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[Should we start AAA screening in Finland?].

Sani Laukontaus¹, Suvi Mäklin, Juha-Pekka Salenius

¹HYKS, verisuonikirurgian klinikka.

Duodecim; Laaketieteellinen Aikakauskirja

|March 15, 2013

Summary

One-time ultrasound screening for abdominal aortic aneurysms (AAA) in 65-year-old men is cost-effective and improves health outcomes. Screening women offers fewer benefits but lower additional costs compared to men.

Area of Science:

Vascular Surgery
Public Health
Health Economics

Background:

Abdominal aortic aneurysms (AAA) are often asymptomatic until rupture, posing a significant health risk.
Early detection through ultrasound screening can prevent catastrophic rupture.
Current European practices include one-time AAA screening for 65-year-old men in England and Sweden.

Purpose of the Study:

To evaluate the cost-effectiveness and health impact of one-time ultrasound screening for abdominal aortic aneurysms (AAA) in 65-year-old men and women in Finland.
To compare screening strategies with the current no-screening policy.

Main Methods:

Health economic modeling was used to assess the cost-effectiveness of screening programs.
The study analyzed outcomes such as life years gained and additional healthcare costs.

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Main Results:

One-time screening for 65-year-old men is a more effective strategy than the current practice of no screening.
Screening 65-year-old women for AAA is less cost-effective than for men, yielding fewer life years gained despite lower additional costs.
Implementing screening programs necessitates additional resources within the Finnish healthcare system.

Conclusions:

One-time ultrasound screening for abdominal aortic aneurysms in 65-year-old men is recommended as a cost-effective public health measure in Finland.
Screening women should be carefully considered due to a less favorable balance of cost-effectiveness and life years gained.
Healthcare system adjustments are required to support the implementation of AAA screening programs.