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A community screening programme for abdominal aortic aneurysms.

J Collin1, L Araujo, D Lindsell

  • 1Nuffield Department of Surgery, University of Oxford, U.K.

European Journal of Vascular Surgery
|April 1, 1988
PubMed
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Ultrasound screening for abdominal aortic aneurysm in men aged 65-74 years can reduce mortality. Early surgery for detected aneurysms is also recommended.

Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Diagnostic Imaging

Background:

  • Abdominal aortic aneurysm (AAA) is a significant cause of mortality in older men.
  • Screening programs aim to detect AAA early for timely intervention.
  • Age is a key factor in AAA prevalence and rupture risk.

Purpose of the Study:

  • To evaluate the feasibility and uptake of AAA screening in men aged 65-79 years.
  • To determine the prevalence of AAA in the screened population.
  • To assess the potential impact of screening on reducing AAA-related mortality.

Main Methods:

  • A screening program invited 369 men aged 65-79 years for abdominal aortic ultrasound.
  • One hundred and forty-one men attended the screening appointment.

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  • Data on attendance rates by age group were collected.

    • Main Results:

    • Four abdominal aortic aneurysms were detected among the 141 men examined.
    • Attendance rates were higher in younger men (43.2% for ages 65-74) compared to older men (29.1% for ages 75-79).
    • The study highlights a lower uptake in the older age group.

    Conclusions:

    • Ultrasound screening for abdominal aortic aneurysm in men aged 65-74 years is suggested as a method to reduce mortality.
    • Early surgical intervention for detected aneurysms is recommended.
    • Targeted screening in specific age groups may improve program effectiveness.