Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement

Abbott, Anne L.; Adelman, Mark A.; Brown, Martin M.; Buckley, Clifford J.; Cambria, Richard P.; Castaldo, John E.; Comerota, Anthony J.; Connolly, E. Sander; Dalman, Ronald L.; Davies, Alun H.; Eckstein, Hans-Henning; Faruqi, Rishad; Alexandrov, Andrei V.; Feasby, Thomas E.; Fraedrich, Gustav; Gloviczki, Peter; Hankey, Graeme J.; Harbaugh, Robert E.; Heldenberg, Eitan; Hennerici, Michael G.; Hill, Michael D.; Kleinig, Timothy J.; Mikhailidis, Dimitri P.; Barber, P. Alan; Moore, Wesley S.; Naylor, Ross; Nicolaides, Andrew; Paraskevas, Kosmas I.; Pelz, David M.; Prichard, James W.; Purdie, Grant; Ricco, Jean-Baptiste; Ringleb, Peter A.; Riles, Thomas; Barnett, Henry J. M.; Rothwell, Peter M.; Sandercock, Peter; Sillesen, Henrik; Spence, J. David; Spinelli, Francesco; Sturm, Jonathon; Tan, Aaron; Thapar, Ankur; Veith, Frank J.; Wijeratne, Tissa; Beard, Jonathan; Zhou, Wei; Bell, Peter; Björck, Martin; Blacker, David; Bonati, Leo H.

Title: Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement
Creator: Abbott, Anne L.; Adelman, Mark A.; Brown, Martin M.; Buckley, Clifford J.; Cambria, Richard P.; Castaldo, John E.; Comerota, Anthony J.; Connolly, E. Sander; Dalman, Ronald L.; Davies, Alun H.; Eckstein, Hans-Henning; Faruqi, Rishad; Alexandrov, Andrei V.; Feasby, Thomas E.; Fraedrich, Gustav; Gloviczki, Peter; Hankey, Graeme J.; Harbaugh, Robert E.; Heldenberg, Eitan; Hennerici, Michael G.; Hill, Michael D.; Kleinig, Timothy J.; Mikhailidis, Dimitri P.; Barber, P. Alan; Moore, Wesley S.; Naylor, Ross; Nicolaides, Andrew; Paraskevas, Kosmas I.; Pelz, David M.; Prichard, James W.; Purdie, Grant; Ricco, Jean-Baptiste; Ringleb, Peter A.; Riles, Thomas; Barnett, Henry J. M.; Rothwell, Peter M.; Sandercock, Peter; Sillesen, Henrik; Spence, J. David; Spinelli, Francesco; Sturm, Jonathon; Tan, Aaron; Thapar, Ankur; Veith, Frank J.; Wijeratne, Tissa; Beard, Jonathan; Zhou, Wei; Bell, Peter; Björck, Martin; Blacker, David; Bonati, Leo H.
Relation: Stroke Vol. 44, Issue 4, p. 1186-1190
Publisher Link: http://dx.doi.org/10.1161/STROKEAHA.111.000261
Publisher: Lippincott Williams & Wilkins
Resource Type: journal article
Date: 2013
Description: To avoid misguidance from calls for more routine practice (nontrial) carotid angioplasty/stenting (CAS), we need to distinguish relevant facts and patients’ best interests from all else (distractions). A recent editorial by White and Jaff is one publication which illustrates this need particularly well. First, these authors are correct in reminding us that the responsibility of physicians is to provide best patient care, putting aside personal interest. This is inherent in any profession. However, misconception, bias, and conflict of interest exist. Therefore, healthcare payment organizations, such as the US Center for Medicare and Medicaid Services are important gatekeepers to facilitate patient access to interventions that are likely to help them, as opposed to all others.
Subject: carotid angioplasty; carotid stenting; carotid endarterectomy; carotid stenosis; health policy; stroke prevention
Identifier: http://hdl.handle.net/1959.13/1299686
Identifier: uon:19921
Identifier: ISSN:0039-2499
Language: eng
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