Provincial Carotid Endarterectomy Outcomes
Background: Outcomes must be measured as a first step toward improving performance. We sought to measure the national and provincial outcomes from carotid endarterectomy (CE) and explain provincial differences. Methods: We analyzed a large Canada-wide administrative hospital discharge database of al...
Published in: | Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques |
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Language: | English |
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Cambridge University Press (CUP)
2002
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Online Access: | http://dx.doi.org/10.1017/s0317167100002195 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0317167100002195 |
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crcambridgeupr:10.1017/s0317167100002195 2024-03-03T08:46:44+00:00 Provincial Carotid Endarterectomy Outcomes Feasby, Thomas E. Quan, Hude Ghali, William A. 2002 http://dx.doi.org/10.1017/s0317167100002195 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0317167100002195 en eng Cambridge University Press (CUP) https://www.cambridge.org/core/terms Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques volume 29, issue 4, page 333-336 ISSN 0317-1671 2057-0155 Neurology (clinical) Neurology General Medicine journal-article 2002 crcambridgeupr https://doi.org/10.1017/s0317167100002195 2024-02-08T08:38:40Z Background: Outcomes must be measured as a first step toward improving performance. We sought to measure the national and provincial outcomes from carotid endarterectomy (CE) and explain provincial differences. Methods: We analyzed a large Canada-wide administrative hospital discharge database of all patients, except those in Québec, receiving CE in 1994-1997 and used logistic regression for risk adjustment to measure adverse outcomes nationally and by province. Our main outcome measures were in-hospital stroke and/or death. Results: A total of 14,268 patients underwent CE in the years 1994-1997. The overall death rate was 1.3% and the combined stroke and/or death rate was 4.1%. There was a trend towards improvement over the four years. The provinces of Saskatchewan and Newfoundland had significantly higher adverse event rates for the risk-adjusted combined outcome measure. Conclusion: The outcome of CE in Canada is good and showed improvement over four years. However, significant differences in provincial outcomes were found. This suggests that regionalization across provincial boundaries may be needed to promote higher surgeon and hospital case volumes and thus improve outcomes. Article in Journal/Newspaper Newfoundland Cambridge University Press Canada Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 29 4 333 336 |
institution |
Open Polar |
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Cambridge University Press |
op_collection_id |
crcambridgeupr |
language |
English |
topic |
Neurology (clinical) Neurology General Medicine |
spellingShingle |
Neurology (clinical) Neurology General Medicine Feasby, Thomas E. Quan, Hude Ghali, William A. Provincial Carotid Endarterectomy Outcomes |
topic_facet |
Neurology (clinical) Neurology General Medicine |
description |
Background: Outcomes must be measured as a first step toward improving performance. We sought to measure the national and provincial outcomes from carotid endarterectomy (CE) and explain provincial differences. Methods: We analyzed a large Canada-wide administrative hospital discharge database of all patients, except those in Québec, receiving CE in 1994-1997 and used logistic regression for risk adjustment to measure adverse outcomes nationally and by province. Our main outcome measures were in-hospital stroke and/or death. Results: A total of 14,268 patients underwent CE in the years 1994-1997. The overall death rate was 1.3% and the combined stroke and/or death rate was 4.1%. There was a trend towards improvement over the four years. The provinces of Saskatchewan and Newfoundland had significantly higher adverse event rates for the risk-adjusted combined outcome measure. Conclusion: The outcome of CE in Canada is good and showed improvement over four years. However, significant differences in provincial outcomes were found. This suggests that regionalization across provincial boundaries may be needed to promote higher surgeon and hospital case volumes and thus improve outcomes. |
format |
Article in Journal/Newspaper |
author |
Feasby, Thomas E. Quan, Hude Ghali, William A. |
author_facet |
Feasby, Thomas E. Quan, Hude Ghali, William A. |
author_sort |
Feasby, Thomas E. |
title |
Provincial Carotid Endarterectomy Outcomes |
title_short |
Provincial Carotid Endarterectomy Outcomes |
title_full |
Provincial Carotid Endarterectomy Outcomes |
title_fullStr |
Provincial Carotid Endarterectomy Outcomes |
title_full_unstemmed |
Provincial Carotid Endarterectomy Outcomes |
title_sort |
provincial carotid endarterectomy outcomes |
publisher |
Cambridge University Press (CUP) |
publishDate |
2002 |
url |
http://dx.doi.org/10.1017/s0317167100002195 https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0317167100002195 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques volume 29, issue 4, page 333-336 ISSN 0317-1671 2057-0155 |
op_rights |
https://www.cambridge.org/core/terms |
op_doi |
https://doi.org/10.1017/s0317167100002195 |
container_title |
Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques |
container_volume |
29 |
container_issue |
4 |
container_start_page |
333 |
op_container_end_page |
336 |
_version_ |
1792502783499304960 |