Screening for abdominal aortic aneurysm: A computer assisted cost-utility analysis
European Journal of Vascular and Endovascular SurgeryPublished 1 February 1996
A S St Leger, M. Spencely, Charles McCollum, M. Mossa
Citations51
SJR quartileQ1
SJR score1.51
SNIP2.70
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Routine screening for AAAs of size > or = 6 cm compares favourably in terms of cost per QALY gained with services such as breast and cervical cancer screening and is robust under sensitivity analysis.
Abstract
Routine screening for AAAs of size > or = 6 cm compares favourably in terms of cost per QALY gained with services such as breast and cervical cancer screening.
Keywords
MedicineEconomics, Econometrics and Finance
Methods for the Economic Evaluation of Health Care Programmes
4,559 Citations2005Michael E Drummond, Mark J Sculpher +3 more
BMJEconomics of coronary artery bypass grafting.
699 Citations1985Anne Williams
Bypass grafting seems to compare favourably with valve replacement for aortic stenosis and implantation of pacemakers for heart block; it is distinctly better than heart transplantation and the treatment of end stage renal failure but is probably less cost effective than hip replacement.
New England Journal of MedicinePrognosis of Abdominal Aortic Aneurysms
490 Citations1989Martin P. Nevitt, David Ballard +1 more
PubMedActuarial analysis of variables associated with rupture of small abdominal aortic aneurysms.
429 Citations1985Jack L. Cronenwett, Terry Murphy +7 more
Diastolic blood pressure, initial aneurysm anteroposterior diameter, and degree of obstructive pulmonary disease were independently predictive of rupture, and actuarial rupture rates were predicted for patients with selected values of these three covariates.
The LancetOXFORD SCREENING PROGRAMME FOR ABDOMINAL AORTIC ANEURYSM IN MEN AGED 65 TO 74 YEARS
332 Citations1988J Collin, Jackie Walton +2 more
The 36 men who had objective evidence of occlusive arterial disease of the lower limbs were twice as likely to be tobacco smokers and accounted for 5 (20%) of the aneurysms discovered, and extension of this screening programme to England and Wales could be expected to identify 52,500 men with an abdominal aorticAneurysm.
British journal of surgeryAbdominal aortic aneurysm in 4237 screened patients: Prevalence, development and management over 6 years
283 Citations1991R A P Scott, H A Ashton +1 more
Using these criteria, under 10 per cent of patients with ultrasonographically‐detected AAA should require surgery for this condition provided ultrasonography follow‐up is used.
British journal of surgeryRuptured abdominal aortic aneurysms: A study of incidence and mortality
240 Citations1986Gun Johansson, Jesper Swedenborg
It is concluded that the high mortality rate following rupture is more dependent upon failure to operate than on operative mortality.
Journal of Vascular SurgeryAbdominal aortic aneurysms: The changing natural history
234 Citations1984Linda K. Bickerstaff, Larry H. Hollier +4 more
The records of all patients with abdominal aortic aneurysms in a Midwest city with a stable population over a 30-year period were reviewed, revealing an absolute increase in the incidence of AAAs in the population under study and the frequency of rupture was greatest in the last decade.
BMJIncreasing incidence of aortic aneurysms in England and Wales.
226 Citations1989F.G.R. Fowkes, Cecilia MacIntyre +1 more
The trends are not wholly compatible with advances in diagnosis and surgery, there are inconsistencies by age and sex, and increases have occurred in the number of complicated as well as uncomplicated cases.
British journal of surgeryImpact of vascular surgery on community mortality from ruptured aortic aneurysms
226 Citations1986C J H Ingoldby, R. Wujanto +1 more
Overall community mortality did not improve in the period studied as the workload of aortic surgery in a district increased fourfold over 10 years as the incidence of aneurysm rupture rose.
