Ultraschall-Screening auf abdominelle Aortenaneurysmen
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Ultraschall-Screening auf abdominelle Aortenaneurysmen. / Torsello, Giovanni; Debus, Eike Sebastian; Schmitz-Rixen, Thomas; Grundmann, Reinhart Thomas.
In: DEUT MED WOCHENSCHR, Vol. 141, No. 14, 07.2016, p. 1030-1034.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Ultraschall-Screening auf abdominelle Aortenaneurysmen
AU - Torsello, Giovanni
AU - Debus, Eike Sebastian
AU - Schmitz-Rixen, Thomas
AU - Grundmann, Reinhart Thomas
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2016/7
Y1 - 2016/7
N2 - The ruptured abdominal aortic aneurysm (AAA) has still a high hospital mortality rate of about 50 % (intervention and non-corrective treatment combined). With an easy non-invasive and inexpensive measure such as the ultrasound screening rupture threatened aneurysms can be recognized in time and then treated prophylactically, hemorrhagic shock can be avoided. Screening programs in England and Sweden currently describe an AAA prevalence of 1.5 % among screened 65-year-old males. With an absolute risk reduction for aneurysm-related death of 15.1 per 10,000 men invited for screening and a cost of £ 7,370 per quality-adjusted life year (QALY), screening for this target group is highly cost-effective. Comprehensive AAA screening requires defined criteria for the quality of the aortic ultrasound examination and for the surgical treatment of detected large AAA. These interventions should be concentrated in centers obligated to quality registry documentation. Patients with smaller AAA, requiring no repair, should be included in a surveillance program, also with registry of their long-term data.
AB - The ruptured abdominal aortic aneurysm (AAA) has still a high hospital mortality rate of about 50 % (intervention and non-corrective treatment combined). With an easy non-invasive and inexpensive measure such as the ultrasound screening rupture threatened aneurysms can be recognized in time and then treated prophylactically, hemorrhagic shock can be avoided. Screening programs in England and Sweden currently describe an AAA prevalence of 1.5 % among screened 65-year-old males. With an absolute risk reduction for aneurysm-related death of 15.1 per 10,000 men invited for screening and a cost of £ 7,370 per quality-adjusted life year (QALY), screening for this target group is highly cost-effective. Comprehensive AAA screening requires defined criteria for the quality of the aortic ultrasound examination and for the surgical treatment of detected large AAA. These interventions should be concentrated in centers obligated to quality registry documentation. Patients with smaller AAA, requiring no repair, should be included in a surveillance program, also with registry of their long-term data.
KW - Aorta, Abdominal
KW - Aortic Aneurysm, Abdominal/diagnostic imaging
KW - Aortic Rupture/diagnostic imaging
KW - Early Diagnosis
KW - Evidence-Based Medicine
KW - Germany/epidemiology
KW - Humans
KW - Mass Screening/methods
KW - Prevalence
KW - Risk Factors
KW - Survival Rate
KW - Sweden/epidemiology
KW - Treatment Outcome
KW - Ultrasonography/methods
KW - United Kingdom/epidemiology
KW - Watchful Waiting/methods
U2 - 10.1055/s-0041-108998
DO - 10.1055/s-0041-108998
M3 - SCORING: Review
C2 - 27404935
VL - 141
SP - 1030
EP - 1034
JO - DEUT MED WOCHENSCHR
JF - DEUT MED WOCHENSCHR
SN - 0012-0472
IS - 14
ER -
