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

Slides:

Advertisements

Similar presentations

The progressive nature of peripheral arterial disease in young adults: A prospective analysis of white men referred to a vascular surgery service R.James.

Advertisements

Corridor-based functional performance measures correlate better with physical activity during daily life than treadmill measures in persons with peripheral.

Successful lower extremity angioplasty improves brachial artery flow-mediated dilation in patients with peripheral arterial disease Marc Husmann, MD,

Philip P. Goodney, MD, MS, Benjamin S

Bryan C. Morse, MD, David L. Cull, MD, Corey Kalbaugh, MS, Anna L

Benjamin S. Brooke, MD, PhD, Randall R

Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population Samuel T. Edwards, MD,

Michael H. Criqui, MD, MPH, Lindsey A. Ho, MPH, Julie O

Trends and determinants of costs associated with the inpatient care of diabetic foot ulcers Caitlin W. Hicks, MD, MS, Shalini Selvarajah, MD, MPH, Nestoras.

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Regional variation in patient selection and treatment for lower extremity vascular disease in the Vascular Quality Initiative Peter A. Soden, MD, Sara.

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

National Trends and Geographic Variation in Bilateral Internal Mammary Artery Use in the United States Alexander Iribarne, MD, MS, Philip P. Goodney,

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,

Dual antiplatelet therapy is associated with prolonged survival after lower extremity revascularization Peter A. Soden, MD, Sara L. Zettervall, MD, MPH,

Joshua B. Goldberg, MD, Philip P. Goodney, MD, MS, Jack L

Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation Todd R. Vogel, MD, MPH,

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

National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice Salvatore.

Micah E. Girotti, MD, Clifford Y. Ko, MD, MS, MSHS, Justin B

Lower Limb Amputations in Patients With Diabetes and Peripheral Artery Disease: A Time-Series Analysis of Trends ( ) Mohamad A. Hussain, MD,

Louis L. Nguyen, MD, MBA, MPH Journal of Vascular Surgery

Long-term safety of cilostazol in patients with peripheral artery disease: The CASTLE study (Cilostazol: A Study in Long-term Effects) William R. Hiatt,

LEA 25. Outcomes in Limb Preservation After Revascularization and Minor Amputations in 876 Patients With Peripheral Arterial Disease During a 9-Year Period

Comparison of a collagen plug arterial closure device with manual compression after endovascular interventions for peripheral artery disease Talje M.

Perioperative management with antiplatelet and statin medication is associated with reduced mortality following vascular surgery Randall R. De Martino,

Collateral artery from arteriovenous malformation of the rectum in a patient with peripheral artery disease Hirotomo Uchiyama, MD, Reiji Hattori, MD,

Diffusion of new technology for the treatment of renovascular hypertension in the United States: Surgical revascularization versus catheter-based therapy,

Variation in smoking cessation after vascular operations

Presentation, treatment, and outcome differences between men and women undergoing revascularization or amputation for lower extremity peripheral arterial.

Racial and ethnic differences in patterns of treatment for acute peripheral arterial disease in the United States, Vincent L. Rowe, MD, Fred.

Kerianne H. Holman, MD, Peter K. Henke, MD, Justin B

Nicholas H. Osborne, MD, Gilbert R. Upchurch, MD, Amit K

The adverse effects of race, insurance status, and low income on the rate of amputation in patients presenting with lower extremity ischemia Mohammad.

Possible consequences of regionally based bundled payments for diabetic amputations for safety net hospitals in Texas Karina Newhall, MD, David Stone,

Vincent L. Rowe, MD, William Lee, MD, Fred A

Perioperative outcomes and amputation-free survival after lower extremity bypass surgery in California hospitals, , with follow-up through 2004

Open versus endovascular revascularization for chronic mesenteric ischemia: Risk- stratified outcomes Gustavo S. Oderich, MD, Thomas C. Bower, MD, Timothy.

Society for Vascular Surgery limb stage and patient risk correlate with outcomes in an amputation prevention program Marlin W. Causey, MD, Ayman Ahmed,

Update in preoperative risk assessment in vascular surgery patients

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

National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population Douglas W. Jones, MD, Philip.

