Factors influencing the decision to perform carotid endarterectomy.
Various interpretations of the indications for carotid endarterectomy exist. Physician knowledge as it relates to the decision to proceed or recommend carotid endarterectomy was investigated, using disaggregate discrete choice analysis. Canadian neurologists, neurosurgeons, vascular surgeons, and internists were surveyed. The degree of stenosis was most important, followed by symptoms, comorbid illness, and arterial imaging modality. No differences existed by specialty. Canadian physicians in four specialties are knowledgeable about results of randomized clinical trials for carotid endarterectomy.
Hill
Michael D
MD
Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Alberta, Canada. michael.hill@calgaryhealthregion.ca
Foss
Mona M
MM
Tu
Jack V
JV
Feasby
Thomas E
TE
D002170:Canada; D003657:Decision Making; D003661:Decision Support Techniques; D016894:Endarterectomy, Carotid; D006801:Humans; D007388:Internal Medicine; D009462:Neurology; D010818:Practice Patterns, Physicians'