Vascular Ultrasound Screening for Asymptomatic Abdominal Aortic Aneurysm
This health technology assessment examines vascular ultrasound screening for abdominal aortic aneurysm (AAA) in asymptomatic populations. Screening reduces the incidence of AAA ruptures, rates of emergency surgical repair and AAA-attributable mortality in males ages 65 to 74. The benefit of screenin...
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Veröffentlicht in: | Healthcare Policy | Politiques de Santé 2008-11, Vol.4 (2), p.75-83 |
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creator | Thanos, Joanne Rebeira, Mayvis Shragge, B. William Urbach, David |
description | This health technology assessment examines vascular ultrasound screening for abdominal aortic aneurysm (AAA) in asymptomatic populations. Screening reduces the incidence of AAA ruptures, rates of emergency surgical repair and AAA-attributable mortality in males ages 65 to 74. The benefit of screening women has not been established. Ontario data suggest that AAA is underdiagnosed in women, and that women are systematically undertreated. Targeting smokers for screening was found to maximize cost-effectiveness. Economic analysis found that screening may generate savings from the avoidance of emergency surgeries. Based on these findings, the Ontario Health Technology Advisory Committee has recommended screening for AAA in both male and female ever-smokers ages 65 to 74. |
doi_str_mv | 10.12927/hcpol.2008.20263 |
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Based on these findings, the Ontario Health Technology Advisory Committee has recommended screening for AAA in both male and female ever-smokers ages 65 to 74.</description><subject>Aortic aneurysms</subject><subject>Emergency surgery</subject><subject>Health Technology Briefs</subject><subject>Screening</subject><subject>Technology</subject><issn>1715-6572</issn><issn>1715-6580</issn><issn>1715-6580</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>RJW</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kU1PAyEQhonR-P0DvJg9GS9VZijL7sWkafxKTDxovRKWZesaFip0Nf33YttUvXhhCPPMm5d5CTkBegFYorh81TNvL5DSIh2Ysy2yDwL4IOcF3d7cBe6RgxjfKB0yUbJdsgclE4IJ3Cd3Lyrq3qqQTew8qOh7V2dPOhjjWjfNGh-yUVx0s7nv1LzV2aiqfdc6ZbORD8sHZ_qwiN0R2WmUjeZ4XQ_J5Ob6eXw3eHi8vR-PHgYaBbAB1BVVOfJKc6F0oXjOGq5FDUVRcqwrQUtWlwqgyBlyLDhDaASWVfLeNLRhh-RqpTvrq87U2rhk28pZaDsVFtKrVv7tuPZVTv2HxHzIEUQSOFsLBP_emziXXRu1sVY54_so07pEgQwTeP4vCENgkCNlLKGwQnXwMQbTbPwAlcuo5DIq-R2VXEaVZk5_f-RnYp1NAtgKsN5NP72vo3zzfUi7j__IfgFtf6GZ</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>Thanos, Joanne</creator><creator>Rebeira, Mayvis</creator><creator>Shragge, B. 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William ; Urbach, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2713-1db0a625bc57ac8a563f5c7d188952db7093d9a1186325285321f729b043ff0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aortic aneurysms</topic><topic>Emergency surgery</topic><topic>Health Technology Briefs</topic><topic>Screening</topic><topic>Technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thanos, Joanne</creatorcontrib><creatorcontrib>Rebeira, Mayvis</creatorcontrib><creatorcontrib>Shragge, B. 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William</au><au>Urbach, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vascular Ultrasound Screening for Asymptomatic Abdominal Aortic Aneurysm</atitle><jtitle>Healthcare Policy | Politiques de Santé</jtitle><addtitle>Healthc Policy</addtitle><date>2008-11-01</date><risdate>2008</risdate><volume>4</volume><issue>2</issue><spage>75</spage><epage>83</epage><pages>75-83</pages><issn>1715-6572</issn><issn>1715-6580</issn><eissn>1715-6580</eissn><abstract>This health technology assessment examines vascular ultrasound screening for abdominal aortic aneurysm (AAA) in asymptomatic populations. Screening reduces the incidence of AAA ruptures, rates of emergency surgical repair and AAA-attributable mortality in males ages 65 to 74. The benefit of screening women has not been established. Ontario data suggest that AAA is underdiagnosed in women, and that women are systematically undertreated. Targeting smokers for screening was found to maximize cost-effectiveness. Economic analysis found that screening may generate savings from the avoidance of emergency surgeries. Based on these findings, the Ontario Health Technology Advisory Committee has recommended screening for AAA in both male and female ever-smokers ages 65 to 74.</abstract><cop>Canada</cop><pub>Longwoods Publishing</pub><pmid>19377372</pmid><doi>10.12927/hcpol.2008.20263</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); Longwoods Publishing Journals; PubMed Central; EZB Electronic Journals Library |
subjects | Aortic aneurysms Emergency surgery Health Technology Briefs Screening Technology |
title | Vascular Ultrasound Screening for Asymptomatic Abdominal Aortic Aneurysm |
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