Carotid endarterectomy versus stenting in patients with carotid artery stenosis and type 2 diabetes: a nationwide cohort study from the USA.

ABSTRACT:

Objectives

Patients with type 2 diabetes mellitus (T2DM) are associated with a higher risk of carotid artery stenosis and adverse postoperative outcomes compared with individuals without T2DM. The comparative effectiveness after carotid endarterectomy (CEA) versus carotid artery stenting (CAS) in this population remains unclear. This study aimed to compare the in-hospital outcomes of CEA versus CAS in patients with carotid artery stenosis and T2DM.

Design

A retrospective cohort study using a doubly robust estimation model which incorporated an inverse probability weighting (IPW) model, followed by logistic regression to balance baseline characteristics.

Setting

Nation-wide administrative hospitalizations in the US National Inpatient Sample, 2016-2021.

Participants<

SUBMITTER: Fan Y 

PROVIDER: S-EPMC12542706 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature