Author Affiliation: Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins Hospital, Baltimore, Maryland.
The impact of operative volume on surgical outcomes after carotid endarterectomy (CEA) is an area of much debate. Studies based on administrative databases have found that the rates of adverse outcomes are increased in CEA performed by low-volume surgeons.1,2 This has led some to argue for selective referral to high-volume surgeons.
Abularrage CJ. Risk Adjustment for Outcomes After Carotid EndarterectomyComment on “Risk Adjustment for Case Mix and the Effect of Surgeon Volume on Morbidity”. JAMA Surg. 2013;148(6):537. doi:10.1001/jamasurg.2013.1512