Sara L. Zettervall, MD, MPH, Dominique B. Buck, MD, Peter A

Thomas E. Brothers, MD, Jacob G. Robison, MD, Bruce M. Elliott, MD

Population-based analysis of inpatient vascular procedures and predicting future workload and implications for training Jeffrey Jim, MD, Pamela L. Owens,

Trends, complications, and mortality in peripheral vascular surgery

Prevalence of peripheral arterial disease and its association with smoking in a population-based study in Beijing, China Yao He, MD, PhD, Yong Jiang,

Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD

Reliability of hospital readmission rates in vascular surgery

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

Prior contralateral amputation predicts worse outcomes for lower extremity bypasses performed in the intact limb Donald T. Baril, MD, Philip P. Goodney,

Comparative effectiveness of peripheral vascular intervention versus surgical bypass for critical limb ischemia in the Vascular Study Group of Greater.

Philip P. Goodney, MD, MS, Adam W. Beck, MD, Jan Nagle, MS, RPh, H

Carotid-subclavian bypass and subclavian-carotid transposition in the thoracic endovascular aortic repair era Arin L. Madenci, MPH, C. Keith Ozaki, MD,

Jessica P. Simons, MD, MPH, Andres Schanzer, MD, Brian W

The Society for Vascular Surgery's objective performance goals for lower extremity revascularization are not generalizable to many open surgical bypass.

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

Cassius Iyad Ochoa Chaar, MD, Michel S. Makaroun, MD, Luke K

Specialty Training and Mortality After Esophageal Cancer Resection

Charles S. Joels, MD, John W. York, MD, Corey A. Kalbaugh, MS, David L

Endovascular repair of an acute blunt popliteal artery injury

Long-Term Outcomes of an Endovascular-First Approach for Diabetic Patients With Predominantly Tibial Disease Caitlin W. Hicks, MD, MS, Joseph K. Canner,

The Prevalence and Regional Variation of Major Depressive Disorder Among Patients With Peripheral Arterial Disease Jesse A. Columbo, Christine T. Finn,

Sex-based differences in the inflammatory profile of peripheral artery disease and the association with primary patency of lower extremity vein bypass.

Presidential address: Mind the gap

Emily Spangler, Robert W. Chang, Philip P. Goodney

J. David Neel, MD, Robin L. Kruse, PhD, Viktor Y

IP167. Patency at the Cost of Major Bleeding—the Dual-Antiplatelet Dilemma Following Lower Extremity Endovascular Intervention Ryan M. Svoboda, MD, Carly.

Corridor-based functional performance measures correlate better with physical activity during daily life than treadmill measures in persons with peripheral.

Prior failed ipsilateral percutaneous endovascular intervention in patients with critical limb ischemia predicts poor outcome after lower extremity bypass

Presentation transcript:

Regional intensity of vascular care and lower extremity amputation rates Philip P. Goodney, MD, MS, Kerianne Holman, MD, MPH, Peter K. Henke, MD, Lori L. Travis, MS, Justin B. Dimick, MD, MPH, Therese A. Stukel, PhD, Elliott S. Fisher, MD, MPH, John D. Birkmeyer, MD Journal of Vascular Surgery Volume 57, Issue 6, Pages 1471-1480.e3 (June 2013) DOI: 10.1016/j.jvs.2012.11.068 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Population-based amputation rates for peripheral arterial disease (PAD) by hospital referral regions are shown on the map. Journal of Vascular Surgery 2013 57, 1471-1480.e3DOI: (10.1016/j.jvs.2012.11.068) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Correlation at the regional level is shown between intensity of vascular care and amputation rate. Intensity of vascular care is measured as a function of (A) all inpatient revascularizations, (B) all inpatient open surgical revascularizations, (C) inpatient therapeutic endovascular procedures, and (D) inpatient and outpatient diagnostic and therapeutic, open and endovascular revascularization procedures. *Amputation rates specifies major (above or below) knee amputation rate per 10,000 Medicare beneficiaries. †Intensity of care measured as a function of the number of procedures performed in the year prior to amputation. Journal of Vascular Surgery 2013 57, 1471-1480.e3DOI: (10.1016/j.jvs.2012.11.068) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 A, The mean number of revascularization procedures (therapeutic endovascular interventions or bypass surgery) for each amputation is shown by the quintile of the population-based amputation rate. *P is for nonparametric test of trend across all regions. B, The mean number of other vascular procedures for each amputation is shown by the quintile of the population-based amputation rate. Journal of Vascular Surgery 2013 57, 1471-1480.e3DOI: (10.1016/j.jvs.2012.11.068) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Supplementary Fig (online only) Variation in the intensity of vascular care, by hospital referral region, as measured by the proportion of patients in each region undergoing invasive vascular care in the year before amputation, 2003-2006. PAD, Peripheral arterial disease. Journal of Vascular Surgery 2013 57, 1471-1480.e3DOI: (10.1016/j.jvs.2012.11.068) Copyright © 2013 Society for Vascular Surgery Terms and Conditions