Variation in smoking cessation after vascular operations

Slides:



Advertisements
Similar presentations
In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.
Advertisements

Shared quality data are associated with increased protamine use and reduced bleeding complications after carotid endarterectomy in the Vascular Study.
A comparison of results with eversion versus conventional carotid endarterectomy from the Vascular Quality Initiative and the Mid-America Vascular Study.
Optimal selection of asymptomatic patients for carotid endarterectomy based on predicted 5-year survival  Jessica B. Wallaert, MD, MS, Jack L. Cronenwett,
Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair  Moqueet.
Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival 
Philip P. Goodney, MD, MS, Benjamin S
Society for Vascular Surgery (SVS) Vascular Registry evaluation of comparative effectiveness of carotid revascularization procedures stratified by Medicare.
Comparison of carotid endarterectomy and stenting in real world practice using a regional quality improvement registry  Brian W. Nolan, MD, MS, Randall.
Regional use of combined carotid endarterectomy/coronary artery bypass graft and the effect of patient risk  Douglas W. Jones, MD, David H. Stone, MD,
Benjamin S. Brooke, MD, PhD, Randall R
The Cardiovascular Fellows Bootcamp
Severity of chronic obstructive pulmonary disease is associated with adverse outcomes in patients undergoing elective abdominal aortic aneurysm repair 
A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients  Philip P. Goodney,
Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W
Beta-blocker use is associated with lower stroke and death after carotid artery stenting  Tammam Obeid, MBBS, Isibor Arhuidese, MBBS, MPH, Alicia Gaidry,
Transcarotid artery revascularization versus transfemoral carotid artery stenting in the Society for Vascular Surgery Vascular Quality Initiative  Mahmoud.
Shared quality data are associated with increased protamine use and reduced bleeding complications after carotid endarterectomy in the Vascular Study.
Carotid endarterectomy was performed with lower stroke and death rates than carotid artery stenting in the United States in 2003 and 2004  James T. McPhee,
National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice  Salvatore.
Factors that determine the length of stay after carotid endarterectomy represent opportunities to avoid financial losses  Julia Glaser, MD, David Kuwayama,
The Vascular Study Group of New England Cardiac Risk Index (VSG-CRI) predicts cardiac complications more accurately than the Revised Cardiac Risk Index.
In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.
Bjoern Suckow, MD, MS, Andres S. Schanzer, MD, Andrew W
Preoperative antiplatelet and statin treatment was not associated with reduced myocardial infarction after high-risk vascular operations in the Vascular.
Perioperative management with antiplatelet and statin medication is associated with reduced mortality following vascular surgery  Randall R. De Martino,
Bryan A. Ehlert, MD, Alireza Najafian, MD, Kristine C
Gary R. Seabrook, MD  Journal of Vascular Surgery 
Daniel J. Amaranto, BA, Edward C. Wang, PhD, Mark K
Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair  Moqueet.
A regional quality improvement effort to increase beta blocker administration before vascular surgery  Philip P. Goodney, MD, MS, Jens Eldrup-Jorgensen,
Philip P. Goodney, MD, Donald S. Likosky, PhD, Jack L. Cronenwett, MD 
Is abdominal aortic aneurysm repair appropriate in oxygen-dependent chronic obstructive pulmonary disease patients?  Christopher N. Compton, MD, Ellen.
The Cardiovascular Fellows Bootcamp
Kenneth Ouriel, MD, Daniel G. Clair, MD, K
The need for treatment of hemodynamic instability following carotid endarterectomy is associated with increased perioperative and 1-year morbidity and.
Jesse A. Columbo, MD, Pablo Martinez-Camblor, PhD, Todd A
Sara L. Zettervall, MD, MPH, Dominique B. Buck, MD, Peter A
Karen Woo, MD, Jens Eldrup-Jorgensen, MD, John W. Hallett, MD, Mark G
Comparison of surgical operative experience of trainees and practicing vascular surgeons: A report from the Vascular Surgery Board of the American Board.
Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair  William P. Robinson, MD, Andres.
Trends in abdominal aortic aneurysm repair in the era of endovascular technology in Ontario  Abdulmajeed Altoijry, MD, Muhammad Mamdani, PharmD, MA, MPH,
Derivation and validation of a practical risk score for prediction of mortality after open repair of ruptured abdominal aortic aneurysms in a U.S. regional.
Outcomes of symptomatic abdominal aortic aneurysm repair
Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD 
Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease  Robert W. Chang, MD, Philip P. Goodney,
Physician specialty and variation in carotid revascularization technique selected for Medicare patients  Jessica B. Wallaert, MD, MS, Brian W. Nolan,
Validation of the Society for Vascular Surgery's Objective Performance Goals for critical limb ischemia in everyday vascular surgery practice  Philip.
Prior contralateral amputation predicts worse outcomes for lower extremity bypasses performed in the intact limb  Donald T. Baril, MD, Philip P. Goodney,
Significant regional variation exists in morbidity and mortality after repair of abdominal aortic aneurysm  Sara L. Zettervall, MD, MPH, Peter A. Soden,
Adherence to endovascular aortic aneurysm repair device instructions for use guidelines has no impact on outcomes  Joy Walker, MD, Lue-Yen Tucker, BA,
Adam W. Beck, MD, Philip P. Goodney, MD, Brian W. Nolan, MD, Donald S
VESS05. In-Hospital Outcomes of Transcarotid Artery Revascularization and Carotid Endarterectomy in the Society for Vascular Surgery Vascular Quality.
Jessica B. Wallaert, MD, Philip P. Goodney, MD, MS, John J
Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival 
Seth A. Waits, MD, Kyle H. Sheetz, MS, Darrell A. Campbell, MD, Amir A
Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W
Effect of chronic oral anticoagulation with warfarin on the durability and outcomes of endovascular aortic aneurysm repair  Marques S. Johnson, MD, Jasmine.
Endovascular treatment of ruptured abdominal aortic aneurysms in the United States ( ): A significant survival benefit over open repair is independently.
Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report  Roel Hobo, MSc, Jacob Buth,
Comparison of major adverse event rates after elective endovascular aneurysm repair in New England using a novel measure of complication severity  Vincent.
Impact of practice patterns in shunt use during carotid endarterectomy with contralateral carotid occlusion  Philip P. Goodney, MD, MS, Jessica B. Wallaert,
Philip P. Goodney, MD, MS, Brian W
Variation in Smoking Cessation After Vascular Operations
Emily L. Spangler, MD, MS, Philip P
Prior failed ipsilateral percutaneous endovascular intervention in patients with critical limb ischemia predicts poor outcome after lower extremity bypass 
The effect of postoperative stroke and myocardial infarction on long-term survival after carotid revascularization  Jessica P. Simons, MD, MPH, Philip.
Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England  Ruby C. Lo, MD, Rodney.
Extent of Chronic Obstructive Pulmonary Disease Is Associated with Both Short-Term and Long-Term Adverse Outcomes in Patients Undergoing Elective Abdominal.
Carotid artery stenting has increased rates of postprocedure stroke, death, and resource utilization than does carotid endarterectomy in the United States,
Presentation transcript:

