Key result
Ultrasonographic screening for abdominal aortic aneurysm in primary care was feasible, identifying a prevalence of 8.1% among men aged 60-80 years.
Why the study?
Is ultrasonographic screening for abdominal aortic aneurysm feasible in a primary care setting among men aged 60-80 years?
Cross-Sectional (n=2,419)
Yes
Is ultrasonographic screening for abdominal aortic aneurysm feasible in a primary care setting among men aged 60-80 years?
Ultrasonographic screening for abdominal aortic aneurysm in primary care is highly feasible, achieving an 83% attendance rate and identifying an 8.1% prevalence among older men.
Answers are grounded in this paper and cite their sources.
Supports primary care AAA screening evaluation; leaves open impact on rupture rates or mortality.
BACKGROUND: The mortality rate associated with ruptured abdominal aortic aneurysm (AAA) remains high. The objective of this study was to assess the feasibility of population screening for AAA. METHODS: In an area with a mixed rural and industrialized population of 60000 inhabitants, all 23 general practitioners (GPs) participated. The GPs selected from their patient lists men aged 60-80 years. Men whose condition was suitable for aortic surgery were invited for screening by a single postal letter. All men responding had aortic ultrasonography in or close to the GP surgery. Diagnosis of AAA was established when the aortic diameter was 30 mm or greater. Referral for surgery was advised for an aortic diameter of 50 mm or greater. RESULTS: Of 2914 invitations, 2419 men had ultrasonography, resulting in an attendance rate of 83.0 per cent. A total of 2416 aortic measurements were made; 196 aortic aneurysms were diagnosed (prevalence 8.1 per cent). In 40 men the aortic diameter was over 50 mm. CONCLUSION: Ultrasonographic screening for AAA is feasible in a primary care setting.
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Boll et al. (1998) conducted a cross-sectional in Abdominal aortic aneurysm (n=2,419). Ultrasonographic screening was evaluated on Diagnosis of abdominal aortic aneurysm (aortic diameter ≥ 30 mm). Ultrasonographic screening for abdominal aortic aneurysm in primary care was feasible, identifying a prevalence of 8.1% among men aged 60-80 years.
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