Linked Life Data

21329540

Source:http://linkedlifedata.com/resource/pubmed/id/21329540

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2011-2-18
pubmed:abstractText
A recent trial revealed a reduction in ischaemic infarcts after carotid endarterectomy in patients with asymptomatic carotid stenosis. However, the number needed to treat (NNT) was 22 to prevent 1 stroke in 10 years (including perioperative death as a primary outcome measurement). This is a modest effect in comparison to the trials with symptomatic patients with a 70-99% stenosis (NNT: 6). Furthermore, the number of surgical complications outweighs the benefits of surgery during the first 2 years after treatment. Finally, current medical treatment is significantly more effective than the medical treatment used in the control arm of this trial. Therefore, in our opinion, endarterectomy should not be performed routinely in asymptomatic patients.
pubmed:commentsCorrections
pubmed:language
dut
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1876-8784
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
155
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
A3052
pubmed:meshHeading
pubmed:year
2011
pubmed:articleTitle
[Endarterectomy in asymptomatic carotid stenosis: not worth the risk].
pubmed:affiliation
Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Neurologie, Amsterdam, the Netherlands.
pubmed:publicationType
Journal Article, Comment, English Abstract