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Screening for abdominal aortic aneurysm 

Screening for abdominal aortic aneurysm
Chapter:
Screening for abdominal aortic aneurysm
Author(s):

Jonothan Earnshaw

DOI:
10.1093/med/9780199658220.003.0047
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date: 22 September 2019

Ruptured abdominal aortic aneurysm (AAA) is responsible for the premature death of more than 5,000 men in England and Wales every year. Population screening of elderly men can detect a small number with a large AAA at immediate risk of rupture, and a larger number of men with a small or medium AAA at minimal immediate risk. Population screening has a sound evidence base, and reduces subsequent AAA-related mortality for at least 13 years, by up to 50%. Some Western countries have adopted population screening using public funding, whereas others continue to collate research. The prevalence of AAA in 65-year-old men is decreasing rapidly as smoking habits change and more medical treatments are used to manage cardiovascular risk factors. It is likely that future AAA screening programmes will evolve using emerging clinical and cost-effectiveness data.

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