Carotid Endarterectomy

A Literature Review and Ratings of Appropriateness and Necessity

by David B. Matchar, Lee Ann Goldstein, Douglas C. McCrory, Eugene Z. Oddone, Deborah A. Jansen, Lee H. Hilborne, Rolla Edward Park

View related products

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 4.8 MB

Use Adobe Acrobat Reader version 7.0 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback105 pages $30.00 $24.00 20% Web Discount

Abstract

This report reviews the literature concerning the effectiveness and risks of carotid endarterectomy, provides a comprehensive list of potential indications, and presents ratings of appropriateness and necessity of this surgical procedure by a panel of experts. The literature review covered articles published from 1966 to 1990. An "appropriate" procedure was defined as one for which the expected health benefits to an average patient exceed the expected health risks and is superior to the alternative treatments (including no treatment). Such a procedure was also defined as "necessary" when a physician is obliged to recommend it to a patient as the preferred treatment option.

This report is part of the RAND Corporation joint report health series. The joint report was a product of the RAND Corporation from 1988 to 1993 that included documents published jointly with other organizations, which transmitted major research findings and final research.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.