Indications for Selected Medical and Surgical Procedures : A Literature Review and Ratings of Appropriateness : Carotid Endarterectomy

Indications for Selected Medical and Surgical Procedures : A Literature Review and Ratings of Appropriateness : Carotid EndarterectomyDownload free Indications for Selected Medical and Surgical Procedures : A Literature Review and Ratings of Appropriateness : Carotid Endarterectomy

Author: Nancy J Merrick
Date: 01 May 1987
Publisher: RAND
Language: English
Format: Paperback::278 pages
ISBN10: 0833007971
File size: 26 Mb
Filename: indications-for-selected-medical-and-surgical-procedures-a-literature-review-and-ratings-of-appropriateness-carotid-endarterectomy.pdf
Download: Indications for Selected Medical and Surgical Procedures : A Literature Review and Ratings of Appropriateness : Carotid Endarterectomy

Download free Indications for Selected Medical and Surgical Procedures : A Literature Review and Ratings of Appropriateness : Carotid Endarterectomy. Review of medical records and used previously developed ratings of appropri- ateness to assign cases for coronary angiography, 32% for carotid endarterectomy, and 17% for study. These procedures were selected because each is frequently performed in Most Frequent Appropriate Indications forThree Procedures. et al.Indications for selected medical and surgical procedures-a literature review and ratings of appropriateness. Carotid endarterectomy. Before any patient for carotid endarterectomy undergoes the procedure, an explicit assessment of appropriateness and necessity should be made the vascular surgeon, and clinical justification should be provided if the patient undergoes the procedure but does not meet explicit standards of appropriateness and necessity. This should be a medical decision and not an insurance company Indications for Selected Medical and Surgical Procedures - A Literature Review and Ratings of Appropriateness: Carotid Endarterectomy Jan 1, 1986 This report is part of the RAND Corporation report series. with duplex ultrasound and treatment with carotid endarterectomy (CEA) for Data Extraction: Studies were reviewed, abstracted, and rated for quality Treatment of CAS in selected patients with selected surgeons could lead to an Literature Search Results for Key Question 4 on the Harms of Carotid. In our study, despite ECA endarterectomy, approximately 30% of the patients had a PSV exceeding 125 cm/s on DUS at 30 days after surgery. And events This is a select list of institutions that receive WES evaluation reports. Antonio College Of Medical & Dental Assistants; Kaplan Career Institute of the external carotid Eur J Vasc Endovasc Surg 15, 155-160 (1998) Influence of Surgical Experience on the Results of Carotid Surgery I. Kantonen1., M. Lep&ntalo1, J.-P. Salenius2, S. M~itzke~, M. Luther~, K. YI/~nen4 and the Finnvasc Study Groupt 1Division of Vascular Surgery, Department of Surgery, Helsinki University Central Hospital, 2Department of Surgery, Tampere University Hospital, 3Department of Surgery, Vaasa Central Indications for selected medical and surgical procedures a literature review and ratings of appropriateness: carotid endarterectomy. Santa Monica, California: Indications for Selected Medical and Surgical Procedures - A Literature Review A Literature Review and Ratings of Appropriateness: Carotid Endarterectomy. a literature review and ratings of appropriateness:carotid endarterectomy Indications for selected medical and surgical procedures:a literature review and Merrick NJ, Park RE, Kosecoff J, et al: Indications for Selected Medical and Surgical Procedures A Literature Review and Ratings of Appropriateness Carotid Endarterectomy. Santa Monica, Calif, The Rand Corporation, 1986. The purpose of this article is to illustrate for carotid endarterectomy how quality can remain on A review of the literature and ratings for the appropriateness of indications for selected medical and surgical procedures: carotid endarterectomy. Indications for Selected Medical and Surgical Procedures: A Literature Review and Ratings for Appropriateness, Carotid Endarterectomy/R3204/6 (Rand Report) Nancy J. Merrick | May 1, 1987 Paperback endarterectomy.6,19,20,41 43 The improvements in appropriateness probably reflect a The sequencing of carotid endarterectomy and CABG in growing consensus about which patients benefit from carotid patients with coexisting coronary and carotid atherosclerosis endarterectomy caused in large part the wide dissemina- is controversial. No controlled trials have addressed this tion of results of the large methodology has been used successfully for various surgical procedures, including carotid endarterectomy and coronary revascularization. In fact, studies have shown that adher-ence to the appropriateness criteria is associated with better outcomes (16). The aim of this study is to develop appropriateness crite-ria for bariatric surgery 3 MERRICK NJ, FINK a~ BROOK RH et al. Indications for selected medical and surgical procedures - a literature review and ratings of appropriateness: carotid endarterectomy. Santa Mon- ica, California: RAND corporation, 1986. Rand publication no. R-3204 / 6-CWF / HF / PMT / RWJ. 4 THOMPSON JE. Cerebral complications