The impact of hybrid neurosurgeons on the outcomes of endovascular coiling for unruptured cerebral aneurysms.

ABSTRACT: OBJECTIVE The impact of combined practices on the outcomes of unruptured cerebral aneurysm coiling remains an issue of debate. The authors investigated the association of combined open and endovascular expertise with the outcomes of unruptured cerebral aneurysm coiling. METHODS The authors performed a cohort study of 100% of Medicare fee-for-service claims data for elderly patients who underwent endovascular coiling for unruptured cerebral aneurysms between 2007 and 2012. To control for confounding, the authors used propensity score conditioning, with mixed effects to account for clustering at the hospital referral region level. RESULTS During the study period, there were 11,716 patients who underwent endovascular coiling for unruptured cerebral aneurysms and met the inclusion criteria. Of

SUBMITTER: Bekelis K 

PROVIDER: S-EPMC5442388 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature