Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement

Anne Abbott, Mark A Adelman, Andrei V Alexandrov, Peter Alan Barber, Henry J M Barnett, Jonathan D Beard, Peter Bell, Martin Bjorck, David J Blacker, Leo H Bonati, Martin M Brown, Clifford J Buckley, Richard P Cambria, John E Castaldo, Anthony J Comerota, E Sander Connolly, Ronald L Dalman, Alun H Davies, Hans-Henning Eckstein, Rishad Faruqi & 31 others Thomas E Feasby, Gustav Fraedrich, Peter Gloviczki, Graeme John Hankey, Robert E Harbaugh, Eitan Heldenberg, Michael Hennerici, Michael D Hill, Timothy Kleinig, Dimitri P Mikhailidis, Wesley S Moore, Ross Naylor, Andrew Nicolaides, Kosmas I Paraskevas, David M Pelz, James W Prichard, Grant Purdie, Jean-Baptiste Ricco, Peter Ringleb, Thomas Riles, Peter Malcolm W Rothwell, Peter Sandercock, Henrik Sillesen, J David Spence,, Francesco Spinelli, Jonathan W Sturm, Aaron Tan, Ankur Thapar, Frank J Veith, Tissa Wijeratne, Wei Zhou

Research output: Contribution to journalLetterOther

43 Citations (Scopus)

Abstract

To avoid misguidance from calls for more routine practice (nontrial) carotid angioplasty/stenting (CAS), we need to distinguish relevant facts and patients? best interests from all else (distractions). A recent editorial by White and Jaff1 is one publication which illustrates this need particularly well. First, these authors are correct in reminding us that the responsibility of physicians is to provide best patient care, putting aside personal interest. This is inherent in any profession.2 However, misconception, bias, and conflict of interest exist. Therefore, healthcare payment organizations, such as the US Center for Medicare and Medicaid Services are important gatekeepers to facilitate patient access to interventions that are likely to help them, as opposed to all others.
Original languageEnglish
Pages (from-to)1186 - 1190
Number of pages5
JournalStroke
Volume44
Issue number4
DOIs
Publication statusPublished - 2013