of carotid endarterectomy. Merrick NJ,Fink A.,Brook RH,et al. Indications for selected medical and surgical procedures a literature review and ratings of appropriateness: carotid endarterectomy. R-3204/6-CWF-HF-HCFA-PMT-RW, Santa Monica, CA: The RAND Corporation, May 1986. Google Scholar Multiple factors influence the surgical and medical decision-making process. Patient selection is the most important and difficult task in the surgical treatment of Unfortunately, a proper study investigating the indications for spine surgery is not The excellent design and timely execution of carotid endarterectomy studies The purpose of this study was to evaluate the indications for carotid endarterectomy (CEA) in the authors' geographic area and compare responses of vascular surgeons and neurologists. Results were also compared with the recommendations of the Rand panel.Vascular surgeons and neurologists agreed that multiple transient ischemic attacks (TIA) in patients receiving medical treatment and in those with Indications for selected medical and surgical procedures - a literature review and a literature review and ratings of appropriateness:carotid endarterectomy / Background and Purpose We sought to examine the appropriateness and the surgical outcomes of carotid endarterectomy (CE) in unselected community hospitals to identify opportunities for improvement. Methods We performed a retrospective review of all CEs performed on Medicare beneficiaries in Georgia in 1993 (n=1945).Conclusions regarding appropriateness were based on Indications for Selected Medical Carotid endarterectomy for elderly patients: predicting complications. And Surgical Procedures: A Literature Review and Ratings We used detailed clinical data from a statewide, population-based cohort study of 9588 Medicare beneficiaries who underwent CEA (a common, elective vascular surgical procedure) performed in 166 hospitals 488 surgeons to examine several potential differences in the appropriateness, referral patterns, and outcomes of surgical care between Cook, T. D., & Leviton, L. L.Reviewing the literature: A comparison of traditional Indications for selected medical and surgical procedures A literature review and ratings for appropriateness: Carotid endarterectomy. A leader in studies of medical appropriateness has stated, If one could extrapolate from the available literature, then perhaps one fourth of hospital days, one fourth of procedures, and two Treatment of CS consists of best medical treatment and carotid Therefore, selection of the appropriate treatment for patients with CS is relatively complicated. Been shown to benefit patients who have had indications of CS for a long time [25] reviewed the 2009 European Society for Vascular Surgery Merrick NJ, Fink A, Brook RH, Park RE, Kosecoff J, Roth CP, et al. Indications for selected medical and surgical procedures. A literature review and ratings of appropriateness: carotid Recent commentaries have proposed using the RAND-UCLA Appropriateness Method (RUAM) to improve the quality of surgical care addressing variations in the use of surgical procedures. 5,6 The RUAM synthesizes the best available evidence with expert clinical judgment to produce appropriateness criteria (AC), which weigh the relative risks and benefits of a procedure for specific Fink A., Brook RH, et al. Indications for selected medical and surgical procedures a literature review and ratings of appropriateness: carotid endarterectomy. To update appropriateness ratings for carotid endarterectomy using the best The majority of indications for the combination of endarterectomy either prior In brief, a comprehensive literature review is conducted collecting all the magnitude of benefit conferred surgery over medical treatment [2] has Indications for Selected Medical and Surgical Procedures: A Literature Review and Ratings for Appropriateness, Carotid Endarterectomy/R3204/6 | Paperback Indications for Selected Medical and Surgical Procedures: A Literature Review and Ratings of Appropriateness: Carotid Endarterectomy. Santa Monica, Calif. Extensive debates exist in the literature on the indications, effectiveness, and risks of carotid endarterectomy. However, no investigations analyze the procedure's epidemiology. Medicare paid for essentially all carotid endarterectomies on patients over 65 years old, more than two thirds of all such surgery. Accordingly, we identified all 1985 to 1989 Medicare bills for ICD-9-CM code 38.12. This We studied the appropriateness of use of coronary angiography, carotid endarterectomy, and upper gastrointestinal tract endoscopy and its relationship to geographic variations in the rates of use of these procedures. We selected geographic areas of high, average, and low use of these procedures and randomly sampled Medicare beneficiaries who had received one of the procedures in Indications for Selected Medical and Surgical Procedures A Literature Review and Ratings of Appropriateness:Carotid Endarterectomy. Nancy J Merrick Background and Purpose In the 1980s, carotid endarterectomy was Appropriateness for each indication was rated on a scale of 1 to 9 (1 to Indications for Selected Medical and Surgical Procedures: A Literature Review and Ratings of