PMID: 11906419Mar 22, 2002Paper

Are there commonalities among audit tools used to measure carotid endarterectomy outcomes in New South Wales?

ANZ Journal of Surgery
Sandy MiddletonNew South Wales Carotid Endarterectomy Audit Project Working Group

Abstract

To prepare for a state-wide audit of carotid endarterectomy (CEA), we sought to ascertain pre-existing practices and identify common process and outcome measures among audits tools used by NSW vascular surgeons. Telephone survey comprising five questions about CEA audit practices. Of 37 known vascular surgeons in NSW, all performed CEA and agreed to participate in our telephone survey (response rate 100%). All but one reported collecting CEA data (97%). Two thirds of these collected data prospectively. From those 19 surgeons (51%) who stated that they used standard tools for audit, we received five CEA-specific tools. Process measures common to all five were: side of CEA, date of operation, sex, past history of hypertension, history of diabetes, use of shunt, use of patch. There were only three outcome measures common to all five CEA-specific tools: postoperative transient ischaemic attack (TIA), postoperative stroke, and postoperative death. Data about outcomes beyond discharge were inconsistently collected. While most vascular surgeons in NSW report collecting information about CEA outcomes, not all do so prospectively. Only three outcomes (postoperative TIA, postoperative stroke and death) were common to all tools, inviting ...Continue Reading

References

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Citations

Dec 13, 2005·ANZ Journal of Surgery·Tiffany A Hassen, Robert A Fitridge
Jan 22, 2003·ANZ Journal of Surgery·C Barry Beiles, UNKNOWN Melbourne Vascular Surgical Association Audit Committee

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