Cite this

Abbott, A., Adelman, M. A., Alexandrov, A. V., Barber, P. A., Barnett, H. J. M., Beard, J. D., ... Zhou, W. (2013). Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement. Stroke, 44(4), 1186 - 1190. https://doi.org/10.1161/STROKEAHA
Abbott, Anne ; Adelman, Mark A ; Alexandrov, Andrei V ; Barber, Peter Alan ; Barnett, Henry J M ; Beard, Jonathan D ; Bell, Peter ; Bjorck, Martin ; Blacker, David J ; Bonati, Leo H ; Brown, Martin M ; Buckley, Clifford J ; Cambria, Richard P ; Castaldo, John E ; Comerota, Anthony J ; Connolly, E Sander ; Dalman, Ronald L ; Davies, Alun H ; Eckstein, Hans-Henning ; Faruqi, Rishad ; Feasby, Thomas E ; Fraedrich, Gustav ; Gloviczki, Peter ; Hankey, Graeme John ; Harbaugh, Robert E ; Heldenberg, Eitan ; Hennerici, Michael ; Hill, Michael D ; Kleinig, Timothy ; Mikhailidis, Dimitri P ; Moore, Wesley S ; Naylor, Ross ; Nicolaides, Andrew ; Paraskevas, Kosmas I ; Pelz, David M ; Prichard, James W ; Purdie, Grant ; Ricco, Jean-Baptiste ; Ringleb, Peter ; Riles, Thomas ; Rothwell, Peter Malcolm W ; Sandercock, Peter ; Sillesen, Henrik ; Spence, J David ; Spinelli, Francesco ; Sturm, Jonathan W ; Tan, Aaron ; Thapar, Ankur ; Veith, Frank J ; Wijeratne, Tissa ; Zhou, Wei. / Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement. In: Stroke. 2013 ; Vol. 44, No. 4. pp. 1186 - 1190.
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title = "Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement",
abstract = "To avoid misguidance from calls for more routine practice (nontrial) carotid angioplasty/stenting (CAS), we need to distinguish relevant facts and patients? best interests from all else (distractions). A recent editorial by White and Jaff1 is one publication which illustrates this need particularly well. First, these authors are correct in reminding us that the responsibility of physicians is to provide best patient care, putting aside personal interest. This is inherent in any profession.2 However, misconception, bias, and conflict of interest exist. Therefore, healthcare payment organizations, such as the US Center for Medicare and Medicaid Services are important gatekeepers to facilitate patient access to interventions that are likely to help them, as opposed to all others.",
author = "Anne Abbott and Adelman, {Mark A} and Alexandrov, {Andrei V} and Barber, {Peter Alan} and Barnett, {Henry J M} and Beard, {Jonathan D} and Peter Bell and Martin Bjorck and Blacker, {David J} and Bonati, {Leo H} and Brown, {Martin M} and Buckley, {Clifford J} and Cambria, {Richard P} and Castaldo, {John E} and Comerota, {Anthony J} and Connolly, {E Sander} and Dalman, {Ronald L} and Davies, {Alun H} and Hans-Henning Eckstein and Rishad Faruqi and Feasby, {Thomas E} and Gustav Fraedrich and Peter Gloviczki and Hankey, {Graeme John} and Harbaugh, {Robert E} and Eitan Heldenberg and Michael Hennerici and Hill, {Michael D} and Timothy Kleinig and Mikhailidis, {Dimitri P} and Moore, {Wesley S} and Ross Naylor and Andrew Nicolaides and Paraskevas, {Kosmas I} and Pelz, {David M} and Prichard, {James W} and Grant Purdie and Jean-Baptiste Ricco and Peter Ringleb and Thomas Riles and Rothwell, {Peter Malcolm W} and Peter Sandercock and Henrik Sillesen and Spence,, {J David} and Francesco Spinelli and Sturm, {Jonathan W} and Aaron Tan and Ankur Thapar and Veith, {Frank J} and Tissa Wijeratne and Wei Zhou",
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Abbott, A, Adelman, MA, Alexandrov, AV, Barber, PA, Barnett, HJM, Beard, JD, Bell, P, Bjorck, M, Blacker, DJ, Bonati, LH, Brown, MM, Buckley, CJ, Cambria, RP, Castaldo, JE, Comerota, AJ, Connolly, ES, Dalman, RL, Davies, AH, Eckstein, H-H, Faruqi, R, Feasby, TE, Fraedrich, G, Gloviczki, P, Hankey, GJ, Harbaugh, RE, Heldenberg, E, Hennerici, M, Hill, MD, Kleinig, T, Mikhailidis, DP, Moore, WS, Naylor, R, Nicolaides, A, Paraskevas, KI, Pelz, DM, Prichard, JW, Purdie, G, Ricco, J-B, Ringleb, P, Riles, T, Rothwell, PMW, Sandercock, P, Sillesen, H, Spence, JD, Spinelli, F, Sturm, JW, Tan, A, Thapar, A, Veith, FJ, Wijeratne, T & Zhou, W 2013, 'Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement', Stroke, vol. 44, no. 4, pp. 1186 - 1190. https://doi.org/10.1161/STROKEAHA

Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement. / Abbott, Anne; Adelman, Mark A; Alexandrov, Andrei V; Barber, Peter Alan; Barnett, Henry J M; Beard, Jonathan D; Bell, Peter; Bjorck, Martin; Blacker, David J; Bonati, Leo H; Brown, Martin M; Buckley, Clifford J; Cambria, Richard P; Castaldo, John E; Comerota, Anthony J; Connolly, E Sander; Dalman, Ronald L; Davies, Alun H; Eckstein, Hans-Henning; Faruqi, Rishad; Feasby, Thomas E; Fraedrich, Gustav; Gloviczki, Peter; Hankey, Graeme John; Harbaugh, Robert E; Heldenberg, Eitan; Hennerici, Michael; Hill, Michael D; Kleinig, Timothy; Mikhailidis, Dimitri P; Moore, Wesley S; Naylor, Ross; Nicolaides, Andrew; Paraskevas, Kosmas I; Pelz, David M; Prichard, James W; Purdie, Grant; Ricco, Jean-Baptiste; Ringleb, Peter; Riles, Thomas; Rothwell, Peter Malcolm W; Sandercock, Peter; Sillesen, Henrik; Spence, J David; Spinelli, Francesco; Sturm, Jonathan W; Tan, Aaron; Thapar, Ankur; Veith, Frank J; Wijeratne, Tissa; Zhou, Wei.

