Is population screening for abdominal aortic aneurysm cost-effective?
2008

Cost-Effectiveness of Abdominal Aortic Aneurysm Screening

Sample size: 16 publication Evidence: moderate

Author Information

Author(s): Ehlers Lars, Sørensen Jan, Jensen Lotte Groth, Bech Merete, Kjølby Mette

Primary Institution: Institute of Public Health, Aarhus University, Denmark

Hypothesis

Is population screening for abdominal aortic aneurysm cost-effective?

Conclusion

Most existing health economic evaluations of AAA screening have employed optimistic assumptions, and further analyses are recommended.

Supporting Evidence

  • Ruptured abdominal aortic aneurysm is responsible for 1-2% of all male deaths over the age of 65.
  • Screening programs have shown a reduction in AAA-related mortality.
  • Most studies included only short-term costs, ignoring long-term implications.

Takeaway

This study looked at whether screening older men for a dangerous condition called abdominal aortic aneurysm is worth the money spent. It found that many studies might be too positive about the benefits.

Methodology

A systematic review of published cost-effectiveness analyses of screening elderly men for AAA was conducted.

Potential Biases

Many studies employed optimistic assumptions about the effectiveness and cost-effectiveness of AAA screening.

Limitations

Most studies only considered short-term costs and did not account for long-term health outcomes or costs.

Participant Demographics

Elderly males, typically aged 65 and older.

Digital Object Identifier (DOI)

10.1186/1471-2261-8-32

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