Current Prevalence of Abdominal Aortic Aneurysm in 70-Year-Old Women

Svensjö, Sverker; Björck, Martin; Wanhainen, Anders

doi:10.1016/j.jvs.2013.03.028

Cited by 36 publications

(71 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Svensjo et al 27 Fig. 3 Prevalence of abdominal aortic aneurysm in women aged at least 60 years by 10-year age groups.…”

Section: Resultsmentioning

confidence: 99%

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

Ulug¹,

Powell²,

Sweeting³

2016

Journal of Vascular Surgery

View full text Add to dashboard Cite

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.

show abstract

“…Svensjo et al 27 Fig. 3 Prevalence of abdominal aortic aneurysm in women aged at least 60 years by 10-year age groups.…”

Section: Resultsmentioning

confidence: 99%

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

Ulug¹,

Powell²,

Sweeting³

2016

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…1 However, the prevalence of AAA over 55 mm, requiring surgery, was only 0.1%, and even less among women. 5 Such marginal underdetection of asymptomatic, clinically relevant AAA would most likely not affect HR estimates substantially. Furthermore, subanalyses of rupture as outcome are most likely not affected by underdetection.…”

Section: Downloaded Frommentioning

confidence: 99%

“…4,5 Ultrasound-based screening and preventive surgery has been shown to be the most effective strategy to prevent rupture, 6,7 a highly lethal event with an overall mortality risk of 70% before surgery and of 35% after surgery, according to contemporary data. 8,9 The most established risk factors for AAA are advanced age, male sex, and smoking, 1,10 and smoking cessation intervention has been reported as the most effective way of decreasing expansion rate.…”

mentioning

confidence: 99%

Fruit and Vegetable Consumption With Risk of Abdominal Aortic Aneurysm

Stackelberg

Björck²,

Larsson³

et al. 2013

Circulation

View full text Add to dashboard Cite

Background-Dietary factors affecting the risk of developing abdominal aortic aneurysm (AAA) are scarcely investigated.The aim of this study was to investigate the associations of fruit and vegetable consumption with the risk to develop AAA. Methods and Results-The prospective Cohort of Swedish Men and the Swedish Mammography Cohort, consisting of 44 317 men and 36 109 women, 46 to 84 years of age at the start of the 13-year follow-up (1998-2010), were used. Fruit and vegetable consumption was assessed at baseline with a 96-item food-frequency questionnaire. By linkage to the Swedish Inpatient Register and the Swedish Vascular Registry (Swedvasc), 1086 primary cases of AAA (222 ruptured) were identified. Cox proportional hazards models were used to estimate hazard ratios with 95% confidence intervals (CIs). Those in the highest quartile of fruit consumption (>2.0 servings/d), in comparison with those in the lowest quartile (<0.7 servings/d), had a 25% (95% CI, 9%-38%) lower risk of AAA, and a 43% (95% CI, 11%-64%) lower risk of ruptured AAA, specifically. Consumption of 2 fruits per day was associated with 31% (95% CI, 11%-47%) lower risk of nonruptured AAA, and 39% (95% CI, 1%-63%) lower risk of ruptured AAA, in comparison with no consumption of fruit. No association was observed between vegetable consumption and AAA risk. Conclusions-We observed an inverse association between consumption of fruit, but not vegetables, and the risk of AAA, with a more pronounced association with ruptured AAA. information to participants and a returned completed questionnaire was considered to imply informed consent. Of the eligible 48 850 men and 39 227 women, we excluded those with the following characteristics: incorrect Personal Identity Number (a unique number identifying all Swedish citizens used for linkage of registers), previous diagnosis of AAA or cancer (except for nonmelanoma skin cancer; to avoid possible misclassification of exposure), implausible energy intake (±3 standard deviations [SDs] of the mean log-transformed energy), or missing data on fruit or vegetable consumption. For final analyses, 44 317 men and 36 109 women remained. The study was approved by the regional Ethical Review Board at Karolinska Institutet (Stockholm, Sweden). Ascertainment of AAA Cases and Follow-Up of the CohortsBy linkage to the Swedish Inpatient Register and the Swedish National Cause of Death register, all individual discharges, or deaths, attributable to nonruptured (International Classification of Diseases, Tenth Revision: I71.4) and ruptured (International Classification of Diseases, Tenth Revision: I71.3) AAA were identified through December 2010. AAA repair was identified by using the Nordic Classification of Surgical Procedures (Nomesco). Although no specific validity assessment of AAA diagnosis or repair in the Swedish Inpatient Register has been performed, the national coverage has been nearly 100% since 1987 20 with a high validity in general. 21 Surgical codes have been reported as incorrect in 2%, and missing in 5.3%, of...

show abstract

“…In the National Health Services AAA Screening Programme (NAAASP) in England, the prevalence 2011---12 was 1.5% for the 65---year---old men examined (NAAASP). Also for women the prevalence has decreased in a similar way, now being only 0.4% among 70---year---old women (Svensjö, Björck & Wanhainen 2012). The main reason for this large declination probably is the pronounced decrease in cigarette smoking during the last decades.…”

Section: Prevalence and Epidemiologymentioning

confidence: 87%

“…Svensjö et al found the Odds Ratio (OR) for the risk factor "Ever smoked" being 20.3 (CI 2.7---152.7 (sic!)) for AAA among women, indicating that women might be more sensitive to smoking than men, where the OR is substantially lower -for example .2) for "ever smoking" (> 100 cigarettes during lifetime) among AAA ≥ 4.0 cm in the Aneurysm Detection and Management Veterans Affairs Cooperative Study (ADAM), where 97.3% were men (Svensjö, Björck & Wanhainen 2012, Lederle et al 2000a). The aortic wall stiffness was increased in female but not in male smokers, thus also supporting that women are more sensitive to smoking than men (Sonesson et al 1997) In the UKSAT 92% of the men with an AAA were "ever---smokers" and the corresponding figure for ADAM, was 94% (UKSAT Participants 2002, Lederle et al 2002b).…”

Section: Smokingmentioning

confidence: 99%

Abdominal Aortic Aneurysm : Aspects on how to affect mortality from rupture

Hager¹

2014

View full text Add to dashboard Cite

Current Prevalence of Abdominal Aortic Aneurysm in 70-Year-Old Women

Cited by 36 publications

References 0 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

Fruit and Vegetable Consumption With Risk of Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm : Aspects on how to affect mortality from rupture

Contact Info

Product

Resources

About