Variation in carotid endarterectomy mortality in the Medicare population: trial hospitals, volume, and patient characteristics.

@article{Wennberg1998VariationIC,
  title={Variation in carotid endarterectomy mortality in the Medicare population: trial hospitals, volume, and patient characteristics.},
  author={David E. Wennberg and Frances Leslie Lucas and John D. Birkmeyer and Carl E. Bredenberg and Elliott S. Fisher},
  journal={JAMA},
  year={1998},
  volume={279 16},
  pages={1278-81}
}
CONTEXT The North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the Asymptomatic Carotid Atherosclerosis Study (ACAS) demonstrated the efficacy of carotid endarterectomy (CEA) in reducing the risk of stroke and death in selected patients when surgery was performed in institutions whose participation depended on demonstrated excellence. Thirty-day mortality rates in the trials were very low: 0.6% in NASCET and 0.1% in ACAS. OBJECTIVE To assess perioperative mortality among… CONTINUE READING
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