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Nine hundred forty-three patients were operated on by a neurosurgeon; 75,649 by a vascular surgeon; and 3734 by a general surgeon. Preoperative and intraoperative characteristics and 30-day outcomes were stratified by the surgeon\u2019s primary specialty. Using propensity scores, comprising pre- and intraoperative characteristics as well as procedure and diagnostic codes, the authors matched 203 neurosurgery (NS) patients to 203 vascular surgery (VS) patients and 203 NS patients to 203 general surgery (GS) patients. No pre- or intraoperative factors were significantly different between specialties in the matched sample. Regular logistic regression and conditional logistic regression were used to predict postoperative complications in the full sample and in the matched sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>In the complete population sample, NS patients, when compared to patients of general and vascular surgeons, were less likely to be admitted from home and more likely to have carotid artery occlusion or stenosis with cerebral infarction, to be a current smoker, to have had recent chemo- or radiotherapy, to have surgery under general anesthesia, to undergo multiple procedures, and to have longer surgery times. In unadjusted analyses, NS patients were more likely to experience major complications (NS vs VS: odds ratio 1.3, 95% CI 1.1\u20131.6; NS vs GS: odds ratio 1.3, 95% CI 1.0\u20131.7); minor complications (NS vs VS: odds ratio 2.9, 95% CI 2.0\u20134.1; NS vs GS: odds ratio 2.7, 95% CI 1.7\u20134.2); intra- or postoperative transfusions (NS vs VS: odds ratio 1.6, 95% CI 1.4\u20131.9; NS vs GS: odds ratio 1.9, 95% CI 1.6\u20132.3); prolonged hospitalization (NS vs VS: odds ratio 3.0, 95% CI 2.6\u20133.5; NS vs GS: odds ratio 2.6, 95% CI 2.2\u20133.0); and discharge to skilled care facilities (NS vs VS: odds ratio 2.8, 95% CI 2.3\u20133.4; NS vs GS: odds ratio 3.1, 95% CI 2.4\u20134.1). In adjusted, propensity-matched analyses, however, patients\u2019 outcome with carotid endarterectomy performed by NS was comparable with those completed by GS and VS.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Patients who undergo carotid endarterectomy performed by a neurosurgeon tend to have a greater preoperative disease burden than do those treated by a general or vascular surgeon, which contributes significantly to more morbid postoperative courses. In patients matched carefully on the basis of health status at the time of surgery and intraoperative variables that affect results, patients\u2019 outcomes after carotid endarterectomy do not appear to depend on the attending surgeon\u2019s primary specialty.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.2.jns173014","type":"journal-article","created":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T13:59:46Z","timestamp":1533909586000},"page":"387-396","source":"Crossref","is-referenced-by-count":5,"title":["Surgeon specialty and patient outcomes in carotid endarterectomy"],"prefix":"10.3171","volume":"131","author":[{"given":"Andreea","family":"Seicean","sequence":"first","affiliation":[{"name":"Departments of Psychiatry and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateek","family":"Kumar","sequence":"additional","affiliation":[{"name":"Neurosurgery, University of Illinois at Chicago, Illinois; Departments of"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinziana","family":"Seicean","sequence":"additional","affiliation":[{"name":"Internal Medicine and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duncan","family":"Neuhauser","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Weil","sequence":"additional","affiliation":[{"name":"National Clinical Enterprise, Catholic Health Initiatives, Englewood, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Vasc Surg","doi-asserted-by":"publisher","first-page":"666","DOI":"10.1016\/j.jvs.2013.02.016","article-title":"The effect of surgeon\u2019s specialty and volume on the perioperative outcome of carotid endarterectomy","volume":"58","author":"AbuRahma AF","year":"2013","unstructured":"AbuRahma AF, Stone PA, Srivastava M, Hass SM, Mousa AY, Dean LS, : The effect of surgeon\u2019s specialty and volume on the perioperative outcome of carotid endarterectomy. 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