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Decreasing incidence of ruptured abdominal aortic aneurysm already before start of screening.

Otterhag, Sofia Nessvi; Gottsäter, Anders LU ; Lindblad, Bengt LU and Acosta, Stefan LU (2016) In BMC Cardiovascular Disorders 16(1).
Abstract
BACKGROUND:



The aim of this study was to evaluate whether screening for abdominal aortic aneurysm (AAA) has led to a decrease in ruptured AAA (rAAA) incidence.

METHOD:



The Malmö population was evaluated regarding the incidence of rAAA and elective AAA surgery 4 years before and after start of AAA-screening in 2010. Data from 1971 to 1986 (J Vasc Surg 18:74-80, 1993) and 2000-2004 (J Vasc Surg 44:237-43, 2006), enabled analysis of trends over time.

RESULTS:



Analysis of time-periods 1971-1986, 2000-2004, 2006-2010 and 2010-2014 showed an incidence of rAAA of 5.6 (4.9-6.3), 10.6 (8.9-12.4), 6.1 (4.6-7.6) and 4.0 (2.9-5.1), respectively. In men aged 60-69 years the... (More)
BACKGROUND:



The aim of this study was to evaluate whether screening for abdominal aortic aneurysm (AAA) has led to a decrease in ruptured AAA (rAAA) incidence.

METHOD:



The Malmö population was evaluated regarding the incidence of rAAA and elective AAA surgery 4 years before and after start of AAA-screening in 2010. Data from 1971 to 1986 (J Vasc Surg 18:74-80, 1993) and 2000-2004 (J Vasc Surg 44:237-43, 2006), enabled analysis of trends over time.

RESULTS:



Analysis of time-periods 1971-1986, 2000-2004, 2006-2010 and 2010-2014 showed an incidence of rAAA of 5.6 (4.9-6.3), 10.6 (8.9-12.4), 6.1 (4.6-7.6) and 4.0 (2.9-5.1), respectively. In men aged 60-69 years the incidences were 16.0 (10.7-21.3), 45.6 (27.7-63.4), 19.3 (9.2-35.3) and 8.9 (2.8-20.6), respectively. The incidences of elective AAA surgery in men aged 60-69 years were 22.9 (16.5-29.2), 34.6 (19.1-50.2), 9.7 (1.2-18.5) and 44.2 (27.0-61.6), respectively.

CONCLUSIONS:



A decrease in incidence of rAAA in men was evident before the implementation of screening. We were yet not able to demonstrate a certain reduction in rAAA incidence after the start of screening. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Cardiovascular Disorders
volume
16
issue
1
publisher
BioMed Central
external identifiers
  • pmid:26888090
  • scopus:84957959599
  • wos:000370198600003
ISSN
1471-2261
DOI
10.1186/s12872-016-0215-5
language
English
LU publication?
yes
id
e5168cdc-4cbe-44e6-910d-7c9eb35506c6 (old id 8825167)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26888090?dopt=Abstract
date added to LUP
2016-03-03 13:26:16
date last changed
2017-09-17 06:39:26
@article{e5168cdc-4cbe-44e6-910d-7c9eb35506c6,
  abstract     = {BACKGROUND:<br/><br>
<br/><br>
The aim of this study was to evaluate whether screening for abdominal aortic aneurysm (AAA) has led to a decrease in ruptured AAA (rAAA) incidence.<br/><br>
METHOD:<br/><br>
<br/><br>
The Malmö population was evaluated regarding the incidence of rAAA and elective AAA surgery 4 years before and after start of AAA-screening in 2010. Data from 1971 to 1986 (J Vasc Surg 18:74-80, 1993) and 2000-2004 (J Vasc Surg 44:237-43, 2006), enabled analysis of trends over time.<br/><br>
RESULTS:<br/><br>
<br/><br>
Analysis of time-periods 1971-1986, 2000-2004, 2006-2010 and 2010-2014 showed an incidence of rAAA of 5.6 (4.9-6.3), 10.6 (8.9-12.4), 6.1 (4.6-7.6) and 4.0 (2.9-5.1), respectively. In men aged 60-69 years the incidences were 16.0 (10.7-21.3), 45.6 (27.7-63.4), 19.3 (9.2-35.3) and 8.9 (2.8-20.6), respectively. The incidences of elective AAA surgery in men aged 60-69 years were 22.9 (16.5-29.2), 34.6 (19.1-50.2), 9.7 (1.2-18.5) and 44.2 (27.0-61.6), respectively.<br/><br>
CONCLUSIONS:<br/><br>
<br/><br>
A decrease in incidence of rAAA in men was evident before the implementation of screening. We were yet not able to demonstrate a certain reduction in rAAA incidence after the start of screening.},
  articleno    = {44},
  author       = {Otterhag, Sofia Nessvi and Gottsäter, Anders and Lindblad, Bengt and Acosta, Stefan},
  issn         = {1471-2261},
  language     = {eng},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {BMC Cardiovascular Disorders},
  title        = {Decreasing incidence of ruptured abdominal aortic aneurysm already before start of screening.},
  url          = {http://dx.doi.org/10.1186/s12872-016-0215-5},
  volume       = {16},
  year         = {2016},
}