Result card

  • ORG5: How does de-centralisation or centralization requirements influence the implementation of AAA Screening?
  • ORG6: What consequences will AAA Screening have for de-centralisation or centralisation? Jump to
Abdominal Aorta Aneurysm Screening
G0005
English
Guidance Resources

How does de-centralisation or centralization requirements influence the implementation of AAA Screening?

Authors: Janek Saluse, Kristi Liiv, Raul-Allan Kiivet

Internal reviewers: Grace Jennings, Scott Goulden

Decentralisation is preferred to make screening more attainable for relatively elderly people (men 65 years old). A Danish hospital-based cohort study of AAA screening showed that distance to screening facility is one of the attendance rate predictors {9}.

Ultrasound machines with digital recording devices are easily portable. Decentralised screening programme is not expected to decrease quality noticeably for several reasons: uniform training of staff, relatively simple and highly accurate diagnostics.

In both European countries, Sweden and the UK, where population-based systematic AAA screening has been implemented it is de-centralised.

Centralisation of treatment should be considered, because a minimum of 20 elective operations per unit per year are recommended to ensure the quality of the operation. This is important because open surgery is associated with a death risk of approximately 5%.

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Saluse J et al. Result Card ORG5 In: Saluse J et al. Organisational aspects 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

What consequences will AAA Screening have for de-centralisation or centralisation?

Authors: Janek Saluse, Kristi Liiv, Raul-Allan Kiivet

Internal reviewers: Grace Jennings, Scott Goulden

Answered in ORG5.

Saluse J et al. Result Card ORG6 In: Saluse J et al. Organisational aspects 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

  • {9}  Lindholt JS, Juul S, Henneberg EW, Fasting H. Is screening for abdominal aneurysm acceptable to the population? Selection and recruitment to hospital-based mass screening for abdominal aortic aneurysm. J Public Health Med 1998;20:211–217.