results of a national abdominal aortic aneurysm screening programme in a single centre

Aortic Aneurysm


First-year results of a national abdominal aortic aneurysm screening programme in a single centre


Conway AM, Malkawi AH, Hinchliffe RJ, et al (St George’s Healthcare NHS Trust, London, UK) Br J Surg 99:73–77, 2012§



G.L. Moneta, MD



Evidence Ranking


• B



Expert Rating


• 2



Abstract



Background


The UK Multicentre Aneurysm Screening Study (MASS) demonstrated reduced mortality from screening for abdominal aortic aneurysm (AAA). As a result, the National Health Service AAA Screening Programme was introduced in England. This study reports the results from an early-implementation screening centre.



Methods


Men aged 65 years were invited to attend an ultrasound assessment. Data were analysed for 15 months from the onset of the screening programme.



Results


A total of 6091 men aged 65 years were invited between April 2009 and June 2010, of whom 2037 (33·4 per cent) failed to attend. There were 162 self-referrals (median age 71·3 years) so that 4216 men were screened. Of those scanned, 4146 (98·3 per cent) had an aortic diameter of less than 3·0 cm, 65 (1·5 per cent) had an aneurysm measuring 3·0–5·4 cm, and five (0·1 per cent) had an aneurysm with a diameter of 5·5 cm and above. The presence of an aneurysm was more common in those who self-referred than in the invited group (P < 0·001). All 70 screen-detected aneurysms were found in white men.

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Apr 1, 2017 | Posted by in CARDIOLOGY | Comments Off on results of a national abdominal aortic aneurysm screening programme in a single centre

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