In: Stroke, Vol. 44, No. 4, 2013, p. 1186 - 1190.

Research output: Contribution to journalLetterOther

TY - JOUR

T1 - Why calls for more routine carotid stenting are currently inappropriate: an international, multispecialty, expert review and position statement

AU - Abbott, Anne

AU - Adelman, Mark A

AU - Alexandrov, Andrei V

AU - Barber, Peter Alan

AU - Barnett, Henry J M

AU - Beard, Jonathan D

AU - Bell, Peter

AU - Bjorck, Martin

AU - Blacker, David J

AU - Bonati, Leo H

AU - Brown, Martin M

AU - Buckley, Clifford J

AU - Cambria, Richard P

AU - Castaldo, John E

AU - Comerota, Anthony J

AU - Connolly, E Sander

AU - Dalman, Ronald L

AU - Davies, Alun H

AU - Eckstein, Hans-Henning

AU - Faruqi, Rishad

AU - Feasby, Thomas E

AU - Fraedrich, Gustav

AU - Gloviczki, Peter

AU - Hankey, Graeme John

AU - Harbaugh, Robert E

AU - Heldenberg, Eitan

AU - Hennerici, Michael

AU - Hill, Michael D

AU - Kleinig, Timothy

AU - Mikhailidis, Dimitri P

AU - Moore, Wesley S

AU - Naylor, Ross

AU - Nicolaides, Andrew

AU - Paraskevas, Kosmas I

AU - Pelz, David M

AU - Prichard, James W

AU - Purdie, Grant

AU - Ricco, Jean-Baptiste

AU - Ringleb, Peter

AU - Riles, Thomas

AU - Rothwell, Peter Malcolm W

AU - Sandercock, Peter

AU - Sillesen, Henrik

AU - Spence,, J David

AU - Spinelli, Francesco

AU - Sturm, Jonathan W

AU - Tan, Aaron

AU - Thapar, Ankur

AU - Veith, Frank J

AU - Wijeratne, Tissa

AU - Zhou, Wei

PY - 2013

Y1 - 2013

N2 - To avoid misguidance from calls for more routine practice (nontrial) carotid angioplasty/stenting (CAS), we need to distinguish relevant facts and patients? best interests from all else (distractions). A recent editorial by White and Jaff1 is one publication which illustrates this need particularly well. First, these authors are correct in reminding us that the responsibility of physicians is to provide best patient care, putting aside personal interest. This is inherent in any profession.2 However, misconception, bias, and conflict of interest exist. Therefore, healthcare payment organizations, such as the US Center for Medicare and Medicaid Services are important gatekeepers to facilitate patient access to interventions that are likely to help them, as opposed to all others.

AB - To avoid misguidance from calls for more routine practice (nontrial) carotid angioplasty/stenting (CAS), we need to distinguish relevant facts and patients? best interests from all else (distractions). A recent editorial by White and Jaff1 is one publication which illustrates this need particularly well. First, these authors are correct in reminding us that the responsibility of physicians is to provide best patient care, putting aside personal interest. This is inherent in any profession.2 However, misconception, bias, and conflict of interest exist. Therefore, healthcare payment organizations, such as the US Center for Medicare and Medicaid Services are important gatekeepers to facilitate patient access to interventions that are likely to help them, as opposed to all others.

UR - http://stroke.ahajournals.org/content/44/4/1186.full.pdf+html

U2 - 10.1161/STROKEAHA

DO - 10.1161/STROKEAHA

M3 - Letter

VL - 44

SP - 1186

EP - 1190

JO - Stroke

JF - Stroke

SN - 0039-2499

IS - 4

ER -