作者
Michol Cooper, Isibor J Arhuidese, Tammam Obeid, Caitlin W Hicks, Joseph Canner, Mahmoud B Malas
发表日期
2016/10/1
期刊
JAMA surgery
卷号
151
期号
10
页码范围
947-952
出版商
American Medical Association
简介
Importance
Early landmark trials excluding dialysis patients showed carotid endarterectomy (CEA) decreased stroke risk compared with medical management. Dialysis dependence has been associated with poor outcomes after CEA in small studies, but, to our knowledge, there are no large studies evaluating outcomes of CEA in this patient group.
Objective
To delineate perioperative and long-term outcomes after CEA in dialysis-dependent patients in a large national database.
Design, Setting, and Participants
A retrospective review of all patients who underwent CEA in the US Renal Disease System–Medicare-matched database between January 1, 2006, and December 31, 2011, was performed in June 2015. The median follow-up time was 2.5 years. Logistic and Cox regression analyses were used to evaluate perioperative and long-term outcomes.
Main Outcomes and Measures
The primary outcomes of interest …
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