Implementation of the National Health Service Abdominal Aortic Aneurysm Screening Program in England

被引:93
作者
Davis, Meryl [1 ]
Harris, Mike [2 ,3 ]
Earnshaw, Jonothan J. [2 ,3 ]
机构
[1] Royal Free London NHS Trust, London, England
[2] Gloucestershire Royal Hosp, Gloucester GL1 3NN, England
[3] Gloucestershire Hosp NHS Fdn Trust, NAAASP, Gloucester, England
关键词
COST-EFFECTIVENESS; MEN; MORTALITY;
D O I
10.1016/j.jvs.2012.10.114
中图分类号
R61 [外科手术学];
学科分类号
摘要
The National Health Service Abdominal Aortic Aneurysm Screening Program (NAAASP) has been introduced after research and analysis of data from a number of randomized trials and existing local screening programs in England that showed a reduction in aneurysm-related mortality when men aged >= 65 years were offered ultrasound screening. The evidence was assessed by the United Kingdom National Screening Committee against a set of internationally recognized criteria that confirmed that screening all men aged >= 65 years saves lives. The introduction of abdominal aortic aneurysm (AAA) screening to men aged 65 years is estimated to reduce premature death from ruptured AAAs by up to 50% over the next 10 years. This article describes the AAA screening program in England, its ongoing implementation and current challenges, and outcomes in the first 150,000 men. (J Vasc Surg 2013;57:1440-5.)
引用
收藏
页码:1440 / 1445
页数:6
相关论文
共 22 条
[1]   Explaining the decrease in mortality from abdominal aortic aneurysm rupture [J].
Anjum, A. ;
von Allmen, R. ;
Greenhalgh, R. ;
Powell, J. T. .
BRITISH JOURNAL OF SURGERY, 2012, 99 (05) :637-645
[2]  
Brady AR, 2002, NEW ENGL J MED, V346, P1445
[3]   Trends in cardiovascular disease: Are we winning the war? [J].
Capewell, Simon ;
O'Flaherty, Martin .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2009, 180 (13) :1285-1286
[4]  
Chun KC, 2012, J VASC SURG, V55, P5
[5]   Twenty-year review of abdominal aortic aneurysm screening in men in the county of Gloucestershire, United Kingdom [J].
Darwood, Rosie ;
Earnshaw, Jonothan J. ;
Turton, Glenda ;
Shaw, Elaine ;
Whyman, Mark ;
Poskitt, Keith ;
Rodd, Caroline ;
Heather, Brian .
JOURNAL OF VASCULAR SURGERY, 2012, 56 (01) :8-14
[6]   Long term outcomes in men screened for abdominal aortic aneurysm: prospective cohort study [J].
Duncan, John L. ;
Harrild, Kirsten A. ;
Iversen, Lisa ;
Lee, Amanda J. ;
Godden, David J. .
BMJ-BRITISH MEDICAL JOURNAL, 2012, 344
[7]  
European Society for Vascular Surgery, 2 VASC SURG DAT REP
[8]   Ultrasound Measurement of Aortic Diameter in a National Screening Programme [J].
Hartshorne, T. C. ;
McCollum, C. N. ;
Earnshaw, J. J. ;
Morris, J. ;
Nasim, A. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2011, 42 (02) :195-199
[9]   Meta-analysis of postoperative mortality after elective repair of abdominal aortic aneurysms detected by screening [J].
Lindholt, J. S. ;
Norman, P. E. .
BRITISH JOURNAL OF SURGERY, 2011, 98 (05) :619-622
[10]  
NHS AAA Screening Programme, ESS EL DEV ABD AORT