Dartmouth Atlas of Vascular Health Care review: Impact of hospital volume, surgeon volume, and training on outcome Thomas S. Huber, MD, PhD, James M.

Slides:

Advertisements

Similar presentations

Timing of carotid endarterectomy after acute stroke Joseph J. Plotrowski, MD, Victor M. Bernhard, MD, Jeffrey R. Rubin, MD, Kenneth E. McIntyre, MD, James.

Advertisements

Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Hospital vascular surgery volume and procedure mortality rates in California, Larry M. Manheim, PhD, Min-Woong Sohn, PhD, Joe Feinglass, PhD,

Recurrent thromboembolism in patients with vena cava filters

Development of a pulsatile, tissue-based, versatile vascular surgery simulation laboratory for resident training Brian Fletcher, MD, Jaime De La Ree,

Comparison of carotid endarterectomy and stenting in real world practice using a regional quality improvement registry Brian W. Nolan, MD, MS, Randall.

Benjamin S. Brooke, MD, PhD, Randall R

Racial differences in primary and repeat lower extremity amputation: Results from a multihospital study Joe Feinglass, PhD, Cheryl Rucker-Whitaker, MD,

Differential outcomes of carotid stenting and endarterectomy performed exclusively by vascular surgeons in the Carotid Revascularization Endarterectomy.

Outcomes of carotid stenting compared with endarterectomy are equivalent in asymptomatic patients and inferior in symptomatic patients Jeannine K. Giacovelli,

A new valvulotome for in situ bypass grafts

Asymptomatic internal carotid artery aneurysm

Unplanned return to operating room after lower extremity arterial bypass is an independent predictor for hospital readmission Faisal Aziz, MD, FACS,

Open bypass and endovascular procedures among diabetic foot ulcer cases in the United States from 2001 to 2010 Grant H. Skrepnek, PhD, David G. Armstrong,

National trends in utilization and postprocedure outcomes for carotid artery revascularization 2005 to 2007 Mohammad H. Eslami, MD, James T. McPhee,

Nicholas H. Osborne, MD, MS, Clifford Y. Ko, MD, MS, Gilbert R

Mark D. Morasch, MD, Michele A

Ali F. AbuRahma, MD Journal of Vascular Surgery

Does female gender or hormone replacement therapy affect early or late outcome after carotid endarterectomy? John S. Lane, MDa, Shant Shekherdimian,

Ahmed Kayssi, MD, MSc, MPH, Charles de Mestral, MD CM, PhD, Thomas L

Cost-effectiveness of carotid endarterectomy in asymptomatic patients

Operative mortality rates for intact and ruptured abdominal aortic aneurysms in Michigan: An eleven-year statewide experience Dolores J. Katz, MPH, James.

Philip P. Goodney, MD, MS, Kerianne Holman, MD, MPH, Peter K

Philip P. Goodney, MD, Donald S. Likosky, PhD, Jack L. Cronenwett, MD

“Better” (sometimes) in vascular disease management

Recurrent thromboembolism in patients with vena cava filters

Potential predictors of outcome in patients with tissue loss who undergo infrainguinal vein bypass grafting James M. Seeger, MD, Henry A. Pretus, MD,

Susanna L. Matsen, MD, David C. Chang, PhD, MPH, MBA, Bruce A

Variation and changes in state-specific carotid endarterectomy and 30-day mortality rates, United States, Kazim Sheikh, MD, Claudia Bullock,

Thomas S. Huber, MD, PhD, Michael P. Brown, DO, James M. Seeger, MD, W

John E. Rectenwald, MD, Gilbert R. Upchurch, MD

Robert J. Feezor, MD, Thomas S. Huber, MD, PhD, Scott A

National outcomes for the treatment of ruptured abdominal aortic aneurysm: Comparison of open versus endovascular repairs Natalia Egorova, PhD, Jeannine.

Benefits, morbidity, and mortality associated with long-term administration of oral anticoagulant therapy to patients with peripheral arterial bypass.

In-hospital and 30-day outcomes after tibioperoneal interventions in the US Medicare population with critical limb ischemia Todd R. Vogel, MD, MPH, Viktor.

Trends in the incidence, treatment, and outcomes of acute lower extremity ischemia in the United States Medicare population Donald T. Baril, MD, Kaushik.

Systematic review of randomized controlled trials of aspirin and oral anticoagulants in the prevention of graft occlusion and ischemic events after infrainguinal.

Carotid endarterectomy in octogenarians: Comparison with patient characteristics and outcomes in younger patients Joseph R. Schneider, MD, PhD, Julie.

Primary closure of the carotid artery is associated with poorer outcomes during carotid endarterectomy Caron B. Rockman, MD, Ethan A. Halm, MD, Jason.

