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    
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.
Jacques Cornuz; Claudio Sidoti Pinto; Heindrik Tevaearai; Matthias Egger
Related Documents :
19640517 - Screening for barrett's esophagus in asymptomatic women.
17218347 - Health promotion at nhs breast cancer screening clinics in the uk.
24568517 - Women's perceptions and attitudes about cervical cancer in turkey: kato's device as an ...
20186177 - Screening for chronic kidney disease in australia: a pilot study in the community and w...
12837007 - Cardiovascular risk factor modification: is it effective in older adults?
12471197 - Risk assessment and management of high risk familial breast cancer.
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    
Department of Medicine and Institute of Social & Preventive Medicine, University Hospital, Lausanne, Switzerland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aortic Aneurysm, Abdominal / diagnosis,  epidemiology*
Cost-Benefit Analysis
Diabetes Mellitus / epidemiology
Diagnostic Tests, Routine* / economics
Hypertension / epidemiology
Mass Screening* / economics
Myocardial Infarction / epidemiology
Peripheral Vascular Diseases / epidemiology
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.