Why the study?
Does one-time screening for AAA by ultrasonography reduce AAA-specific mortality in men aged 65-75 years who have ever smoked?
Does one-time screening for AAA by ultrasonography reduce AAA-specific mortality in men aged 65-75 years who have ever smoked?
One-time ultrasonography screening for AAA in men aged 65-75 who have smoked is recommended as it decreases AAA-specific mortality and is cost-effective.
Answers are grounded in this paper and cite their sources.
Supports screening recommendations in men 65-75 who smoke; leaves open questions on implementation in broader populations.
Health organizations have recently recommended one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men aged 65-75 years who have ever smoked. This recommendation emerged from the results of a systematic review demonstrating that AAA screening and surgical repair of large AAA leads to a decreased AAA-specific mortality in this population. Moreover, AAA screening is cost effective. However, concerns persist about the effectiveness of AAA screening when applied in the daily practice setting and the best care of small AAA, for which research clinical trials have shown that early, elective surgery does not save lives. Feasibility studies of AAA screening and pharmacotherapy studies capable of slowing down the expansion rate of small AAAs may both address these concerns.
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Guessous et al. (2006) studied this question.
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