| Effectiveness and cost of screening for abdominal aortic aneurysm: results of a population screening program. | |
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MedLine Citation:
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PMID: 12844092 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We undertook this study to calculate the cost per life-year gained in the first round of a screening program for abdominal aortic aneurysm (AAA) and to estimate the costs in a subsequent round. METHODS: This was an intervention study, with follow-up for ruptured aneurysms. Men older than 50 years were screened for asymptomatic AAA. Outcome measures included cost per life-year saved and number of men needed to be screened to save one life. RESULTS: The incidence of ruptured AAA was 2.6 per 10,000 person- years in the screening group and 7.1 per 10,000 person-years in the control group. Screening is estimated to have prevented 10.8 ruptured AAA and 8 deaths per year, gaining 51 life-years per year for the study population, and to have reduced the incidence of ruptured AAA by 64% (95% CI, 42%-77%). Each life-year gained during the first screening round cost $1107. To save one life, 1000 men need to be screened and 5 elective operations performed. We predict that a second round of screening can be cost neutral. CONCLUSIONS: The cost-effectiveness of screening for AAA compares favorably with screening programs for other disorders in adults. |
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Authors:
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A B M Wilmink; C R G Quick; C Sff Hubbard; N E Day |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of vascular surgery Volume: 38 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-07-04 Completed Date: 2003-07-29 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 72-7 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, University of Birmingham, Birmingham, England, United Kingdom. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aortic Aneurysm, Abdominal / diagnosis*, economics* Aortic Rupture / epidemiology*, prevention & control* Cost-Benefit Analysis Great Britain Health Care Costs Humans Incidence Male Mass Screening / economics* Middle Aged Population Surveillance Rupture, Spontaneous Survival Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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