Document Detail

Changing trends in surgical treatment of carotid disease in Ireland (1996-2003).
MedLine Citation:
PMID:  18587539     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Carotid endarterectomy (CEA) is a well-established method of stroke prevention in patients with symptomatic, high-grade internal carotid artery stenosis. AIMS: To assess the change in carotid surgery practice in health board regions in Ireland over two different time periods in the past 11 years (1996-1998/2001-2003). METHODS: Numbers of discharges of patients with a procedure code CEA (38.12) between 1996-1998 and 2001-2003 were obtained from the Hospital In-Patient Enquiry (HIPE) database maintained by the Economic and Social Research Institute (ESRI). Population data was obtained from national censuses. RESULTS: There has been considerable change in the level of carotid surgery activity in specific health board regions between the two periods. CONCLUSIONS: Still no region comes close to achieving levels of CEA recommended by population studies. This is important in the context of the MRC asymptomatic carotid surgery trial (ACST), as the numbers suitable for CEA will probably increase further in the future.
M R Quinlan; B Egan; T M Feeley; S Tierney
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Publication Detail:
Type:  Journal Article     Date:  2008-06-28
Journal Detail:
Title:  Irish journal of medical science     Volume:  177     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-07-29     Completed Date:  2008-10-09     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  193-6     Citation Subset:  IM    
Department of Vascular Surgery, The Adelaide and Meath Hospital incorporating the National Children's Hospital, Tallaght, Dublin 24, Republic of Ireland.
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MeSH Terms
Carotid Artery Diseases / epidemiology,  surgery*
Endarterectomy, Carotid
Ireland / epidemiology
Treatment Outcome
Vascular Surgical Procedures / trends*

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