Institutional differences in carotid artery duplex diagnostic criteria result in significant variability in classification of carotid artery stenoses and likely lead to disparities in care.
Identifieur interne : 002762 ( Main/Merge ); précédent : 002761; suivant : 002763Institutional differences in carotid artery duplex diagnostic criteria result in significant variability in classification of carotid artery stenoses and likely lead to disparities in care.
Auteurs : Edward J. Arous ; Donald T. Baril ; William P. Robinson ; Francesco A. Aiello ; Nathanael D. Hevelone ; Elias J. Arous ; Louis M. Messina ; Andres SchanzerSource :
- Circulation. Cardiovascular quality and outcomes [ 1941-7705 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Artères carotides (imagerie diagnostique), Coûts des soins de santé, Disparités d'accès aux soins, Femelle, Humains, Mâle, Nouvelle-Angleterre, Revascularisation myocardique, Sténose carotidienne (), Sténose carotidienne (diagnostic), Sténose carotidienne (économie), Sujet âgé, Sujet âgé de 80 ans ou plus, Sélection de patients, Échographie-doppler duplex, Évolution de la maladie.
- MESH :
- diagnostic : Sténose carotidienne.
- imagerie diagnostique : Artères carotides.
- économie : Sténose carotidienne.
- Adulte d'âge moyen, Coûts des soins de santé, Disparités d'accès aux soins, Femelle, Humains, Mâle, Nouvelle-Angleterre, Revascularisation myocardique, Sténose carotidienne, Sujet âgé, Sujet âgé de 80 ans ou plus, Sélection de patients, Échographie-doppler duplex, Évolution de la maladie.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Carotid Arteries (diagnostic imaging), Carotid Stenosis (diagnosis), Carotid Stenosis (economics), Carotid Stenosis (surgery), Disease Progression, Female, Health Care Costs, Healthcare Disparities, Humans, Male, Middle Aged, Myocardial Revascularization, New England, Patient Selection, Ultrasonography, Doppler, Duplex.
- MESH :
- diagnosis : Carotid Stenosis.
- diagnostic imaging : Carotid Arteries.
- economics : Carotid Stenosis.
- surgery : Carotid Stenosis.
- Aged, Aged, 80 and over, Disease Progression, Female, Health Care Costs, Healthcare Disparities, Humans, Male, Middle Aged, Myocardial Revascularization, New England, Patient Selection, Ultrasonography, Doppler, Duplex.
Abstract
The indications for carotid revascularization are based almost exclusively on the results of carotid duplex ultrasonography. Noninvasive vascular laboratories show large variation in the diagnostic criteria used to classify degree of carotid artery stenosis. We hypothesize that variability of these diagnostic criteria causes significant variation in stenosis classification directly affecting the number of revascularizations and associated costs.
DOI: 10.1161/CIRCOUTCOMES.113.000855
PubMed: 24737405
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pubmed:24737405Le document en format XML
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Baril</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Robinson, William P" sort="Robinson, William P" uniqKey="Robinson W" first="William P" last="Robinson">William P. Robinson</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. 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Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Messina, Louis M" sort="Messina, Louis M" uniqKey="Messina L" first="Louis M" last="Messina">Louis M. Messina</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Schanzer, Andres" sort="Schanzer, Andres" uniqKey="Schanzer A" first="Andres" last="Schanzer">Andres Schanzer</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.). andres.schanzer@umassmemorial.org.</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24737405</idno><idno type="pmid">24737405</idno><idno type="doi">10.1161/CIRCOUTCOMES.113.000855</idno><idno type="wicri:Area/PubMed/Corpus">002D62</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002D62</idno><idno type="wicri:Area/PubMed/Curation">002D43</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002D43</idno><idno type="wicri:Area/PubMed/Checkpoint">002D43</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002D43</idno><idno type="wicri:Area/Ncbi/Merge">001B47</idno><idno type="wicri:Area/Ncbi/Curation">001B47</idno><idno type="wicri:Area/Ncbi/Checkpoint">001B47</idno><idno type="wicri:Area/Main/Merge">002762</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Institutional differences in carotid artery duplex diagnostic criteria result in significant variability in classification of carotid artery stenoses and likely lead to disparities in care.