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The Gloucestershire Aneurysm Screening Programme: the first 2 years' experience
M Lucarotti1, E Shaw, K Poskitt
1Bristol Royal Infirmary, U.K.
European Journal of Vascular Surgery
|July 1, 1993
Summary
A community screening program for abdominal aortic aneurysms in 65-year-old men found a low prevalence of large aneurysms. The study discusses the feasibility of widespread screening for this condition.
Area of Science:
- Vascular Surgery
- Public Health
- Diagnostic Imaging
Background:
- Abdominal aortic aneurysm (AAA) is a serious condition.
- Screening programs aim to detect AAA early for timely intervention.
- General Practice-based screening offers a community-level approach.
Purpose of the Study:
- To evaluate the prevalence of abdominal aortic aneurysms in a screened population.
- To assess the practicalities, costs, and benefits of a community-based AAA screening program.
Main Methods:
- Ultrasound examination of the abdominal aorta was offered to 5337 men aged 65.
- Screening was conducted between September 1990 and October 1992.
- Attendance rate and aortic diameter measurements were recorded.
Main Results:
- 4232 (79%) men attended the screening.
- 91.6% had normal aortic diameters (≤2.5 cm).
- 1.3% had an aortic diameter of 4.0 cm or greater, indicating AAA.
Conclusions:
- Community-based screening for abdominal aortic aneurysms in older men is feasible.
- The prevalence of significant AAA requiring intervention was low in this cohort.
- Further analysis of costs and benefits is warranted for program implementation.