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Screening for abdominal aortic aneurysms in older men is close to the
current NHS threshold for cost effectiveness. The multicentre aneurysm
screening study (p 1135) randomised nearly 68 000 men aged 65-74 to
undergo ultrasonography or to a control group. The trial provided firm
estimates of the effects and costs of a screening programme. Though at
four years the cost effectiveness was close to threshold of
acceptability, an extrapolation to 10 years indicated that screening
would be an attractively cost effective national programme.

(Credit: JAMES KING-HOLMES)