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
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Författare:
Lindholt JS
;
Juul S
;
Fasting H
;
Henneberg EW
Email: jes.s.lindholt@sygehusviborg.dk
Språk: Dan
Antal referenser: 8
Dokumenttyp:
RCT
UI-nummer: 06081742
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.