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Nytteomkostningsanalyse af populationsscreening for abdominalt aortaaneurisme baseret på fem års resultater af en randomiseret hospitalsbaseret screeningsundersögelse - sekundaerpublikation
Engelsk titel: Cost-benefit analysis of population screening for abdominal aortic aneurism, based on five-year results of a randomised hospital-based screening trial - secondary publication Läs online Författare: Lindholt JS ; Juul S ; Fasting H ; Henneberg EW Språk: Dan Antal referenser: 8 Dokumenttyp: RCT UI-nummer: 06081742

Tidskrift

Ugeskrift for Laeger 2006;168(34)2817-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

The lethality of ruptured abdominal aortic aneurysm (AAA) is 80-95% compared to 5-6% after elective surgery. However, AAA seldom causes symptoms before rupture. From 1994 to 1998, 12,639 men aged 64-73, from Viborg County, were randomised 1:1 for an invitation to an ultrasonographic scan or for controls. There were 75% fewer emergency operations (P < 0.001), and 67% lower AAA-specific mortality in the screening group (P = 0.002). The costs were £6,221 (4,034-13,782) per saved living year, expected to decrease to about £1,860 after 10 years. Screening of Danish men, aged 65-73, is recommended.