Is population screening for abdominal aortic aneurysm cost-effective?
<p>Abstract</p> <p>Background</p> <p>Ruptured abdominal aortic aneurysm (AAA) is responsible for 1–2% of all male deaths over the age of 65 years. Early detection of AAA and elective surgery can reduce the mortality risk associated with AAA. However, many patients will...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-11-01
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| Series: | BMC Cardiovascular Disorders |
| Online Access: | http://www.biomedcentral.com/1471-2261/8/32 |
| _version_ | 1818351727811756032 |
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| author | Jensen Lotte Sørensen Jan Ehlers Lars Bech Merete Kjølby Mette |
| author_facet | Jensen Lotte Sørensen Jan Ehlers Lars Bech Merete Kjølby Mette |
| author_sort | Jensen Lotte |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Ruptured abdominal aortic aneurysm (AAA) is responsible for 1–2% of all male deaths over the age of 65 years. Early detection of AAA and elective surgery can reduce the mortality risk associated with AAA. However, many patients will not be diagnosed with AAA and have therefore an increased death risk due to the untreated AAA. It has been suggested that population screening for AAA in elderly males is effective and cost-effective. The purpose of this study was to perform a systematic review of published cost-effectiveness analyses of screening elderly men for AAA.</p> <p>Methods</p> <p>We performed a systematic search for economic evaluations in NHSEED, EconLit, Medline, Cochrane, Embase, Cinahl and two Scandinavian HTA data bases (DACEHTA and SBU). All identified studies were read in full and each study was systematically assessed according to international guidelines for critical assessment of economic evaluations in health care.</p> <p>Results</p> <p>The search identified 16 cost-effectiveness studies. Most studies considered only short term cost consequences. The studies seemed to employ a number of "optimistic" assumptions in favour of AAA screening, and included only few sensitivity analyses that assessed less optimistic assumptions.</p> <p>Conclusion</p> <p>Further analyses of cost-effectiveness of AAA screening are recommended.</p> |
| first_indexed | 2024-12-13T18:42:20Z |
| format | Article |
| id | doaj.art-993df5489e8e4fb0b6a3929807ac3779 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-13T18:42:20Z |
| publishDate | 2008-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-993df5489e8e4fb0b6a3929807ac37792022-12-21T23:35:11ZengBMCBMC Cardiovascular Disorders1471-22612008-11-01813210.1186/1471-2261-8-32Is population screening for abdominal aortic aneurysm cost-effective?Jensen LotteSørensen JanEhlers LarsBech MereteKjølby Mette<p>Abstract</p> <p>Background</p> <p>Ruptured abdominal aortic aneurysm (AAA) is responsible for 1–2% of all male deaths over the age of 65 years. Early detection of AAA and elective surgery can reduce the mortality risk associated with AAA. However, many patients will not be diagnosed with AAA and have therefore an increased death risk due to the untreated AAA. It has been suggested that population screening for AAA in elderly males is effective and cost-effective. The purpose of this study was to perform a systematic review of published cost-effectiveness analyses of screening elderly men for AAA.</p> <p>Methods</p> <p>We performed a systematic search for economic evaluations in NHSEED, EconLit, Medline, Cochrane, Embase, Cinahl and two Scandinavian HTA data bases (DACEHTA and SBU). All identified studies were read in full and each study was systematically assessed according to international guidelines for critical assessment of economic evaluations in health care.</p> <p>Results</p> <p>The search identified 16 cost-effectiveness studies. Most studies considered only short term cost consequences. The studies seemed to employ a number of "optimistic" assumptions in favour of AAA screening, and included only few sensitivity analyses that assessed less optimistic assumptions.</p> <p>Conclusion</p> <p>Further analyses of cost-effectiveness of AAA screening are recommended.</p>http://www.biomedcentral.com/1471-2261/8/32 |
| spellingShingle | Jensen Lotte Sørensen Jan Ehlers Lars Bech Merete Kjølby Mette Is population screening for abdominal aortic aneurysm cost-effective? BMC Cardiovascular Disorders |
| title | Is population screening for abdominal aortic aneurysm cost-effective? |
| title_full | Is population screening for abdominal aortic aneurysm cost-effective? |
| title_fullStr | Is population screening for abdominal aortic aneurysm cost-effective? |
| title_full_unstemmed | Is population screening for abdominal aortic aneurysm cost-effective? |
| title_short | Is population screening for abdominal aortic aneurysm cost-effective? |
| title_sort | is population screening for abdominal aortic aneurysm cost effective |
| url | http://www.biomedcentral.com/1471-2261/8/32 |
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