Patient risk perceptions for carotid endarterectomy: which patients are strongly averse to surgery?

Journal of Vascular Surgery
Hayden B BosworthEugene Z Oddone

Abstract

Patient risk perception for surgery may be central to their willingness to undergo surgery. This study examined potential factors associated with patient aversion of surgery. This is a secondary data analysis of a prospective cohort study that examined patients referred for evaluation of carotid artery stenosis at five Veterans Affairs Medical Centers. The study collected demographic, clinical, and psychosocial information related to surgery. This analysis focused on patient response to a question assessing their aversion to surgery. Among the 1065 individuals, at the time of evaluation for carotid endarterectomy (CEA), 66% of patients had no symptoms, 16% had a transient ischemic attack, and 18% had stroke. Twelve percent of patients referred for CEA evaluation were averse to surgery. In adjusted analyses, increased age, black race, no previous surgery, lower level of chance locus of control, less trust of physicians, and less social support were significantly related to greater likelihood of surgery aversion among individuals referred for CEA evaluation. Patient degree of medical comorbidity and a validated measure of preoperative risk score were not associated with increased aversion to surgery. In previous work, aversion to...Continue Reading

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Citations

Feb 28, 2008·Journal of General Internal Medicine·Somnath SahaSaid Ibrahim
Apr 13, 2010·Journal of General Internal Medicine·Brian J Ayotte, Nancy R Kressin
Mar 31, 2012·BMC Neurology·Matthew R SkerrittKate C Young
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Jan 25, 2006·The American Journal of Medicine·Hayden B BosworthEugene Z Oddone
Nov 29, 2007·Anesthesia and Analgesia·Edward Andrew OchrochJohn T Farrar
Jan 10, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Latha PanchapRobert S White
Jul 3, 2021·Healthcare·Michał-Goran StanišićPrzemysław Kubaszewski

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