Camilo R. Gomez, MD
Gomez CR. Outcomes of Carotid Endarterectomy. Ann Intern Med. 1991;114:703-704. doi: 10.7326/0003-4819-114-8-703_2
Download citation file:
Published: Ann Intern Med. 1991;114(8):703-704.
To the editors: The article by Brook and colleagues (1) contains serious methodologic flaws that make some of the findings questionable and others reprehensible.
First, the outcome of the study is based on "appropriateness" of carotid endarterectomy. Nobody knows exactly for what patient, if any, this procedure is appropriate. The authors themselves recognize this in their introduction and yet analyze the data based on opinions expressed by consultants (2).
Second, the issue of "illness-severity" is problematic. It is unclear to what illness the authors are referring: isolated carotid artery disease? cerebrovascular atherosclerosis? ischemic brain disease? and, if so, hemodynamic? embolic?
Learn more about subscription options.
Register Now for a free account.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only