Patient preference survey in the management of asymptomatic carotid stenosis

Abstract

In this scenario, patients were split equally between medical and surgical treatment of asymptomatic carotid stenosis. This was identical to a recent poll of physicians. Tools for risk assessment and the results of the SPACE2, ACST2, and ACT1 trials would benefit patients and physicians making this important treatment decision.

Outcome After 7 Years of Carotid Artery Stenting and Endarterectomy in Sweden – Single Centre and National Results

“…Another issue when dealing with a population seeking information on the internet is that in spite of receiving information on the higher risk with CAS, some asymptomatic patients still prefer this compared to best medical therapy or surgery. 19 We had some similar experiences with patients arguing for the procedure without any strict indication.…”

Comparison of Trends and Outcomes of Carotid Artery Stenting and Endarterectomy in the United States, 2001 to 2010

“…7,8 Given a recent survey demonstrating that a significant portion of patients still prefer CAS over CEA despite being quoted with a slightly higher periprocedural risks in comparison with CEA, one has to wonder whether patient preference is incorporated into the decision making in terms of carotid revascularization. 21 Recent studies have demonstrated a clear relationship between operator volume and improving outcomes after CAS. [22][23][24] Although there was an increase in the rate of CAS over time in our study, median hospital caseload only increased from 10 to 24 from 2001 to 2010 because of concomitant increase in the number of hospitals and likely operators performing CAS.…”

Impact of risk scoring on decision-making in symptomatic moderate carotid atherosclerosis

“…Respondents were not provided with a procedural risk of CEA, which has also changed over time and may vary between centres. Finally, patient preference was not taken into account; however, results from previous clinician and patient surveys in asymptomatic carotid disease have yielded similar preferences for management.…”