European Journal of Vascular SurgeryNatural history of patients with abdominal aortic aneurysm
192 Citations1991H. Glimåker, Lars Holmberg +5 more
The expansion rate for AAA was highly individual and aneurysm diameter was the only recognisable predictor of rupture, and the rupture rate for AAAs smaller than 5 cm was lower than previously reported.
European Journal of Vascular SurgeryA population based screening of abdominal aortic aneurysms (AAA)
139 Citations1991Henrik Bengtsson, David Bergqvist +2 more
The prevalence of abdominal aortic aneurysm in a defined population of elderly men and its correlation to some risk factors were studied in the population cohort "men born in 1914 from Malmö".
British journal of surgeryGeneral practice-based population screening for abdominal aortic aneurysms: A pilot study
117 Citations1989T J O'Kelly, B P Heather
PubMedThe mortality of abdominal aortic aneurysm.
91 Citations1986W B Campbell, J Collin +1 more
Early detection and treatment of intact aneurysms, rapid diagnosis of rupture and expeditious surgery with minimal blood loss and the accurate exclusion of rupture in acute cases are needed to achieve the same mortality as elective surgery.
European Journal of Vascular SurgeryThe true incidence of ruptured abdominal aortic aneurysms
76 Citations1988K. Mealy, A. Salman
The number of ruptured abdominal aortic aneurysms (RAAA) was documented over an 8-year-period in a known population age group and the overall mean incidence was 13.9/100,000 patient years, demonstrating an increasing incidence.
European Journal of Vascular SurgeryGrowth rates of subclinical abdominal aortic aneurysms—implications for review and rescreening programmes
65 Citations1991J Collin, Brian P Heather +1 more
For AAAs less than 4.0 cm diameter remeasurement more often than every 6 months is unnecessary and interval screening (rescreening) for AAAs more frequently than 5 yearly is unlikely to detect sufficient clinically significant aneurysms to be worthwhile.
BMJSurvivors of ruptured abdominal aortic aneurysm: the iceberg's tip.
65 Citations1977Roger H Armour
No basis could be found for the view that replacing an aortic aneurysm with a straight graft (while leaving behind aneurYSmal common iliac arteries) lowers the operative mortality, and oversimplifying the operation may be hazardous.
Journal of Public HealthPopulation screening for abdominal aortic aneurysm: do the benefits outweigh the costs?
54 Citations1993James Mason, Andrew P. Wakeman +2 more
An economic analysis has been conducted for two identical, hypothetical cohorts of men and the base-line result and sensitivity analysis indicate that population screening should not be introduced.
BMJRoutine ultrasound screening in management of abdominal aortic aneurysm
46 Citations1988R A P Scott, H A Ashton +1 more
L'echographie est proposee a tous les sujets entre 65 et 80 ans venant en consultation de medecine generale d'aorte est normale, peut reveler d'autres lesions (kystes, 18 cas, lithiase, 29 cas, lesions diverses, 11 cas).
Journal of Vascular SurgeryOxford screening programme for abdominal aortic aneurysm in men aged 65–74 years
26 Citations1989Peter F. Lawrence
PubMedTwo year prospective analysis of the Oxford experience with surgical treatment of abdominal aortic aneurysm.
22 Citations1989J Collin, J A Murie +1 more
The 24-fold difference in mortality rates between surgical procedures performed electively and for ruptured aneurysm suggests that a considerable impact on over-all mortality could be achieved by a substantial increase in referral of patients.
PubMedThe feasibility of screening for abdominal aortic aneurysms in a district general hospital.
17 Citations1988T J O'Kelly, B P Heather
It is shown that ultrasound screening of males aged between 65 and 74 years, with elective repair of the aneurysms discovered, could save up to 20 lives per year in this district at a reasonable and justifiable cost.
Journal of Vascular SurgeryUltrasonographic screening for abdominal aortic aneurysm in an urban community
15 Citations1994John W. Hallett
PubMedThe mortality of abdominal aortic aneurysm.
3 Citations1987Mariam Thomas, Michael J. Russell +1 more