The impact of decreasing abdominal aortic aneurysm prevalence on a local aneurysm screening programme

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Rosie Darwood, M J Brooks

Abstract

The NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP), based on the Multicentre Aneurysm Screening Study (MASS) trial (2002), is being introduced across the UK. Recent studies have demonstrated a decline in prevalence of abdominal aortic aneurysm (AAA). The aim of this study was to examine the effect of this on screening workload. A model was developed to predict screening and surgical workload for a screening centre (Bristol - population 1,123,203). Workload was compared using data from MASS with data from the "Early Implementers" (EI) of NAAASP. Modelling for 2011/2012 using EI data predicted significantly fewer men diagnosed with an AAA compared to MASS data [84 (EI) versus 198 (MASS) p < 0.0001] and fewer referrals to a vascular surgeon for AAA repair [10 (EI) versus 30 (MASS) p = 0.0002). This difference became more marked with time (2015/16: 90 (EI) versus 212 (MASS) men diagnosed with an AAA (p < 0.0001) and 29 (EI) versus 71 (MASS) referred to a vascular surgeon (p < 0.0001)). From 2015/16 there was also a significant reduction in the predicted number of ultrasound scans. Modelling screening activity based on contemporary epidemiological data demonstrates a significant reduction in workload compared to MASS dat...Continue Reading

References

Jun 24, 2004·Circulation·Anthony R BradyUNKNOWN UK Small Aneurysm Trial Participants
Nov 17, 2004·BMJ : British Medical Journal·Paul E NormanJames A Dickinson
Mar 11, 2005·BMJ : British Medical Journal·Jes S LindholtEskild W Henneberg
Jun 7, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B LindbladA Gottsäter
Feb 20, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M T Q LeP E Norman
Oct 13, 2007·BMJ : British Medical Journal·Roger Greenhalgh, Janet Powell
Nov 30, 2007·The New England Journal of Medicine·David J Brenner, Eric J Hall
Jun 26, 2009·BMJ : British Medical Journal·Martin J Buxton
Jun 26, 2009·BMJ : British Medical Journal·Lars EhlersMette Kjølby
Dec 2, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S ShantikumarD J A Scott
Jul 20, 2010·Journal of Vascular Surgery·Hisato TakagiTakuya Umemoto
Jan 22, 2011·The British Journal of Surgery·C P Twine, I M Williams
Mar 29, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T C HartshorneA Nasim
Apr 23, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S A BadgerI S Young
Jul 5, 2011·The British Journal of Surgery·S SpronkI S Kristiansen

❮ Previous
Next ❯

Citations

Feb 16, 2016·Clinical Imaging·Zachary W Kostun, Rajesh K Malik
Dec 12, 2012·Yonsei Medical Journal·Jin Hyun JohHo-Chul Park
Dec 14, 2018·International Journal of Environmental Research and Public Health·Emma AltobelliRoberto Fagnano
Apr 22, 2017·Vascular Medicine·Koen M van de LuijtgaardenDanielle Majoor-Krakauer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

CV Disorders & Type 2 Diabetes

This feed focuses on the association of cardiovascular diseases in patients with type 2 diabetes.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Related Papers

International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists
J L Rutgers
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
N P RossJ L Duncan
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
P W StatherT A Lees
© 2021 Meta ULC. All rights reserved