</title><author><name sortKey="Arous, Edward J" sort="Arous, Edward J" uniqKey="Arous E" first="Edward J" last="Arous">Edward J. Arous</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Baril, Donald T" sort="Baril, Donald T" uniqKey="Baril D" first="Donald T" last="Baril">Donald T. Baril</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Robinson, William P" sort="Robinson, William P" uniqKey="Robinson W" first="William P" last="Robinson">William P. Robinson</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Aiello, Francesco A" sort="Aiello, Francesco A" uniqKey="Aiello F" first="Francesco A" last="Aiello">Francesco A. Aiello</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Hevelone, Nathanael D" sort="Hevelone, Nathanael D" uniqKey="Hevelone N" first="Nathanael D" last="Hevelone">Nathanael D. Hevelone</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Arous, Elias J" sort="Arous, Elias J" uniqKey="Arous E" first="Elias J" last="Arous">Elias J. Arous</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Messina, Louis M" sort="Messina, Louis M" uniqKey="Messina L" first="Louis M" last="Messina">Louis M. Messina</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.).</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author><author><name sortKey="Schanzer, Andres" sort="Schanzer, Andres" uniqKey="Schanzer A" first="Andres" last="Schanzer">Andres Schanzer</name><affiliation><nlm:affiliation>From the Department of Surgery, University of Massachusetts Medical School, Worcester, MA (Edward J. Arous, W.P.R., F.A.A., Elias J. Arous, L.M.M., A.S.); Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA (D.T.B.); and Department of Surgery, Brigham and Women's Hospital, Boston, MA (N.D.H.). andres.schanzer@umassmemorial.org.</nlm:affiliation><wicri:noCountry code="subField">MA (N.D.H.).</wicri:noCountry></affiliation></author></analytic><series><title level="j">Circulation. Cardiovascular quality and outcomes</title><idno type="eISSN">1941-7705</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Carotid Arteries (diagnostic imaging)</term><term>Carotid Stenosis (diagnosis)</term><term>Carotid Stenosis (economics)</term><term>Carotid Stenosis (surgery)</term><term>Disease Progression</term><term>Female</term><term>Health Care Costs</term><term>Healthcare Disparities</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Myocardial Revascularization</term><term>New England</term><term>Patient Selection</term><term>Ultrasonography, Doppler, Duplex</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Artères carotides (imagerie diagnostique)</term><term>Coûts des soins de santé</term><term>Disparités d'accès aux soins</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nouvelle-Angleterre</term><term>Revascularisation myocardique</term><term>Sténose carotidienne ()</term><term>Sténose carotidienne (diagnostic)</term><term>Sténose carotidienne (économie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Sélection de patients</term><term>Échographie-doppler duplex</term><term>Évolution de la maladie</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Carotid Stenosis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Sténose carotidienne</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Carotid Arteries</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Carotid Stenosis</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Artères carotides</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carotid Stenosis</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Sténose carotidienne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Disease Progression</term><term>Female</term><term>Health Care Costs</term><term>Healthcare Disparities</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Myocardial Revascularization</term><term>New England</term><term>Patient Selection</term><term>Ultrasonography, Doppler, Duplex</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Coûts des soins de santé</term><term>Disparités d'accès aux soins</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nouvelle-Angleterre</term><term>Revascularisation myocardique</term><term>Sténose carotidienne</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Sélection de patients</term><term>Échographie-doppler duplex</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The indications for carotid revascularization are based almost exclusively on the results of carotid duplex ultrasonography. Noninvasive vascular laboratories show large variation in the diagnostic criteria used to classify degree of carotid artery stenosis. We hypothesize that variability of these diagnostic criteria causes significant variation in stenosis classification directly affecting the number of revascularizations and associated costs.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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