Result card

  • CUR9: Which countries use AAA screening?
  • CUR23: How efficient is AAA screening (target population/actually screened population) in countries with screening programs? Jump to
Abdominal Aorta Aneurysm Screening
A0011
English
Guidance

Which countries use AAA screening?

Authors: Pseudo218 Pseudo218, Pseudo73 Pseudo73

Internal reviewers: Paolo Giorgi Rossi, Lotte Groth Jensen

A nationwide population-based screening programme is performed only in the UK ({3} citing {20}).

The EUnetHTA survey reported that Sweden also invites men for AAA screening.

In many countries possible implementation of a screening programme is being discussed.

Pseudo218 P, Pseudo73 P Result Card CUR9 In: Pseudo218 P, Pseudo73 P Health Problem and Current Use of the Technology In: Jefferson T, Vicari N, Frønsdal K [eds.]. Abdominal Aorta Aneurysm Screening [Core HTA], Agenzia nationale per i servizi sanitari regionali (age.na.s), Italy; 2013. [cited 28 May 2023]. Available from: http://corehta.info/ViewCover.aspx?id=106

How efficient is AAA screening (target population/actually screened population) in countries with screening programs?

Authors: Pseudo218 Pseudo218, Pseudo73 Pseudo73

Internal reviewers: Paolo Giorgi Rossi, Lotte Groth Jensen

The highest attendance rates can be expected from decentralised screening {21}, followed by hospital based screening {21}. The lowest rates are likely for general practice based screening {5}.

The VIBORG study {21} presents attendance rates for a hospital based mass screening for AAA showing the effect of various factors:

Age

Attendance rate

65–67

80.0%

68–70

76.4%

70–73

69.4%

  

Travel

 

<=20 km

77.5%

>20 km

69.8%

  

Social

 

l–lll

81.3%

IV–VI

72.6%

  

Marital status

 

Widower

75.3%

Divorcee

65.6%

Married

78.8%

Never married

59.1%

All

75.9%

It has also been reported that while hospital based screening has an attendance rate of around 80%, the uptake in a general practice based screening is likely to be between 50% and 70% {5}

Pseudo218 P, Pseudo73 P Result Card CUR23 In: Pseudo218 P, Pseudo73 P Health Problem and Current Use of the Technology In: Jefferson T, Vicari N, Frønsdal K [eds.]. Abdominal Aorta Aneurysm Screening [Core HTA], Agenzia nationale per i servizi sanitari regionali (age.na.s), Italy; 2013. [cited 28 May 2023]. Available from: http://corehta.info/ViewCover.aspx?id=106

References

{3} Michel JB, Martin-Ventura JL, Egido J, Sakalihasan N, Treska V, Lindholt J, et al. Novel aspects of the pathogenesis of aneurysms of the abdominal aorta in humans. Cardiovascular research. 2011 Apr 1;90(1):18-27.

{5} Fowkes G. Peripheral Vascular Disease - Health Care Needs Assessment - Third Series. 2007 {cited 2011-12-22; Available from: http://www.hcna.bham.ac.uk/documents/09_HCNA3_D2.pdf

{20} Lindholt JS, Sorensen J, Sogaard R, Henneberg EW. Long-term benefit and cost-effectiveness analysis of screening for abdominal aortic aneurysms from a randomized controlled trial. The British journal of surgery. 2010 Jun;97(6):826-34.

{21} Lindholt JS, Juul S, Henneberg EW, Fasting H. Is screening for abdominal aortic aneurysm acceptable to the population? Selection and recruitment to hospital-based mass screening for abdominal aortic aneurysm. Journal of public health medicine. 1998 Jun;20(2):211-7.