Document Detail


[Ultrasoud screening in abdominal aortic aneurysm--numbers, data, facts].
MedLine Citation:
PMID:  20976643     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are increasing numbers of elective surgeries not only for abdominal aortic aneurysm repair but also for emergencies because of ruptured aneurysms (rAAA). Mortality rates of rAAA up to 40-50% have remained unchanged for years. Because of the elevated incidence of complications in rAAA, the overall mortality is at least 80% and shows a dismal prognosis for this group of patients. With ultrasonography, a cost-efficient, technically simple and safe method with high sensitivity is available for detecting abdominal aortic aneurysms. On the basis on an electronic Medline literature search and evaluation of data from the "voluntary quality assurance for abdominal aortic aneurysms 2008" of the German Society of Vascular Surgery (Deutsche Gesellschaft für Gefäßchirurgie und Gefäßmedizin DGG), this review presents critical analysis of the efficacy and cost-efficiency of an ultrasound-based screening programme for the early detection of abdominal aortic aneurysms. In this systematic review of the literature on AAA screening, a description of epidemiology and current situation concerning AAA in Germany will be given. The evaluation of 4 randomised studies for ultrasonic AAA screening is discussed and the recommendations of the German Society of Vascular Surgery concerning screening for AAA are highlighted.
Authors:
A Hyhlik-Dürr; S Debus; H-H Eckstein; W Lang; T Schmitz-Rixen; D Böckler; D Boeckler
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Publication Detail:
Type:  English Abstract; Journal Article; Review     Date:  2010-10-25
Journal Detail:
Title:  Zentralblatt für Chirurgie     Volume:  135     ISSN:  1438-9592     ISO Abbreviation:  Zentralbl Chir     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-26     Completed Date:  2011-03-22     Revised Date:  2011-10-14    
Medline Journal Info:
Nlm Unique ID:  0413645     Medline TA:  Zentralbl Chir     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  403-8     Citation Subset:  IM    
Copyright Information:
© Georg Thieme Verlag Stuttgart ˙ New York.
Affiliation:
Universität Heidelberg, Gefäßchirurgie, Heidelberg, Deutschland. ahduerr@web.de
Vernacular Title:
Screening des abdominellen Aortenaneurysmas mit Ultraschall--Zahlen, Daten, Fakten.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Abdominal / mortality,  surgery,  ultrasonography*
Cost-Benefit Analysis
Female
Germany
Humans
Male
Mass Screening* / economics
National Health Programs / economics
Prognosis
Quality Assurance, Health Care / economics
Randomized Controlled Trials as Topic
Sensitivity and Specificity
Comments/Corrections
Erratum In:
Zentralbl Chir. 2011 Aug;136(4):390
Note: Boeckler, D [corrected to Böckler, D]

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


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