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Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7477.1259 (Published 25 November 2004) Cite this as: BMJ 2004;329:1259

Rapid Response:

Questions about AAA screening trial

The authors are to be congratulated for carrying out this important
study. I have two questions:

In Tables 2 and 3, the operations for rupture plus the fatal ruptures
without surgery do not add up to the number given under “All ruptures”.
What became of the rest of the ruptures?

In Table 5, the difference in cumulative deaths between the two
randomized groups (2232 vs. 2571) is highly significant (p < 0.0001),
yet this difference disappears after age standarization. Can the authors
explain how this could occur in a randomized population with identical
mean age (72.6 years) and presumably identical age distribution?

Competing interests:
None declared

Competing interests: No competing interests

15 November 2004
Frank A. Lederle, M.D.
Professor of Medicine
Center for Epidemiological and Clinical Research, VA Medical Center (111-0), Minneapolis, MN 55417