ArticleBMJ (Clinical research ed.)2009
Waiting times for carotid endarterectomy in UK: observational study.
Article in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- 10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis (ACST-1): a multicentre randomised trial.Lancet (London, England) · 2010Trial
- Article
- Timing of carotid endarterectomy and clinical outcomes.Annals of translational medicine · 2020Review
- Risk-Benefit Assessment of Carotid Revascularization.Arquivos brasileiros de cardiologia · 2018Review
- Amaurosis fugax: risk factors and prevalence of significant carotid stenosis.Clinical ophthalmology (Auckland, N.Z.) · 2016Article
- Amaurosis fugax - delay between symptoms and surgery by specialty.Clinical ophthalmology (Auckland, N.Z.) · 2016Article
- A strategy to meet the 'two-week' target for carotid endarterectomy in symptomatic patients.Clinical medicine (London, England) · 2011Article
- Factors associated with time delay to carotid stenting in patients with a symptomatic carotid artery stenosis.Journal of neurology · 2011Article
- Is it possible to recognize cervical artery dissection on stroke brain MR imaging? A matched case-control study.AJNR. American journal of neuroradiology · 2011Article
- RACE to protect brains.Annals of the Royal College of Surgeons of England · 2010Article
- Comment on: Changes required to improve CEA outcomes.Annals of the Royal College of Surgeons of England · 2010Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess timeliness of carotid endarterectomy services in the United Kingdom.
designObservational study with follow-up to March 2008.
settingUK hospitals performing carotid endarterectomy.
participantsUK surgeons undertaking carotid endarterectomy from December 2005 to December 2007.
main outcome measuresProvision and speed of delivery of appropriate assessments of patients; carotid endarterectomy and operative mortality; 30 day postoperative mortality.
results240 (61% of those eligible) consultant surgeons took part from 102 (76%) hospitals and trusts. Of 9913 carotid endarterectomies recorded on hospital episode statistics, 5513 (56%) were included. Of the patients who underwent endarterectomy, 83% had a history of transient ischaemic attack or stroke. Of these recently symptomatic patients, 20% had their operation within two weeks of onset of symptoms and 30% waited more than 12 weeks. Operative mortality was 0.5% during the inpatient stay and 1.0% (95% confidence interval 0.7% to 1.3%) by 30 days.
conclusionOnly 20% of symptomatic patients had surgery within the two week target time set by the National Institute for Health and Clinical Excellence (NICE). Although operative mortality rates are comparable with those in other countries, some patients might experience disabling or fatal stroke while waiting for surgery and hence not be included in operative statistics. Major improvements in services are necessary to enable early surgery in appropriate patients in order to prevent strokes.
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