| The Impact of Decreasing Abdominal Aortic Aneurysm Prevalence on a Local Aneurysm Screening Programme. | |
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MedLine Citation:
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PMID: 22578564 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: The NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP), based on the Multicentre Aneurysm Screening Study (MASS) trial (2002), is being introduced across the UK. Recent studies have demonstrated a decline in prevalence of abdominal aortic aneurysm (AAA). The aim of this study was to examine the effect of this on screening workload. METHODS: A model was developed to predict screening and surgical workload for a screening centre (Bristol - population 1,123,203). Workload was compared using data from MASS with data from the "Early Implementers" (EI) of NAAASP. RESULTS: Modelling for 2011/2012 using EI data predicted significantly fewer men diagnosed with an AAA compared to MASS data [84 (EI) versus 198 (MASS) p < 0.0001] and fewer referrals to a vascular surgeon for AAA repair [10 (EI) versus 30 (MASS) p = 0.0002). This difference became more marked with time (2015/16: 90 (EI) versus 212 (MASS) men diagnosed with an AAA (p < 0.0001) and 29 (EI) versus 71 (MASS) referred to a vascular surgeon (p < 0.0001)). From 2015/16 there was also a significant reduction in the predicted number of ultrasound scans. CONCLUSIONS: Modelling screening activity based on contemporary epidemiological data demonstrates a significant reduction in workload compared to MASS data. This has implications for workforce planning, the introduction of new screening centres and the future of NAAASP. |
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Authors:
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R J Darwood; M J Brooks |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-5-9 |
Journal Detail:
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Title: European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery Volume: - ISSN: 1532-2165 ISO Abbreviation: - Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-5-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9512728 Medline TA: Eur J Vasc Endovasc Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Vascular Surgery, Bristol Royal Infirmary, United Hospitals Bristol NHS Trust, Upper Maudlin Street, Bristol BS2 8HW, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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