Long-Term Follow-Up of Men Invited to Participate in a Population-Based Abdominal Aortic Aneurysm Screening Program
A screening program for abdominal aortic aneurysm (AAA), inviting 65-year-old men, was started in Stockholm in 2010 (2.3 million inhabitants). The aim was to present a long-term follow-up of men participating in screening, as well as AAA repair and ruptures among nonparticipants. Demographics were c...
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| Veröffentlicht in: | Angiology 2020-08, Vol.71 (7), p.641-649 |
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| creator | Hultgren, Rebecka Elfström, K. Miriam Öhman, Daniel Linné, Anneli |
| description | A screening program for abdominal aortic aneurysm (AAA), inviting 65-year-old men, was started in Stockholm in 2010 (2.3 million inhabitants). The aim was to present a long-term follow-up of men participating in screening, as well as AAA repair and ruptures among nonparticipants. Demographics were collected for men with screening detected with AAA 2010 to 2016 (n = 672) and a control group with normal aortas at screening (controls, n = 237). Medical charts and regional Swedvasc (Swedish Vascular registry) data were analyzed for aortic repair for men born 1945 to 1951. Ultrasound maximum aortic diameter (AD) as well as Aortic Size Index (ASI) was recorded. Participation was 78% and prevalence of AAA was 1.2% (n = 672). Aortic repair rates correlated with high ASI and AD. During the study period, 22% of the AAA patients were treated with the elective repair; 35 men in surveillance died (5.2%), non-AAA-related causes (82.9%) dominated, followed by unknown causes among 4 (11.4%), and 2 (5.7%) possibly AAA-related deaths. Abdominal aortic aneurysm rupture rate was higher among nonparticipants (0.096% vs 0.0036%, P < .001). The low dropout rate confirms acceptability of follow-up after screening. The efficacy is shown by the much higher rupture rate among the nonparticipating men. |
| doi_str_mv | 10.1177/0003319720921741 |
| format | Article |
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Miriam ; Öhman, Daniel ; Linné, Anneli</creator><creatorcontrib>Hultgren, Rebecka ; Elfström, K. Miriam ; Öhman, Daniel ; Linné, Anneli</creatorcontrib><description>A screening program for abdominal aortic aneurysm (AAA), inviting 65-year-old men, was started in Stockholm in 2010 (2.3 million inhabitants). The aim was to present a long-term follow-up of men participating in screening, as well as AAA repair and ruptures among nonparticipants. Demographics were collected for men with screening detected with AAA 2010 to 2016 (n = 672) and a control group with normal aortas at screening (controls, n = 237). Medical charts and regional Swedvasc (Swedish Vascular registry) data were analyzed for aortic repair for men born 1945 to 1951. Ultrasound maximum aortic diameter (AD) as well as Aortic Size Index (ASI) was recorded. Participation was 78% and prevalence of AAA was 1.2% (n = 672). Aortic repair rates correlated with high ASI and AD. During the study period, 22% of the AAA patients were treated with the elective repair; 35 men in surveillance died (5.2%), non-AAA-related causes (82.9%) dominated, followed by unknown causes among 4 (11.4%), and 2 (5.7%) possibly AAA-related deaths. Abdominal aortic aneurysm rupture rate was higher among nonparticipants (0.096% vs 0.0036%, P < .001). The low dropout rate confirms acceptability of follow-up after screening. The efficacy is shown by the much higher rupture rate among the nonparticipating men.</description><identifier>ISSN: 0003-3197</identifier><identifier>ISSN: 1940-1574</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/0003319720921741</identifier><identifier>PMID: 32351123</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Age Factors ; Aged ; Aortic Aneurysm, Abdominal - diagnosis ; Aortic Aneurysm, Abdominal - surgery ; Aortic Rupture - surgery ; Elective Surgical Procedures - adverse effects ; Follow-Up Studies ; Humans ; Male ; Mass Screening ; Medicin och hälsovetenskap ; Middle Aged ; Predictive Value of Tests ; Risk Factors ; Sex Factors ; Sweden - epidemiology ; Time Factors ; Vascular Surgical Procedures</subject><ispartof>Angiology, 2020-08, Vol.71 (7), p.641-649</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-bafa60d93fe5660e0c39ecf574e821813fffa7aa1a6ba555f19fb0db6637eccc3</citedby><cites>FETCH-LOGICAL-c425t-bafa60d93fe5660e0c39ecf574e821813fffa7aa1a6ba555f19fb0db6637eccc3</cites><orcidid>0000-0002-8869-0493</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003319720921741$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003319720921741$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32351123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:143705771$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Hultgren, Rebecka</creatorcontrib><creatorcontrib>Elfström, K. Miriam</creatorcontrib><creatorcontrib>Öhman, Daniel</creatorcontrib><creatorcontrib>Linné, Anneli</creatorcontrib><title>Long-Term Follow-Up of Men Invited to Participate in a Population-Based Abdominal Aortic Aneurysm Screening Program</title><title>Angiology</title><addtitle>Angiology</addtitle><description>A screening program for abdominal aortic aneurysm (AAA), inviting 65-year-old men, was started in Stockholm in 2010 (2.3 million inhabitants). The aim was to present a long-term follow-up of men participating in screening, as well as AAA repair and ruptures among nonparticipants. Demographics were collected for men with screening detected with AAA 2010 to 2016 (n = 672) and a control group with normal aortas at screening (controls, n = 237). Medical charts and regional Swedvasc (Swedish Vascular registry) data were analyzed for aortic repair for men born 1945 to 1951. Ultrasound maximum aortic diameter (AD) as well as Aortic Size Index (ASI) was recorded. Participation was 78% and prevalence of AAA was 1.2% (n = 672). Aortic repair rates correlated with high ASI and AD. During the study period, 22% of the AAA patients were treated with the elective repair; 35 men in surveillance died (5.2%), non-AAA-related causes (82.9%) dominated, followed by unknown causes among 4 (11.4%), and 2 (5.7%) possibly AAA-related deaths. Abdominal aortic aneurysm rupture rate was higher among nonparticipants (0.096% vs 0.0036%, P < .001). The low dropout rate confirms acceptability of follow-up after screening. The efficacy is shown by the much higher rupture rate among the nonparticipating men.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aortic Aneurysm, Abdominal - diagnosis</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Rupture - surgery</subject><subject>Elective Surgical Procedures - adverse effects</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Sweden - epidemiology</subject><subject>Time Factors</subject><subject>Vascular Surgical Procedures</subject><issn>0003-3197</issn><issn>1940-1574</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi0Eokvhzgn5yMVgx3G8Pi4VhUqLWIn2HE2c8colsYOdUPXf49VuC0LqyR_zPDMavYS8FfyDEFp_5JxLKYyuuKmErsUzshKm5kwoXT8nq0OZHepn5FXOt-WpBG9ekjNZSSVEJVckb2PYs2tMI72MwxDv2M1Eo6PfMNCr8NvP2NM50h2k2Vs_wYzUBwp0F6dlgNnHwD5BLtCm6-PoAwx0Ew8s3QRc0n0e6Q-bEIMPe7pLcZ9gfE1eOBgyvjmd5-Tm8vP1xVe2_f7l6mKzZbau1Mw6cNDw3kiHqmk4cisNWldWw3Ul1kI650ADCGg6UEo5YVzH-65ppEZrrTwn7Ng33-G0dO2U_Ajpvo3g29PXz3LDttaiqU3hzZP8lGL_V3oQRS01V1qL4r4_ugX8tWCe29Fni8MAAeOS20qaZq1MreuC8iNqU8w5oXscJHh7iLX9P9aivDt1X7oR-0fhIcd_VoU9trdxSSWJ_HTDPyPgrEw</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Hultgren, Rebecka</creator><creator>Elfström, K. 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Miriam</creatorcontrib><creatorcontrib>Öhman, Daniel</creatorcontrib><creatorcontrib>Linné, Anneli</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hultgren, Rebecka</au><au>Elfström, K. 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Medical charts and regional Swedvasc (Swedish Vascular registry) data were analyzed for aortic repair for men born 1945 to 1951. Ultrasound maximum aortic diameter (AD) as well as Aortic Size Index (ASI) was recorded. Participation was 78% and prevalence of AAA was 1.2% (n = 672). Aortic repair rates correlated with high ASI and AD. During the study period, 22% of the AAA patients were treated with the elective repair; 35 men in surveillance died (5.2%), non-AAA-related causes (82.9%) dominated, followed by unknown causes among 4 (11.4%), and 2 (5.7%) possibly AAA-related deaths. Abdominal aortic aneurysm rupture rate was higher among nonparticipants (0.096% vs 0.0036%, P < .001). The low dropout rate confirms acceptability of follow-up after screening. 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| subjects | Age Factors Aged Aortic Aneurysm, Abdominal - diagnosis Aortic Aneurysm, Abdominal - surgery Aortic Rupture - surgery Elective Surgical Procedures - adverse effects Follow-Up Studies Humans Male Mass Screening Medicin och hälsovetenskap Middle Aged Predictive Value of Tests Risk Factors Sex Factors Sweden - epidemiology Time Factors Vascular Surgical Procedures |
| title | Long-Term Follow-Up of Men Invited to Participate in a Population-Based Abdominal Aortic Aneurysm Screening Program |
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