British Medical Journal
Kimon Bekelis, Jonathan Skinner, Daniel Gottlieb, Philip Goodney
Objective: To determine physician characteristics associated with exnovation (scaling back on use) and de-adoption (abandoning use) of carotid revascularization.
Conclusion: Surgeons with more experience and the lowest share in carotid revascularization practice reduced their use of the procedure the most. These practice factors should be considered in quality improvement efforts when the evidence base evolves away from a specific treatment.