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Is population screening for abdominal aortic aneurysm cost-effective?

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Standard

Is population screening for abdominal aortic aneurysm cost-effective? / Ehlers, Lars; Sørensen, Jan; Jensen, Lotte Groth et al.
In: B M C Cardiovascular Disorders, Vol. 8, 2008, p. 32.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Harvard

Ehlers, L, Sørensen, J, Jensen, LG, Bech, M & Kjølby, M 2008, 'Is population screening for abdominal aortic aneurysm cost-effective?', B M C Cardiovascular Disorders, vol. 8, pp. 32. https://doi.org/10.1186/1471-2261-8-32

APA

Ehlers, L., Sørensen, J., Jensen, L. G., Bech, M., & Kjølby, M. (2008). Is population screening for abdominal aortic aneurysm cost-effective? B M C Cardiovascular Disorders, 8, 32. https://doi.org/10.1186/1471-2261-8-32

CBE

Ehlers L, Sørensen J, Jensen LG, Bech M, Kjølby M. 2008. Is population screening for abdominal aortic aneurysm cost-effective?. B M C Cardiovascular Disorders. 8:32. https://doi.org/10.1186/1471-2261-8-32

MLA

Vancouver

Ehlers L, Sørensen J, Jensen LG, Bech M, Kjølby M. Is population screening for abdominal aortic aneurysm cost-effective? B M C Cardiovascular Disorders. 2008;8:32. doi: 10.1186/1471-2261-8-32

Author

Ehlers, Lars ; Sørensen, Jan ; Jensen, Lotte Groth et al. / Is population screening for abdominal aortic aneurysm cost-effective?. In: B M C Cardiovascular Disorders. 2008 ; Vol. 8. pp. 32.

Bibtex

@article{52492c30a0a54e6898a6a9a2aac61534,
title = "Is population screening for abdominal aortic aneurysm cost-effective?",
abstract = "BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: Further analyses of cost-effectiveness of AAA screening are recommended.",
keywords = "Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal, Aortic Rupture, Cost-Benefit Analysis, Decision Making, Computer-Assisted, Female, Hospital Costs, Humans, Male, Mass Screening, Middle Aged, Quality of Life, Smoking Cessation, Ultrasonography",
author = "Lars Ehlers and Jan S{\o}rensen and Jensen, {Lotte Groth} and Merete Bech and Mette Kj{\o}lby",
year = "2008",
doi = "10.1186/1471-2261-8-32",
language = "English",
volume = "8",
pages = "32",
journal = "B M C Cardiovascular Disorders",
issn = "1471-2261",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Is population screening for abdominal aortic aneurysm cost-effective?

AU - Ehlers, Lars

AU - Sørensen, Jan

AU - Jensen, Lotte Groth

AU - Bech, Merete

AU - Kjølby, Mette

PY - 2008

Y1 - 2008

N2 - BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: Further analyses of cost-effectiveness of AAA screening are recommended.

AB - BACKGROUND: 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.METHODS: 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.RESULTS: 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.CONCLUSION: Further analyses of cost-effectiveness of AAA screening are recommended.

KW - Aged

KW - Aged, 80 and over

KW - Aortic Aneurysm, Abdominal

KW - Aortic Rupture

KW - Cost-Benefit Analysis

KW - Decision Making, Computer-Assisted

KW - Female

KW - Hospital Costs

KW - Humans

KW - Male

KW - Mass Screening

KW - Middle Aged

KW - Quality of Life

KW - Smoking Cessation

KW - Ultrasonography

U2 - 10.1186/1471-2261-8-32

DO - 10.1186/1471-2261-8-32

M3 - Journal article

C2 - 19017393

VL - 8

SP - 32

JO - B M C Cardiovascular Disorders

JF - B M C Cardiovascular Disorders

SN - 1471-2261

ER -