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Invited Commentary
March 2018

Low Rates of Surveillance Imaging After Vascular Surgery Procedures: Should We Ask the Patient?

Author Affiliations
  • 1Wake Forest Baptist Medical Center, Winston-Salem, North Carolina
JAMA Surg. 2018;153(3):224. doi:10.1001/jamasurg.2017.3933

In this issue of JAMA Surgery, a study by Brooke et al1 using Medicare claims found that recommended postprocedure surveillance imaging studies were performed at a surprisingly low frequency during the 6-year study period. Only 50% to 53% of patients undergoing an endovascular abdominal aortic aneurysm repair, 52% to 58% of those undergoing a lower extremity bypass or peripheral vascular interventions, and 74% to 78% of those undergoing a carotid endarterectomy or carotid artery stenting underwent recommended postprocedure surveillance imaging. Hospitals that were part of the Vascular Quality Initiative did not see a greater frequency of postprocedure surveillance imaging compared with control hospitals that were not part of the Vascular Quality Initiative.

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