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Chart 7
Admission Rates for Carotid Endarterectomy

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Chart 7 demonstrates a very wide variation in the usage of carotid endarterectomy. This is the procedure where a surgeon opens the large blood vessel in the front of the neck to clear out fatty deposits to help protect the brain from stroke. Experts have debated the need for this operation. There are accepted situations and many situations that are not fully accepted. This chart clearly demonstrates that one local area of Maine centered in northern Aroostook County uses this procedure  more than one and one half times the expected use. This concerns MQF and should concern any patient considering this procedure in northern Aroostook County.

For an overview of how to read our Medical Variation Charts, click here.

Visual graphic for Variation in Admission Rates for Carotid Endarterectomy by Hospital Service Area, Maine 1998-2002
(Orange bars are statistically significant at the 95% confidence level or higher.)


AREA NAME Significance Ratio: OBS/EXP % Difference AREA NAME
CARIBOU-VAN BUREN P<0.001 2.76 176%
FORT FAIRFIELD P<0.001 2.42 142%
FORT KENT P<0.001 2.00 100%
PRESQUE ISLE P<0.001 1.93 93%
HOULTON P<0.01 1.41 41%
LEWISTON P<0.001 1.40 40%
MAINE TOTALS
1.00 0%

P<0.001 0.84 -16% PORTLAND

P<0.01 0.75 -25% BRUNSWICK

P<0.001 0.72 -28% BIDDEFORD

P<0.001 0.64 -36% ROCKLAND

P<0.01 0.61 -39% BELFAST

P<0.001 0.59 -41% SANFORD

P<0.01 0.57 -43% MACHIAS

P<0.01 0.56 -44% DAMARISCOTTA

P<0.01 0.43 -57% BOOTHBAY HARBOR


You can also review the full table for the underlying data that supports this chart.


I. Variation Charts
chart 1 intro > chart 1 | ssa intro > chart 1A > chart 1B | chart 2 intro > chart 2 | chart 3 intro > chart 3 | chart 4 intro > chart 4
chart 5 intro > chart 5 | chart 6 intro > chart 6 | chart 7 intro > chart 7 | chart 8 intro > chart 8
chart 9 intro > chart 9 | chart 10 intro > chart 10 | chart 11 intro > chart 11
II. Quality Analysis Charts
chart 12 intro > chart 12 | chart 13 | chart 14 | chart 15 | chart 16 | chart 17 | chart 18 | chart 19 | chart 20 | chart 21
chart 22 | chart 23 | chart 24 | chart 25 | chart 26 | chart 27 | chart 28
III. Disease Burden Charts
chart 29 | chart 30 | chart 31 | chart 32
IV. Demo Chart Quality
chart 33
V. Demo Chart Variation
chart 34
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