Document Detail


Risk factors for asymptomatic abdominal aortic aneurysm: systematic review and meta-analysis of population-based screening studies.
MedLine Citation:
PMID:  15542867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The incidence of and mortality from ruptured abdominal aortic aneurysm (AAA) is increasing. There is uncertainty regarding the indicators which could be used to identify groups at high risk. This issue has been addressed in a systematic review of population-based screening studies. METHODS: MEDLINE and EMBASE were searched, reference lists scanned and manual searches made of eight journals. The search was restricted to four languages (English, German, French and Italian). Population-based studies investigating risk factors associated with screening-detected AAA were included. The following risk factors were considered: sex, smoking, hypertension, diabetes, a history myocardial infarction, and peripheral vascular disease. RESULTS: Fourteen cross-sectional studies met our inclusion criteria. Most studies screened people aged 60 years or older. The prevalence of AAA ranged from 4.1% to 14.2% in men and from 0.35% to 6.2% in women. Male sex showed a strong association with AAA (OR 5.69), whereas smoking (OR 2.41), a history of myocardial infarction (OR 2.28) or peripheral vascular disease (OR 2.50) showed moderate associations. Hypertension was only weakly associated with AAA (OR 1.33) and no association was evident with diabetes (OR 1.02). CONCLUSIONS: The efficacy of screening men aged 60 years or older and women of the same age who smoke or have a history of peripheral or coronary artery disease should be evaluated in randomized controlled trials.
Authors:
Jacques Cornuz; Claudio Sidoti Pinto; Heindrik Tevaearai; Matthias Egger
Related Documents :
8127527 - An analysis of the cost-effectiveness of selected protocols for the prevention of neona...
19297417 - Do mitochondrial mutations cause recurrent miscarriage?
8849767 - Effect of issuing an invitation for breast cancer screening to women aged 65 to 69.
10537607 - Community-based promotion of breast screening using small group education.
17762647 - Skinfold thickness and blood pressure across c-344t polymorphism of cyp11b2 gene.
17355517 - Prolactin level during 5 years of risperidone treatment in patients with psychotic diso...
Publication Detail:
Type:  Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  European journal of public health     Volume:  14     ISSN:  1101-1262     ISO Abbreviation:  Eur J Public Health     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-15     Completed Date:  2005-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204966     Medline TA:  Eur J Public Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  343-9     Citation Subset:  IM    
Affiliation:
Department of Medicine and Institute of Social & Preventive Medicine, University Hospital, Lausanne, Switzerland. Jacques.Cornuz@chuv.hospvd.ch
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / diagnosis,  epidemiology*
Cost-Benefit Analysis
Diabetes Mellitus / epidemiology
Diagnostic Tests, Routine* / economics
Humans
Hypertension / epidemiology
Mass Screening* / economics
Myocardial Infarction / epidemiology
Peripheral Vascular Diseases / epidemiology
Prevalence
Risk Factors
Sex Factors
Smoking / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Place, time and certified cause of death in people who die after hospital admission for myocardial i...
Next Document:  Return to work after first myocardial infarction in 1991-1996 in Finland.