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Among the 12,725 cases studied, in-hospital mortality was 0.7% nonfatal morbidity was 3.0%, and the total bad outcome rate was 3.7%. Surgeons who performed 1 to 2 CEAs over 2 years had the highest mortality (2.0%) and total bad outcome (9.2%) rates. For surgeons performing three or more cases in 2 years, increased volume was not associated with better outcomes. A greater number of years since the surgeon was licensed was associated with greater mortality (p = 0.001), but not with morbidity or bad outcome rates. In regression analyses that adjusted for patient risk, both years since licensure and specialty predicted surgical mortality rate, but only volume predicted surgical bad outcome rate. More years since licensure and very low patient volume are associated with worse patient outcomes following CEA. |
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endarterectomy,carotid endarterectomy,carotid-complications of endarterectomy,carotid-morbidity and mortality with endarterectomy,carotid-volume prognosis
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