Document Detail


Is there differential access to carotid endarterectomy based on gender?
MedLine Citation:
PMID:  10943784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to determine whether there was differential access to carotid endarterectomy (CEA) based on gender at our institution. In 1995, the year after ACAS results were published, 1774 carotid duplex studies were performed in our vascular laboratory in 765 men and 1009 women. The incidence of 50-99% carotid stenosis was 13% (n = 235) overall and did not differ between men (13.3%; 102/765) and women (13.2%; 133/1009). The frequency that patients subsequently underwent CEA was determined to assess whether men with significant carotid stenosis were more likely to undergo CEA than women. Attempts were made to contact patients with 50-99% stenosis directly. Data were available for 101 patients (41 men, 60 women) with 50-99% carotid stenosis diagnosed by carotid duplex. There was conflicting information regarding the possibility of gender bias in the selection of candidates for CEA: logistic regression analysis suggested that disease severity dictated surgical intervention, however, a significantly lower percentage of women with ICA/CCA peak systolic ratios > or =2.9 underwent CEA. This study cannot refute the possibility that gender bias existed in the selection of patients for CEA.
Authors:
D DiBardino; D C Vicente; A Kazmers
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  14     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2001-01-03     Completed Date:  2001-01-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  340-2     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Wayne State University, Detroit, MI, USA.
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MeSH Terms
Descriptor/Qualifier:
Carotid Stenosis / epidemiology,  surgery*
Endarterectomy, Carotid / statistics & numerical data*
Female
Health Services Accessibility / statistics & numerical data*
Humans
Male
Michigan
Patient Selection
Prejudice*
Sex Ratio

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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