Blog
About

145
views
0
recommends
+1 Recommend
0 collections
    10
    shares
      • Record: found
      • Abstract: not found
      • Article: not found

      The Relationship between Hospital Case Volume and Outcome from Carotid Endartectomy in England from 2000 to 2005

      , , ,

      European Journal of Vascular and Endovascular Surgery

      Elsevier BV

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          To assess the outcome of carotid endarterectomy in England with respect to the hospital case-volume. Data were from English Hospital Episode Statistics (2000-2005). Admissions were classified as elective or emergency. Risk-adjusted data were analysed through modelling of death rate, complication rate and length of admission with regard to the year of procedure and annual hospital volume of surgery. Hospitals with elevated death rates were identified and the evidence quantified that they had outlying mortality rates. There were 280,081 diagnoses of extra-cranial atherosclerotic arterial disease in which 18,248 CEA were performed. The mean mortality rates were 1.04% for elective and 3.16% for emergency CEA. A volume-related improvement in mortality (p=0.047) was seen for elective CEA. Length of stay decreased as annual volume increased for elective and emergency CEA (p<0.001). 20% of the operations were performed in 67.1% of the hospitals, each of which performed fewer than 10 CEA per annum. A number of hospitals had elevated death rates. Volume-related improvements in outcome were demonstrated for elective CEA. Minimum volume-criteria of 35 CEA per annum should be established in England. Hospitals performing low annual volumes of surgery should consider arrangements to network services.

          Related collections

          Author and article information

          Journal
          European Journal of Vascular and Endovascular Surgery
          European Journal of Vascular and Endovascular Surgery
          Elsevier BV
          10785884
          December 2007
          December 2007
          : 34
          : 6
          : 646-654
          10.1016/j.ejvs.2007.07.021
          17892955
          © 2007

          https://www.elsevier.com/tdm/userlicense/1.0/

          https://www.elsevier.com/open-access/userlicense/1.0/

          Comments

          Comment on this article