Screening for abdominal aortic aneurysms was cost-effective for prolonging survival from AAA-related death in older men.
نویسنده
چکیده
I n t e r v e n t i o n Men were allocated to be invited (n = 33 839) or not to be invited (n = 33 961) for screening. The invited group received by mail an invitation from their family physician, an information booklet, and a questionnaire. Those accepting the invitation attended a clinic and had an ultrasonographic scan of the abdominal aorta. Scan results were sent to the family physicians. No contact was made with men in the uninvited group with respect to screening.
منابع مشابه
بررسی شیوع آنوریسم آئورت شکمی در جمعیت مردان ایرانی بالای 65 سال
Background: Prevalence of Abdominal Aortic Aneurysm (AAA), estimated by various studies, ranged from 4.1% to 14.2% in men older than 60 years. Most cases of AAA are asymptomatic and often discovered incidentally. Approximately the initial presentation in 12% of cases of AAA is sudden rupture with subsequent high mortality. This study was performed to evaluate the prevalence and screening necess...
متن کاملA 66-year-old man with an abdominal aortic aneurysm: review of screening and treatment.
Ruptured abdominal aortic aneurysm (AAA) is a common cause of death. Abdominal aortic aneurysms tend to be asymptomatic until the time of rupture, which has a mortality rate of greater than 80%. Therefore, elective repair prior to rupture is preferred if life expectancy is reasonable and the risk of rupture outweighs the risk of repair. Mr F, a 66-year-old man with a 5.2-cm AAA, illustrates the...
متن کاملScreening for abdominal aortic aneurysms in men: a Canadian perspective using Monte Carlo-based estimates.
OBJECTIVE Recently generated randomized screening trial data have provided good evidence in favour of routine screening for abdominal aortic aneurysm (AAA) to reduce AAA-related deaths in men aged 65 years and older. We developed an economic model that assessed the incremental cost-utility of AAA screening to help decision makers judge the relevance of a national screening program in Canada. ...
متن کاملUltrasonographic screening for abdominal aortic aneurysms.
Abdominal aortic aneurysms (AAAs) occur in 1 of 20 older men, remain asymptomatic for many years, and, if left untreated, cause death from rupture in about one third of patients. Ultrasonography is a suitable screening test for AAA, and elective repair can prevent rupture. Although these features suggest a promising target for a screening program, evidence of benefit from AAA screening has only...
متن کاملUltrasound screening for abdominal aortic aneurysm: an evidence-based analysis.
OBJECTIVE The aim of this review was to assess the effectiveness of ultrasound screening for asymptomatic abdominal aortic aneurysm (AAA). CLINICAL NEED Abdominal aortic aneurysm is a localized abnormal dilatation of the aorta greater than 3 cm. In community surveys, the prevalence of AAA is reported to be between 2% and 5.4%. Abdominal aortic aneurysms are found in 4% to 8% of older men and ...
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ورودعنوان ژورنال:
- ACP journal club
دوره 139 1 شماره
صفحات -
تاریخ انتشار 2003