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BMJ 2004;328:1122-1124 (8 May), doi:10.1136/bmj.328.7448.1122
J J Earnshaw, consultant surgeon1, E Shaw, screening programme coordinator1, M R Whyman, consultant surgeon2, K R Poskitt, consultant surgeon2, B P Heather, consultant surgeon1
1 Gloucestershire Royal Hospital, Gloucester GL1 3NN, 2 Cheltenham General Hospital, Cheltenham, Gloucestershire
Correspondence to: J J Earnshaw Earnshaw@rudford.demon.co.uk
Gloucestershire's screening project shows the potential benefits of a national programme and how it could be run
| The first 150 words of the full text of this article appear below. |
Every year about 6000 men die from a ruptured abdominal aortic aneurysm in England and Wales.1 Although this represents only about 2% of all deaths in men, the condition is largely preventable. It is also a disease that seems to be increasingly prevalent, at least in Scotland, despite the fact that deaths from other atherosclerotic conditions are reducing.2 This article explores the requirements for a national aortic screening programme, using as a model the Gloucestershire aneurysm screening project, which has been running for 13 years.3
Ultrasound screening for abdominal aortic aneurysms fulfils all the criteria for a population screening programme,4
5 although only in men.6 The recent multicentre aneurysm screening study found that screening reduced the mortality from aneurysm disease in men by 42% after four years of follow up; it is expected, with further study, to show a small but significant decrease in the population mortality.7 The study also showed
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