PMID- 22995752
OWN - NLM
STAT- MEDLINE
DCOM- 20121231
LR  - 20220331
IS  - 1532-2165 (Electronic)
IS  - 1078-5884 (Linking)
VI  - 44
IP  - 5
DP  - 2012 Nov
TI  - Limited economic evidence of carotid artery stenosis diagnosis and treatment: a 
      systematic review.
PG  - 505-13
LID - S1078-5884(12)00597-7 [pii]
LID - 10.1016/j.ejvs.2012.08.010 [doi]
AB  - The objective of this article is to assess the availability and validity of 
      economic evaluations of carotid artery stenosis (CS) diagnosis and treatment. 
      DESIGN: Systematic review of economic evaluations of the diagnosis and treatment 
      of CS. METHODS: Systematic review of full economic evaluations published in 
      Medline and Google Scholar up until 28 February 2012. Based on economic 
      checklists (Evers and Philips), the identified studies were classified as high, 
      medium, or low quality. RESULTS: Twenty-three evaluations were identified. The 
      study quality ranged from 26% to 84% of all achievable points (Evers). Seven 
      studies were of high, eight of medium and eight of low quality. No comparison was 
      made between carotid angioplasty and stenting (CAS) and best medical treatment 
      (BMT). For subjects with severe stenosis, comparisons of carotid endarterectomy 
      (CEA) and BMT were also missing. Three of five studies dealing with pre-operative 
      imaging found that duplex Doppler ultrasound (US) was cost-effective compared 
      with carotid angiogram (AG). CONCLUSIONS: There is a huge lack of high-quality 
      studies and of studies that confirm published results. Also, for a given study 
      quality, the most cost-effective treatment strategy is still unknown in some 
      cases ('CAS' vs. 'BMT', 'US combined with magnetic resonance angiography 
      supplemented with AG' vs. 'US combined with computer tomography angiography').
CI  - Copyright (c) 2012 European Society for Vascular Surgery. Published by Elsevier 
      Ltd. All rights reserved.
FAU - Shenoy, A U
AU  - Shenoy AU
AD  - Helmholtz Zentrum Munchen, Institute of Health Economics and Health Care 
      Management, Neuherberg, Germany.
FAU - Aljutaili, M
AU  - Aljutaili M
FAU - Stollenwerk, B
AU  - Stollenwerk B
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20120918
PL  - England
TA  - Eur J Vasc Endovasc Surg
JT  - European journal of vascular and endovascular surgery : the official journal of 
      the European Society for Vascular Surgery
JID - 9512728
SB  - IM
MH  - Angioplasty, Balloon/adverse effects/*economics
MH  - Carotid Stenosis/diagnosis/*economics/therapy
MH  - Checklist
MH  - Cost-Benefit Analysis
MH  - Diagnostic Techniques, Cardiovascular/*economics
MH  - Endarterectomy, Carotid/adverse effects/*economics
MH  - Humans
MH  - Magnetic Resonance Angiography/economics
MH  - Models, Economic
MH  - Outcome and Process Assessment, Health Care/*economics
MH  - Predictive Value of Tests
MH  - Severity of Illness Index
MH  - Tomography, X-Ray Computed/economics
MH  - Treatment Outcome
MH  - Ultrasonography, Doppler, Duplex/economics
EDAT- 2012/09/22 06:00
MHDA- 2013/01/01 06:00
CRDT- 2012/09/22 06:00
PHST- 2012/02/03 00:00 [received]
PHST- 2012/08/26 00:00 [accepted]
PHST- 2012/09/22 06:00 [entrez]
PHST- 2012/09/22 06:00 [pubmed]
PHST- 2013/01/01 06:00 [medline]
AID - S1078-5884(12)00597-7 [pii]
AID - 10.1016/j.ejvs.2012.08.010 [doi]
PST - ppublish
SO  - Eur J Vasc Endovasc Surg. 2012 Nov;44(5):505-13. doi: 10.1016/j.ejvs.2012.08.010. 
      Epub 2012 Sep 18.