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Effectiveness and cost of screening for abdominal aortic aneurysm: results of a population screening program.
- Source :
-
Journal of vascular surgery [J Vasc Surg] 2003 Jul; Vol. 38 (1), pp. 72-7. - Publication Year :
- 2003
-
Abstract
- Objectives: We undertook this study to calculate the cost per life-year gained in the first round of a screening program for abdominal aortic aneurysm (AAA) and to estimate the costs in a subsequent round.<br />Methods: This was an intervention study, with follow-up for ruptured aneurysms. Men older than 50 years were screened for asymptomatic AAA. Outcome measures included cost per life-year saved and number of men needed to be screened to save one life.<br />Results: The incidence of ruptured AAA was 2.6 per 10,000 person- years in the screening group and 7.1 per 10,000 person-years in the control group. Screening is estimated to have prevented 10.8 ruptured AAA and 8 deaths per year, gaining 51 life-years per year for the study population, and to have reduced the incidence of ruptured AAA by 64% (95% CI, 42%-77%). Each life-year gained during the first screening round cost $1107. To save one life, 1000 men need to be screened and 5 elective operations performed. We predict that a second round of screening can be cost neutral.<br />Conclusions: The cost-effectiveness of screening for AAA compares favorably with screening programs for other disorders in adults.
- Subjects :
- Aged
Cost-Benefit Analysis
Health Care Costs
Humans
Incidence
Male
Middle Aged
Population Surveillance
Rupture, Spontaneous
Survival Analysis
United Kingdom
Aortic Aneurysm, Abdominal diagnosis
Aortic Aneurysm, Abdominal economics
Aortic Rupture epidemiology
Aortic Rupture prevention & control
Mass Screening economics
Subjects
Details
- Language :
- English
- ISSN :
- 0741-5214
- Volume :
- 38
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 12844092
- Full Text :
- https://doi.org/10.1016/s0741-5214(03)00135-6