Autonomic outcome is better after endarterectomy than after stenting in patients with asymptomatic carotid stenosis Sven Rupprecht, MD, Sigrid Finn,

Glossopharyngeal nerve injury complicating carotid endarterectomy

Physician specialty and variation in carotid revascularization technique selected for Medicare patients Jessica B. Wallaert, MD, MS, Brian W. Nolan,

Predictors of 30-day postoperative stroke or death after carotid endarterectomy using the 2012 carotid endarterectomy-targeted American College of Surgeons.

Javier G. Jimenez, MD, Thomas S. Huber, MD, PhD, C

Improved exposure for carotid endarterectomy

Influence of NASCET/ACAS trial eligibility on outcome after carotid endarterectomy Michael R. Lepore, MD, W.Charles Sternbergh, MD, Khashayar Salartash,

Calvin B. Ernst, MD Journal of Vascular Surgery

Endovascular treatment of ruptured abdominal aortic aneurysms in the United States ( ): A significant survival benefit over open repair is independently.

Ruptured abdominal aortic aneurysm: A population-based study

Surgical treatment of intact thoracoabdominal aortic aneurysms in the United States: Hospital and surgeon volume-related outcomes John A Cowan, MD, Justin.

Research and research funding in vascular surgery

J.Dennis Baker, MD Journal of Vascular Surgery

James E. Edwards, MD, Lloyd M. Taylor, MD, John M. Porter, MD

Impact of practice patterns in shunt use during carotid endarterectomy with contralateral carotid occlusion Philip P. Goodney, MD, MS, Jessica B. Wallaert,

Concomitant cardiac and vascular disease: “Through the looking glass”

A personal experience with coronary artery bypass grafting, carotid patching, and other factors influencing the outcome of carotid endarterectomy Norman.

Should patient age be a consideration in carotid endarterectomy?

Monitoring vascular surgical performance

Bhagwan Satiani, MD, MBA, Thomas E. Williams, MD, PhD, Michael R

Age differential between outcomes of carotid angioplasty and stent placement and carotid endarterectomy in general practice Rakesh Khatri, MD, Saqib.

Presidential address: The second-generation vascular surgeon

The Propranolol Aneurysm Trial Investigators

James A. DeWeese, MD Journal of Vascular Surgery

Modification of outcomes by lowering ischemic events after reconstruction of extracranial vessels (MOLIERE): An internet-based prospective study to evaluate.

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Fate of the contralateral leg after infrainguinal bypass

Renin-angiotensin-aldosterone-system inhibition is safe in the preoperative period surrounding carotid endarterectomy Andrea M. Steely, MD, Peter W.

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Carotid artery stenting has increased rates of postprocedure stroke, death, and resource utilization than does carotid endarterectomy in the United States,

Presentation transcript:

Dartmouth Atlas of Vascular Health Care review: Impact of hospital volume, surgeon volume, and training on outcome Thomas S. Huber, MD, PhD, James M. Seeger, MD Journal of Vascular Surgery Volume 34, Issue 4, Pages 751-756 (October 2001) DOI: 10.1067/mva.2001.116969 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Relationship between hospital volume and 30-day mortality rate after carotid endarterectomy from 1992 to 1993 among Medicare patients is shown. Hospitals are broken down by procedural volume (low, medium, high) or participation in carotid endarterectomy trials (North American Symptomatic Carotid Endarterectomy Trial or Asymptomatic Carotid Atherosclerosis Study). (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; 2000. p. 49. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery 2001 34, 751-756DOI: (10.1067/mva.2001.116969) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Relationship between annual surgeon procedural volume and 30-day mortality rate after CEA during 1996 among Medicare patients is shown. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; 2000. p. 50. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery 2001 34, 751-756DOI: (10.1067/mva.2001.116969) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Relationship between annual surgeon procedural volume and 30-day mortality rate after CEA during 1996 among Medicare patients is shown for various subspecialties. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; 2000. p. 55. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery 2001 34, 751-756DOI: (10.1067/mva.2001.116969) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Relationship between annual surgeon procedural volume and 30-day mortality rate after elective AAA repair during 1996 among Medicare patients is shown. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; 2000. p. 73. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery 2001 34, 751-756DOI: (10.1067/mva.2001.116969) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Relationship between annual surgeon procedural volume and 30-day mortality rate after elective AAA repair during 1996 among Medicare patients is shown for the various subspecialties. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; 2000. p. 79. Copyright 2000, Trustees College.) Journal of Vascular Surgery 2001 34, 751-756DOI: (10.1067/mva.2001.116969) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 6 Rates of lower-extremity angioplasty, surgical bypass grafting, and major amputation from 1993 to 1996 among Medicare patients are shown and expressed per 1000 Medicare enrollees. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; 2000. p. 91. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery 2001 34, 751-756DOI: (10.1067/mva.2001.116969) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions