[Efficacy and effectiveness of screening for abdominal aortic aneurysm in a high risk population. Cost-effectiveness analysis. Applicability in the National Health Care Service]
Maceira Rozas MC, Atienza Merino G, Sampedro Morandeira JL
Record ID 32008100177
Spanish
Authors' objectives:
Evaluation of mass screening for AAA in at risk groups, and applicability in the National Health Service.
Authors' recommendations:
There is ample scientific evidence available of high quality. The results of the studies show that screening for AAA in masculine population between 65-75 years of age decreases the mortality associated with the AAA, aswell as the following up of AAA of 3-5 cm. As the follow up time increases there is a decrease in the number of men to screen andan increase in the number of life-years gained. The treatment by means of open surgery has a lower mortality when the surgery is programmed but not when it is carried out in an urgent way. It is recommended the mass screening for AAA in men 65-75 years of age carried out by means of abdominal ultrasound. The screening in at risk groups such as: smoking women, men and women older than 50 years with a history of an AAA in first grade family. It is recommend the following up of patients when the AAA is ≥ 3 cm and the treatment with open surgery or EVAR if AAA is at 5-5,5 cm, it presents a growth bigger than 1 cm/year, and/or when the patient presents symptoms.
Details
Project Status:
Completed
URL for project:
http://www.sergas.es/MostrarContidos_N3_T02.aspx?IdPaxina=60056&uri=/Docs/Avalia-t/INF2007_01 CRIBADO Aneurisma AORTA.pdf&hifr=1000&seccion=0
Year Published:
2007
URL for published report:
http://www.sergas.es/MostrarContidos_N3_T02.aspx?IdPaxina=60056&uri=/Docs/Avalia-t/INF2007_01 CRIBADO ANEURISMA AORTA ANEXOS.pdf&hifr=1000&seccion=0
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Spain
MeSH Terms
- Mass Screening
- Spain
Contact
Organisation Name:
Scientific Advice Unit, avalia-t; The Galician Health Knowledge Agency (ACIS)
Contact Address:
Conselleria de Sanidade, Xunta de Galicia, San Lazaro s/n 15781 Santiago de Compostela, Spain. Tel: 34 981 541831; Fax: 34 981 542854;
Contact Name:
avalia-t@sergas.es
Contact Email:
avalia-t@sergas.es
Copyright:
Galician Agency for Health Technology Assessment (AVALIA-T)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.