Published 24 June 2009, doi:10.1136/bmj.b2185
Cite this as: BMJ 2009;338:b2185

Editorials

Screening for abdominal aortic aneurysm

Remains effective and is likely to be cost effective in the UK, but data need to be monitored

The first 150 words of the full text of this article appear below.

A national NHS programme exists in England that offers screening for abdominal aortic aneurysm in men aged 65, with the aim of reducing deaths from aneurysm rupture.1 The key evidence underpinning the formulation of this policy was the results of the multicentre aneurysm screening study (MASS), funded by the Medical Research Council.2 More than 67 000 men aged 65-74 were recruited from four centres in the UK for this study and were randomised to either receive or not receive an invitation to screening. The results after 4 years’ follow-up showed a 42% relative risk reduction in mortality related to abdominal aortic aneurysm (absolute risk reduction from 0.33% to 0.19%). An economic evaluation indicated that the investment in screening was close to being acceptably cost effective, even in the short term.3 The evidence of clinical effectiveness was reinforced by a subsequent Cochrane Review—which estimated a 40% relative risk reduction (absolute risk . . . [Full text of this article]

Martin J Buxton, professor of health economics

1 Health Economics Research Group, Brunel University, Uxbridge UB8 3PH

martin.buxton@brunel.ac.uk


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This article has been cited by other articles:

  • (2009). Cost-Effectiveness of Abdominal Aortic Aneurysm Screening. Journal Watch Cardiology 2009: 3-3 [Full text]  
  • Lewis, L S. (2009). Deciding on whether to screen. BMJ 339: b3041-b3041 [Full text]  
  • Thompson, S., Kim, L., Gao, L. (2009). Comparing studies for cost effectiveness of screening. BMJ 339: b3044-b3044 [Full text]  

Rapid Responses:

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AAA screening
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Dr Heath's breast screening lessons apply to AAA too
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