Carotid artery stenting: Impact of practitioner specialty and volume on outcomes and resource utilization

Journal of Vascular Surgery

Volumn 49, Issue 5, 2009, Pages 1166-1171

  Vogel, Todd R ^a   Dombrovskiy, Viktor Y ^a   Haser, Paul B ^a   Graham, Alan M ^a  

^a UNIVERSITY OF MEDICINE AND DENTISTRY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CARDIOLOGIST; CAROTID ARTERY DISEASE; CAROTID STENT; CONTROLLED STUDY; DATA ANALYSIS; EVALUATION; HEALTH CARE UTILIZATION; HEART DISEASE; HOSPITAL ADMISSION; HOSPITAL COST; HUMAN; INTENSIVE CARE UNIT; INTERVENTIONAL CARDIOVASCULAR PROCEDURE; KIDNEY DISEASE; LENGTH OF STAY; LUNG COMPLICATION; MAJOR CLINICAL STUDY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RADIOLOGIST; STENT; STROKE; SURGEON; TREATMENT OUTCOME;

ANGIOPLASTY; CARDIOLOGY; CAROTID ARTERY DISEASES; CLINICAL COMPETENCE; COST SAVINGS; COST-BENEFIT ANALYSIS; DATABASES AS TOPIC; HEART DISEASES; HOSPITAL COSTS; HUMANS; INTENSIVE CARE; KIDNEY DISEASES; LENGTH OF STAY; NEW JERSEY; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PHYSICIAN'S PRACTICE PATTERNS; RADIOLOGY, INTERVENTIONAL; SPECIALTIES, MEDICAL; STENTS; STROKE; TIME FACTORS; TREATMENT OUTCOME; VASCULAR SURGICAL PROCEDURES;

EID: 64949134050     PISSN: 07415214     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jvs.2008.12.006     Document Type: Article

References (30)

