Relationship between physician and hospital procedure volume and mortality after carotid artery stenting among medicare beneficiaries

Jessica J. Jalbert, Marie D. Gerhard-Herman, Louis L. Nguyen, Michael R. Jaff, Hiraku Kumamaru, Lauren A. Williams, Chih Ying Chen, Jun Liu, John D. Seeger, Andrew T. Rothman, Peter Schneider, Thomas G Brott, Thomas T. Tsai, Herbert D. Aronow, Joseph A. Johnston, Soko Setoguchi

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Background - Clinical trials demonstrated the efficacy of carotid artery stenting (CAS) relative to carotid endarterectomy when performed by physicians with demonstrated proficiency. It is unclear how CAS performance may be influenced by the diversity in CAS and non-CAS provider volumes in routine clinical practice. Methods and Results - We linked Medicare claims to the Centers for Medicare and Medicaid Services' CAS Database (2005-2009). We assessed the association between 30-day mortality and past-year physician (0, 1-4, 5-9, 10-19, ≥20) and hospital (

Original languageEnglish (US)
Pages (from-to)S81-S89
JournalCirculation: Cardiovascular Quality and Outcomes
Volume8
Issue number6_suppl_3
DOIs
StatePublished - Oct 1 2015

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Keywords

  • carotid endarterectomy
  • carotid stenting
  • Medicare
  • mortality
  • provider performance

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Jalbert, J. J., Gerhard-Herman, M. D., Nguyen, L. L., Jaff, M. R., Kumamaru, H., Williams, L. A., Chen, C. Y., Liu, J., Seeger, J. D., Rothman, A. T., Schneider, P., Brott, T. G., Tsai, T. T., Aronow, H. D., Johnston, J. A., & Setoguchi, S. (2015). Relationship between physician and hospital procedure volume and mortality after carotid artery stenting among medicare beneficiaries. Circulation: Cardiovascular Quality and Outcomes, 8(6_suppl_3), S81-S89. https://doi.org/10.1161/CIRCOUTCOMES.114.001668