Ultrasound screening of abdominal aortic aneurysm: Lessons from Vesale 2013
Although aneurysm of the abdominal infra-renal aorta (AAA) meets criteria warranting B mode ultrasound screening, the advantages of mass screening versus selective targeted opportunistic screening remain a subject of debate. In France, the French Society of Vascular Medicine (SFMV) and the Health Authority (HAS) published recommendations for targeted opportunistic screening in 2006 and 2013 respectively. The SFMV held a mainstream communication day on November 21, 2013 in France involving participants from metropolitan France and overseas departments that led to a proposal for free AAA ultrasound screening: the Vesalius operation. Being a consumer operation, the selection criteria were limited to age (men and women between 60 and 75 years); the age limit was lowered to 50 years in case of direct family history of AAA. More than 7000 people (as many women as men) were screened in 83 centers with a 1.70% prevalence of AAA in the age-based target population (3.12% for men, 0.27% for women). The median diameter of detected AAA was 33mm (range 20 to 74mm). The prevalence of AAA was 1.7% in this population. Vesalius data are consistent with those of the literature both in terms of prevalence and for cardiovascular risk factors with the important role of smoking. Lessons from Vesalius to take into consideration are: screening is warranted in men 60 years and over, especially smokers, and in female smokers. Screening beyond 75 years should be discussed. Given the importance of screening, the SFMV set up a year of national screening for AAA (Vesalius operation 2014/2015) in order to increase public and physician awareness about AAA detection, therapeutic management, and monitoring. AAA is a serious, common, disease that kills 6000 people each year. The goal of screening is cost-effective reduction in the death toll..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2015 |
|---|---|
| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:40 |
|---|---|
| Enthalten in: |
Journal des maladies vasculaires - 40(2015), 6, Seite 340 |
| Sprache: |
Französisch |
|---|
| Beteiligte Personen: |
Laroche, J P [VerfasserIn] |
|---|
| Links: |
|---|
| BKL: |
|---|
| Förderinstitution / Projekttitel: |
|
|---|
| PPN (Katalog-ID): |
OLC1965252559 |
|---|
| LEADER | 01000caa a2200265 4500 | ||
|---|---|---|---|
| 001 | OLC1965252559 | ||
| 003 | DE-627 | ||
| 005 | 20220220012648.0 | ||
| 007 | tu | ||
| 008 | 160206s2015 xx ||||| 00| ||fre c | ||
| 028 | 5 | 2 | |a PQ20160617 |
| 035 | |a (DE-627)OLC1965252559 | ||
| 035 | |a (DE-599)GBVOLC1965252559 | ||
| 035 | |a (PRQ)p471-95c83518a9057ab95de8460fb08fbd483e1e1ed5237e4d4cf75c06836663429d0 | ||
| 035 | |a (KEY)0042256820150000040000600340ultrasoundscreeningofabdominalaorticaneurysmlesson | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a fre | ||
| 082 | 0 | 4 | |a 610 |q ZDB |
| 084 | |a 44.00 |2 bkl | ||
| 100 | 1 | |a Laroche, J P |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Ultrasound screening of abdominal aortic aneurysm: Lessons from Vesale 2013 |
| 264 | 1 | |c 2015 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 520 | |a Although aneurysm of the abdominal infra-renal aorta (AAA) meets criteria warranting B mode ultrasound screening, the advantages of mass screening versus selective targeted opportunistic screening remain a subject of debate. In France, the French Society of Vascular Medicine (SFMV) and the Health Authority (HAS) published recommendations for targeted opportunistic screening in 2006 and 2013 respectively. The SFMV held a mainstream communication day on November 21, 2013 in France involving participants from metropolitan France and overseas departments that led to a proposal for free AAA ultrasound screening: the Vesalius operation. Being a consumer operation, the selection criteria were limited to age (men and women between 60 and 75 years); the age limit was lowered to 50 years in case of direct family history of AAA. More than 7000 people (as many women as men) were screened in 83 centers with a 1.70% prevalence of AAA in the age-based target population (3.12% for men, 0.27% for women). The median diameter of detected AAA was 33mm (range 20 to 74mm). The prevalence of AAA was 1.7% in this population. Vesalius data are consistent with those of the literature both in terms of prevalence and for cardiovascular risk factors with the important role of smoking. Lessons from Vesalius to take into consideration are: screening is warranted in men 60 years and over, especially smokers, and in female smokers. Screening beyond 75 years should be discussed. Given the importance of screening, the SFMV set up a year of national screening for AAA (Vesalius operation 2014/2015) in order to increase public and physician awareness about AAA detection, therapeutic management, and monitoring. AAA is a serious, common, disease that kills 6000 people each year. The goal of screening is cost-effective reduction in the death toll. | ||
| 540 | |a Nutzungsrecht: Copyright © 2015 Elsevier Masson SAS. All rights reserved. | ||
| 700 | 1 | |a Becker, F |4 oth | |
| 700 | 1 | |a Baud, J M |4 oth | |
| 700 | 1 | |a Miserey, G |4 oth | |
| 700 | 1 | |a Jaussent, A |4 oth | |
| 700 | 1 | |a Picot, M C |4 oth | |
| 700 | 1 | |a Bura-Rivière, A |4 oth | |
| 700 | 1 | |a Quéré, I |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t Journal des maladies vasculaires |d Issy-les-Moulineaux : Elsevier Masson, 1976 |g 40(2015), 6, Seite 340 |w (DE-627)168451662 |w (DE-600)752965-X |w (DE-576)492305307 |x 0398-0499 |7 nnns |
| 773 | 1 | 8 | |g volume:40 |g year:2015 |g number:6 |g pages:340 |
| 856 | 4 | 2 | |u http://www.ncbi.nlm.nih.gov/pubmed/26371387 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a GBV_ILN_4012 | ||
| 936 | b | k | |a 44.00 |q AVZ |
| 951 | |a AR | ||
| 952 | |d 40 |j 2015 |e 6 |h 340 | ||