1. Rosenthal R., von Kanel O., Eugster T., Stierli P., and Gurke L. Does specialization improve outcome in abdominal aortic aneurysm surgery?. Vascular 13 (2005) 107-113
2. Kravitz R.L., and Greenfield S. Variations in resource utilization among medical specialties and systems of care. Annu Rev Public Health 16 (1995) 431-445
3. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 325 (1991) 445-453
4. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet 351 (1998) 1379-1387
5. Barnett H.J., Taylor D.W., Eliasziw M., Fox A.J., Ferguson G.G., Haynes R.B., et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med 339 (1998) 1415-1425
6. Pearce W.H., Parker M.A., Feinglass J., Ujiki M., and Manheim L.M. The importance of surgeon volume and training in outcomes for vascular surgical procedures. J Vasc Surg 29 (1999) 768-776 discussion 777-68
7. Ringleb P.A., Allenberg J., Bruckmann H., Eckstein H.H., Fraedrich G., Hartmann M., et al. 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet 368 (2006) 1239-1247
8. Gray W.A., Hopkins L.N., Yadav S., Davis T., Wholey M., Atkinson R., et al. Protected carotid stenting in high-surgical-risk patients: the ARCHeR results. J Vasc Surg 44 (2006) 258-268
9. Gray W.A., Yadav J.S., Verta P., Scicli A., Fairman R., Wholey M., et al. The CAPTURE registry: predictors of outcomes in carotid artery stenting with embolic protection for high surgical risk patients in the early post-approval setting. Catheter Cardiovasc Interv 70 (2007) 1025-1033
10. Gray W.A. A cardiologist in the carotids. J Am Coll Cardiol 43 (2004) 1602-1605
11. Healthcare Cost and Utilization Project (HCUP). Overview of state inpatient databases (SID). Rockville, MD: Agency for Healthcare Research and Quality. www.hcup-us.ahrq.gov/sidoverview.jsp Accessed: Mar 15, 2008
12. Steiner C., Elixhauser A., and Schnaier J. The healthcare cost and utilization project: an overview. Eff Clin Pract 5 (2002) 143-151
13. Elixhauser A., Pancholi M., and Clancy C.M. Using the AHRQ quality indicators to improve health care quality. Jt Comm J Qual Patient Saf 31 (2005) 533-538
14. Elixhauser A., Steiner C., Harris D.R., and Coffey R.M. Comorbidity measures for use with administrative data. Med Care 36 (1998) 8-27
15. Li B., Evans D., Faris P., Dean S., and Quan H. Risk adjustment performance of Charlson and Elixhauser comorbidities in ICD-9 and ICD-10 administrative databases. BMC Health Serv Res 8 (2008) 12
16. Healthcare Cost and Utilization Project (HCUP). Comorbidity software, version 3.3. http://www.hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp Accessed: Jul 17, 2008
17. Hobson II R.W., Howard V.J., Roubin G.S., Ferguson R.D., Brott T.G., Howard G., et al. Credentialing of surgeons as interventionalists for carotid artery stenting: experience from the lead-in phase of CREST. J Vasc Surg 40 (2004) 952-957
18. Cowan Jr. J.A., Dimick J.B., Thompson B.G., Stanley J.C., and Upchurch Jr. G.R. Surgeon volume as an indicator of outcomes after carotid endarterectomy: an effect independent of specialty practice and hospital volume. J Am Coll Surg 195 (2002) 814-821
19. Birkmeyer J.D., Finlayson E.V., and Birkmeyer C.M. Volume standards for high-risk surgical procedures: potential benefits of the Leapfrog initiative. Surgery 130 (2001) 415-422
20. Mas J.L., Chatellier G., Beyssen B., Branchereau A., Moulin T., Becquemin J.P., et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med 355 (2006) 1660-1671
21. Nazarian S.M., Yenokyan G., Thompson R.E., Griswold M.E., Chang D.C., and Perler B.A. Statistical modeling of the volume-outcome effect for carotid endarterectomy for 10 years of a statewide database. J Vasc Surg 48 (2008) 343-350 discussion 350
22. Greenfield S., Nelson E.C., Zubkoff M., Manning W., Rogers W., Kravitz R.L., et al. Variations in resource utilization among medical specialties and systems of care. Results from the medical outcomes study. JAMA 267 (1992) 1624-1630
23. Grumbach K., Selby J.V., Schmittdiel J.A., and Quesenberry Jr. C.P. Quality of primary care practice in a large HMO according to physician specialty. Health Serv Res 34 (1999) 485-502
24. Selby J.V., Grumbach K., Quesenberry Jr. C.P., Schmittdiel J.A., and Truman A.F. Differences in resource use and costs of primary care in a large HMO according to physician specialty. Health Serv Res 34 (1999) 503-518
25. Birkmeyer J.D., and Dimick J.B. Understanding and reducing variation in surgical mortality. Annu Rev Med 60 (2009) [e-pub ahead of print]
26. Theiss W., Hermanek P., Mathias K., Bruckmann H., Dembski J., Hoffmann F.J., et al. Sievert H. Predictors of death and stroke after carotid angioplasty and stenting: a subgroup analysis of the Pro-CAS data. Stroke 39 (2008) 2325-2330
27. Kilaru S., Korn P., Kasirajan K., Lee T.Y., Beavers F.P., Lyon R.T., et al. Is carotid angioplasty and stenting more cost effective than carotid endarterectomy?. J Vasc Surg 37 (2003) 331-339
28. Dimick J.B., Goodney P.P., Orringer M.B., and Birkmeyer J.D. Specialty training and mortality after esophageal cancer resection. Ann Thorac Surg 80 (2005) 282-286
29. Birkmeyer J.D., Stukel T.A., Siewers A.E., Goodney P.P., Wennberg D.E., and Lucas F.L. Surgeon volume and operative mortality in the United States. N Engl J Med 349 (2003) 2117-2127
30. Vogel T.R., Dombrovskiy V.Y., Haser P.B., and Graham A.M. Carotid Stenting and Endarterectomy in the United States: Age and Outcomes. J Vasc Surg (2008) December 4; [Epub ahead of print]