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Related Experiment Videos

Screening cost for abdominal aortic aneurysms: Japan-based estimates.

Susumu Ishikawa1, Toru Takahashi, Yasushi Sato

  • 1Second Department of Surgery, Gunma University Faculty of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan.

Surgery Today
|September 28, 2004
PubMed
Summary

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Ultrasound screening for abdominal aortic aneurysm (AAA) is cost-effective in Japan. Early detection of AAA through screening reduces overall medical costs, despite initial screening expenses.

Area of Science:

  • Vascular Surgery
  • Public Health
  • Health Economics

Background:

  • Abdominal aortic aneurysm (AAA) poses a significant health risk.
  • Effective screening strategies are crucial for early detection and intervention.

Purpose of the Study:

  • To economically evaluate abdominal aortic aneurysm (AAA) screening procedures in Japan.
  • To analyze screening and hospital costs associated with AAA surgery.

Main Methods:

  • Ultrasound screening for AAA conducted on 10,057 residents aged 60 and above.
  • Analysis of screening costs per participant and cost per detected aneurysm.
  • Comparison of hospital costs between ruptured and non-ruptured AAA cases.

Main Results:

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  • AAA detection rate was 0.3% overall (0.8% in men, 0.03% in women).
  • Cost to detect one AAA was $2,366 overall ($1,250 in men, $23,240 in women).
  • Significant risk factors identified: obesity, male sex, and smoking.

    • Conclusions:

    • Ultrasound screening for AAA facilitates early detection.
    • Screening contributes to a reduction in overall medical costs for AAA management.