carotid stenosis. N Engl J Med 1991; 325: 445–453
5. European Carotid Surgery Trialists Collaborative Group. MRC European carotid surgery trial: interim results for symptomatic patients with severe (70-90%) or with mild (0-29%) carotid stenosis. Lancet 1991; 337: 1235–1243
6. Brown MM, Humphrey PRD. Carotid endarterectomy: recommendations for management of transient ischaemic attack and ischaemic stroke. BMJ 1992; 305: 1071–1074
7. Dennis M, Warlow C. Strategy for stroke. BMJ 1991; 303: 636–638
8. Tabular list of the classification of surgical operations and procedures. 4th revision. London: Office of Population Censuses and Surveys, 1991.
9. Rothman KJ Modern epidemiology. Boston, Toronto: Little, Brown, 1986.
10. Dennis MS, Bamford JM, Sandercock PAG, Warlow CP. Incidence of transient ischaemic attacks in Oxfordshire, England. Stroke 1989; 20: 333–339
11. Bamford J, Sandercock P, Dennis M, Warlow C, Jones L, McPherson K, et al. A prospective study of acute cerebrovascular disease in the community: the Oxfordshire Community Stroke Project 1981-86. 1. Methodology, demography and incident cases of first-ever stroke. J Neurol Neurosurg Psych 1988; 51: 1373–1380
12. Department of Health, Institute of Public Health University of Surrey Public health common dataset 1993 England., Vol 2 London: HMSO, 1994.
13. Hankey GJ. Impact of treatment of people with transient ischaemic attacks on stroke incidence and public health. Cerebrovasc Dis 1996; 6(suppl 1): 26–33
14. Hankey GJ, Warlow CP. Symptomatic carotid ischaemic events: safest and most cost effective way of selecting patients for angiography, before carotid endarterectomy. BMJ 1990; 300: 1485–1491
15. Hankey GJ, Slattery JM, Warlow CJ. The prognosis of hospital-referred transient ischaemic attacks. J Neurol Neurosurg Psych 1991; 54: 793–802
16. Clayton D, Hills M Statistical models in epidemiology Oxford: Oxford University Press, 1995.
17. Smithies A, Ferris G, Roderick P, Couper N, George S, Chant A, et al Review of carotid endarterectomy in Wessex. Southampton: Wessex Institute for Health Research and Development, University of Southampton, 1997.
18. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis JAMA 1995; 346: 209–222
19. Halliday AW. The asymptomatic carotid surgery trial (ACST) rationale and design Eur J Vasc Surg 1994; 8: 703–710
20. Sanderson CFB, Hunter DJW, Mckee CM, Black NA. Limitations of epidemiology based needs assessment: the case of prostatectomy Med Care 1997; 35: 669–685
21. Petticrew M, McKee M, Jones J. Coronary artery surgery: are women discriminated against? BMJ 1993; 306: 1164–1166