Basilar artery occlusion management: An international survey of middle versus high-income countries.
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Drumm Brian, Herning Ana, Klein Piers, Raymond Jean, Abdalkader Mohamad, Huo Xiaochuan, Chen Yimin, Siegler James E, Peacock Meabh, Schonewille Wouter J, Liu Xinfeng, Hu Wei, Ji Xunming, Li Chuanhui, Alemseged Fana, Liu Liping, Nagel Simon, Strbian Daniel, Rebello Leticia C, Yaghi Shadi, Qureshi Muhammad M, Fischer Urs, Tsivgoulis Georgios, Kaesmacher Johannes, Yamagami Hiroshi, Puetz Volker, Sylaja P N, Marto João Pedro, Sacco Simona, Kristoffersen Espen Saxhaug, Demeestere Jelle, Conforto Adriana B, Meyer Lukas, Kaiser Daniel P O, Reiff Tilman, Aydin Kubilay, Romoli Michele, Diana Francesco, Lobotesis Kyriakos, Roi Dylan, Masoud Hesham E, Ma Alice, Mohammaden Mahmoud H, Doheim Mohamed F, Zhu Yuyou, Sang Hongfei, Sun Dapeng, Ton Mai Duy, Raynald, Li Fengli, Lapergue Bertrand, Hanning Uta, Yang Qingwu, Lee Jin Soo, Thomalla Götz, Yang Pengfei, Liu Jianmin, Campbell Bruce C V, Chen Hui-Sheng, Zaidat Osama O, Qiu Zhongming, Nogueira Raul G, Miao Zhongrong, Nguyen Thanh N, Banerjee Soma
Аннотация
METHODS: We conducted an international survey from January to March 2022 regarding management strategies in acute BAO, to examine clinical and imaging parameters influencing clinician management of patients with BAO. We compared responses between physicians from HIC and MIC.
RESULTS: Among the 1245 respondents from 73 countries, 799 (64.2%) were from HIC, with the remaining 393 (31.6%) from MIC. Most respondents perceived that EVT was superior to medical management for acute BAO, but more so in respondents from HIC (98.0% vs. 94.2%, p < 0.01). MIC respondents were more likely to believe further RCTs were warranted (91.6% vs. 74.0%, p < 0.01) and were more likely to find it acceptable to enroll any patient who met a trial's criteria in the standard medical treatment arm (58.8% vs. 38.5%, p < 0.01).
CONCLUSIONS: In an area where clinical equipoise was called into question despite the lack of RCT evidence, we found that respondents from MIC were more likely to express willingness to enroll patients with BAO in an RCT than their HIC counterparts.