Community-Based, Nonprofit Organization-Sponsored Ultrasonography Screening Program for Abdominal Aortic Aneurysms Is Effective at Identifying Occult Aneurysms

Ogata, Toru; Arrington, Sheila; Davis, P.R.; Sam, Albert D.; Hollier, Larry H.; Tromp, Gerard; Kuivaniemi, Helena

doi:10.1007/s10016-006-9056-5

“…There were two further published studies 25,26 and one unpublished study offering, by advertisement, sponsored free screening in the USA. This gave an overall total of 1 537 633 women screened in eight separate studies, with a pooled prevalence of AAA of 0⋅74 (95 per cent c.i.…”

Section: Resultsmentioning

confidence: 99%

“…All these studies used ultrasonography for screening. Correspondence with the authors provided further details of several studies 21,25,26 and one author 25 provided an eighth unpublished study using ultrasonography for screening. These eight studies were included in the meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The study by Jahangir and colleagues 30 provides support for this effect as the association between AAA and former smoking had a hazard ratio of 3⋅4, rising to 9⋅2 in current smokers. Three studies reported the prevalence in current smokers: 2⋅08 per cent 27 , 4⋅63 per cent 22 and 2⋅82 per cent 26 . Two of the smaller studies 27,29 reported similar prevalence for those with, and without diabetes.…”

Section: Referencementioning

confidence: 99%

See 1 more Smart Citation

Meta-Analysis of the Current Prevalence of Screen-Detected Abdominal Aortic Aneurysm in Women

Ulug¹,

Powell²,

Sweeting³

2016

Journal of Vascular Surgery

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Background: Although women represent an increasing proportion of those presenting with abdominal aortic aneurysm (AAA) rupture, the current prevalence of AAA in women is unknown. The contemporary population prevalence of screen-detected AAA in women was investigated by both age and smoking status.Methods: A systematic review was undertaken of studies screening for AAA, including over 1000 women, aged at least 60 years, done since the year 2000. Studies were identified by searching MEDLINE, Embase and CENTRAL databases until 13 January 2016. Study quality was assessed using the Newcastle-Ottawa scoring system.Results: Eight studies were identified, including only three based on population registers. The largest studies were based on self-purchase of screening. Altogether 1 537 633 women were screened. Overall AAA prevalence rates were very heterogeneous, ranging from 0⋅37 to 1⋅53 per cent: pooled prevalence 0⋅74 (95 per cent c.i. 0⋅53 to 1⋅03) per cent. The pooled prevalence increased with both age (more than 1 per cent for women aged over 70 years) and smoking (more than 1 per cent for ever smokers and over 2 per cent in current smokers). Conclusion:The current population prevalence of screen-detected AAA in older women is subject to wide demographic variation. However, in ever smokers and those over 70 years of age, the prevalence is over 1 per cent.

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“…Researchers have reported the effectiveness of using abdominal ultrasounds in screening asymptomatic individuals for the presence of an AAA and reducing mortality from AAA ruptures (Cosford et al, 2007;Kent et al, 2010;Ogata et al, 2006). Unfortunately, ultrasound screening to detect the presence of an asymptomatic AAA is not covered by most insurance companies in the United States (Ogata et al, 2006).…”

Section: Diagnosticsmentioning

confidence: 99%

“…Unfortunately, ultrasound screening to detect the presence of an asymptomatic AAA is not covered by most insurance companies in the United States (Ogata et al, 2006). A one-time AAA ultrasound screening is covered under Medicare Part B during a participant's first 12 months of enrollment in the plan.…”

Section: Diagnosticsmentioning

confidence: 99%

Abdominal Aortic Aneurysm

Tillman

¹

,

Lee

²

,

Whitty

³

2012

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Risk factors associated with the development of an AAA include the following: a family history of an aortic aneurysm, a history of smoking, hypertension, AbstractMen are more likely than women to develop an abdominal aortic aneurysm (AAA), a disease that is often asymptomatic and has up to a 90% risk of mortality if the aneurysm ruptures. What many men do not know is that an AAA can easily be identified through an ultrasound screening, and if the aneurysm is >5.5 cm, it can be surgically repaired to prevent a life-threatening rupture. Although current AAA screening recommendations focus on men between the ages of 65 and 75 years, who have ever smoked, recent evidence suggest many men of ages 50 to 80 years, regardless of smoking status, may also be at risk for developing an AAA. This article presents a comprehensive overview of AAA disease and summarizes current evidence-based diagnostic and treatment guidelines, the importance of educating men about this health issue, and the need for more widespread AAA ultrasound screening opportunities.

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Meta-analysis of the current prevalence of screen-detected abdominal aortic aneurysm in women

Ulug

¹

,

Powell

²

,

Sweeting

³

et al. 2016

British Journal of Surgery

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Background: Although women represent an increasing proportion of those presenting with abdominal aortic aneurysm (AAA) rupture, the current prevalence of AAA in women is unknown. The contemporary population prevalence of screen-detected AAA in women was investigated by both age and smoking status.Methods: A systematic review was undertaken of studies screening for AAA, including over 1000 women, aged at least 60 years, done since the year 2000. Studies were identified by searching MEDLINE, Embase and CENTRAL databases until 13 January 2016. Study quality was assessed using the Newcastle-Ottawa scoring system.Results: Eight studies were identified, including only three based on population registers. The largest studies were based on self-purchase of screening. Altogether 1 537 633 women were screened. Overall AAA prevalence rates were very heterogeneous, ranging from 0⋅37 to 1⋅53 per cent: pooled prevalence 0⋅74 (95 per cent c.i. 0⋅53 to 1⋅03) per cent. The pooled prevalence increased with both age (more than 1 per cent for women aged over 70 years) and smoking (more than 1 per cent for ever smokers and over 2 per cent in current smokers). Conclusion:The current population prevalence of screen-detected AAA in older women is subject to wide demographic variation. However, in ever smokers and those over 70 years of age, the prevalence is over 1 per cent.

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Community-Based, Nonprofit Organization-Sponsored Ultrasonography Screening Program for Abdominal Aortic Aneurysms Is Effective at Identifying Occult Aneurysms

Cited by 8 publications

References 26 publications

Meta-Analysis of the Current Prevalence of Screen-Detected Abdominal Aortic Aneurysm in Women

Meta-Analysis of the Current Prevalence of Screen-Detected Abdominal Aortic Aneurysm in Women

Abdominal Aortic Aneurysm

Meta-analysis of the current prevalence of screen-detected abdominal aortic aneurysm in women

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