Abdominal Aortic Aneurysm Screening: Recommendations and Controversies
- 1 May 2005
- journal article
- research article
- Published by SAGE Publications in Vascular and Endovascular Surgery
- Vol. 39 (3) , 213-219
- https://doi.org/10.1177/153857440503900301
Abstract
Extensive level one evidence supports routine abdominal aortic aneurysm (AAA) screening in men aged 65 to 75 years, because AAAs are highly prevalent in this population. Physical examination is an insensitive means of detection. Ruptured AAAs are costly with respect to quality adjusted life years (QALY) lost and medical expenses. Large scale, randomized trials have demonstrated that AAA screening reduces all AAA-related mortality in the screened population and is cost-effective in mid-term follow-up. AAA screening by ultrasound has many advantages over other accepted medical screening programs in its simplicity in structure and the availability of an inexpensive, portable, and reliable means of screening. Additionally, AAA screening almost entirely avoids the negative consequences associated with other screening programs, including the adverse psychological effects and medical costs associated with false-positive examination results. There are subgroups of at-risk women who might benefit from AAA screening, and this issue should be further studied.Keywords
This publication has 48 references indexed in Scilit:
- Is screening for abdominal aortic aneurysm bad for your health and well‐being?Anz Journal of Surgery, 2004
- Screening Cost for Abdominal Aortic Aneurysms: Japan-Based EstimatesSurgery Today, 2004
- Screening for abdominal aortic aneurysm: A consensus statementJournal of Vascular Surgery, 2004
- Multicentre aneurysm screening study (MASS): cost effectiveness analysis of screening for abdominal aortic aneurysms based on four year results from randomised controlled trialBMJ, 2002
- Randomized clinical trial of screening for abdominal aortic aneurysm in womenBritish Journal of Surgery, 2002
- Hospital Costs and Benefits of Screening for Abdominal Aortic Aneurysms. Results from a Randomised Population Screening TrialEuropean Journal of Vascular and Endovascular Surgery, 2002
- A single normal ultrasonographic scan at age 65 years rules out significant aneurysm disease for life in menBritish Journal of Surgery, 2001
- A Comparison of the Mortality Rate After Elective Repair of Aortic Aneurysms Detected Either by Screening or IncidentallyEuropean Journal of Vascular and Endovascular Surgery, 2000
- The Validity of Ultrasonographic Scanning as Screening Method for Abdominal Aortic AneurysmEuropean Journal of Vascular and Endovascular Surgery, 1999
- Should endovascular surgery lower the threshold for repair of abdominal aortic aneurysms?Journal of Vascular Surgery, 1999