Variation in smoking cessation after vascular operations Andrew W. Hoel, MD, Brian W. Nolan, MD, MS, Philip P. Goodney, MD, MS, Yuanyuan Zhao, MS, Andres Schanzer, MD, Andrew C. Stanley, MD, Jens Eldrup-Jorgensen, MD, Jack L. Cronenwett, MD  Journal of Vascular Surgery  Volume 57, Issue 5, Pages 1338-1344.e1 (May 2013) DOI: 10.1016/j.jvs.2012.10.130 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Rates of smoking cessation shown by procedure type (P = .003). CAS, Carotid artery stenting; CEA, carotid endarterectomy; EVAR, endovascular aneurysm repair; LEB, lower extremity bypass; oAAA, open abdominal aortic aneurysm. Journal of Vascular Surgery 2013 57, 1338-1344.e1DOI: (10.1016/j.jvs.2012.10.130) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 The relative contribution of factors included in the multivariable model to explain the variation in rates of smoking cessation. The treatment center explains nearly 75% of the variation within the model, whereas patient factors and procedure type explain the remaining portion of the variation in the model. COPD, Chronic obstructive pulmonary disease; HTN, hypertension. Journal of Vascular Surgery 2013 57, 1338-1344.e1DOI: (10.1016/j.jvs.2012.10.130) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Treatment center level comparisons are shown using observed/expected and analysis of means. The treatment center number is arbitrarily assigned in this graph. P < .05 for values outside of upper and lower limits. VSGNE, Vascular Study Group of New England. Journal of Vascular Surgery 2013 57, 1338-1344.e1DOI: (10.1016/j.jvs.2012.10.130) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Supplementary Fig Smoking cessation survey. CPT, Current Procedural Terminology (American Medical Association, Chicago, Ill); VSGNE, Vascular Study Group of New England. Journal of Vascular Surgery 2013 57, 1338-1344.e1DOI: (10.1016/j.jvs.2012.10.130) Copyright © 2013 Society for Vascular Surgery Terms and Conditions