An abdominal aortic aneurysm screening programme for all males over the age of 50 years

作者: G.E. Morris , C.S.ff. Hubbard , C.R.G. Quick

DOI: 10.1016/S0950-821X(05)80451-7

关键词: AttendancePediatricsAbdominal aortic aneurysm screeningCohort studyMedicineSurgeryCohortAneurysmAortic aneurysmAbdominal aortic aneurysmMass screeningCardiology and Cardiovascular Medicine

摘要: Previously published ultrasound screening programmes for abdominal aortic aneurysm (AAA) have concentrated on males in the 65 to 75 year age range, suggesting this as most cost-effective cohort target. In unique study we broadened criteria screening. General practitioners one health district were approached supply details of all aged 50 years and over be offered scanning. Over a period 18 months, 4145 individuals asked attend 3030 (73%) attended. Attendance rates were: between 64 years, 73%; 79 75%; 80 over, 64%--significantly less (p = 0.01-0.001) than other two bands. Aortic dilatation (diameter > or 2.5 cm) was found 6.3% group, 16.8% 23.3% group. An established (> 4.6 0.3%--6 (50-64 years), 2.5% (65-79 years) 4.1% years). The results suggest that may worthwhile extending wider band. By focusing follow-up, should give greater value younger men terms community productivity allows selective intervention elderly.

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