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Cedars-Sinai study examines regional use of minimally invasive repair of aneurysms
Date:4/2/2010

related most closely with higher-risk patient populations and with physicians who were more experienced in treating aneurysms," said Gewertz, who is also surgeon-in-chief and the Harriet and Steven Nichols Endowed Chair in Surgery at Cedars-Sinai Medical Center "Contrary to some conventional thinking, use was not strongly influenced by many of the economic factors previously thought to be predictive."

Researchers examined the use of endovascular aortic abdominal aneurysm repair from 2001 to 2006 across 29 states to test the hypothesis that the utilization of innovative vascular procedures by vascular surgeons more closely reflects disease prevalence and consistent clinical judgment than non-medical considerations. The utilization rates varied widely between states, from 39.3 percent to 69.9 percent; use of the procedure was highest in states with higher incidences of aneurysms and a greater number of deaths from heart disease.

A previous investigation by the research team showed that variations in the rates of carotid endarterectomy actually reflected regional risk factors for atherosclerosis not physician density of other socioeconomic drivers.

"By documenting disparities and variations in care, this study and others like them can help define best practice treatment pathways and may lead to new ways to examine inequalities in preventive diagnostic and therapeutic inefficiencies at the systems level," said Gewertz.


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Contact: Simi Singer
simi.singer@cshs.org
310-423-7798
Cedars-Sinai Medical Center
Source:Eurekalert

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