The rate of open versus catheter-based treatment for cerebral aneurysms varies largely across the country, according to a report suggesting unwarranted practice variation. 

The rates of endovascular coiling for unruptured aneurysms among Medicare beneficiaries ranged from a low of 35% in Modesto, Calif. to a high of 98.6% in Tacoma, Wash., Kimon Bekelis, MD, of Dartmouth-Hitchcock Medical Center in Lebanon, NH., and colleagues found.

While some variation in practice is expected, Bekelis called the level seen in the data “excessive.”

READ FULL ARTICLE Curated publisher From Medical Page Today