Ultrasonography screening for abdominal aortic aneurysms: A systematic evidence review for the U.S. preventive services task force

Annals of Internal Medicine

Volumn 160, Issue 5, 2014, Pages 321-329

  Guirguis Blake, Janelle M ^a   Beil, Tracy L ^b   Senger, Caitlyn A ^b   Whitlock, Evelyn P ^b  

^a UNIVERSITY OF WASHINGTON   (United States)

^b CENTER FOR HEALTH RESEARCH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ARTICLE; ECHOGRAPHY; ELECTIVE SURGERY; EMERGENCY SURGERY; HUMAN; MORTALITY; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); SCREENING; SURGICAL MORTALITY; SYSTEMATIC REVIEW; UNITED STATES;

AGED; AORTIC ANEURYSM, ABDOMINAL; AORTIC RUPTURE; FEMALE; HUMANS; MALE; MASS SCREENING; RISK ASSESSMENT; UNITED STATES;

EID: 84895797047     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/M13-1844     Document Type: Article

References (77)

1. Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, et al; European Society for Vascular Surgery. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg. 2011;41 Suppl 1:S1-S58. [PMID: 21215940]
2. Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicard GA, et al; Society for Vascular Surgery. The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. J Vasc Surg. 2009; 50:S2-49. [PMID: 19786250]
3. Wilmink AB, Hubbard CS, Day NE, Quick CR. The incidence of small abdominal aortic aneurysms and the change in normal infrarenal aortic diameter: implications for screening. Eur J Vasc Endovasc Surg. 2001;21:165-70. [PMID: 11237791]
4. Vardulaki KA, Walker NM, Day NE, Duffy SW, Ashton HA, Scott RA. Quantifying the risks of hypertension, age, sex and smoking in patients with abdominal aortic aneurysm. Br J Surg. 2000;87:195-200. [PMID: 10671927]
5. Thompson AR, Cooper JA, Ashton HA, Hafez H. Growth rates of small abdominal aortic aneurysms correlate with clinical events. Br J Surg. 2010;97:37-44. [PMID: 20013940]
6. Fleming C, Whitlock EP, Beil TL, Lederle FA. Screening for abdominal aortic aneurysm: a best-evidence systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2005;142:203-11. [PMID: 15684209]
7. van Vlijmen-van Keulen CJ, Pals G, Rauwerda JA. Familial abdominal aortic aneurysm: a systematic review of a genetic background. Eur J Vasc Endovasc Surg. 2002;24:105-16. [PMID: 12389231]
8. Larsson E, Granath F, Swedenborg J, Hultgren R. A population-based casecontrol study of the familial risk of abdominal aortic aneurysm. J Vasc Surg. 2009;49:47-50. [PMID: 19028058]
9. MacSweeney ST, O'Meara M, Alexander C, O'Malley MK, Powell JT, Greenhalgh RM. High prevalence of unsuspected abdominal aortic aneurysm in patients with confirmed symptomatic peripheral or cerebral arterial disease. Br J Surg. 1993;80:582-4. [PMID: 8518892]
10. Lederle FA, Johnson GR, Wilson SE, Gordon IL, Chute EP, Littooy FN, et al. Relationship of age, gender, race, and body size to infrarenal aortic diameter. The Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Investigators. J Vasc Surg. 1997;26:595-601. [PMID: 9357459]
11. Lederle FA, Johnson GR, Wilson SE, Chute EP, Hye RJ, Makaroun MS, et al. The aneurysm detection and management study screening program: validation cohort and final results. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators. Arch Intern Med. 2000;160:1425-30. [PMID: 10826454]
12. Kent KC, Zwolak RM, Egorova NN, Riles TS, Manganaro A, Moskowitz AJ, et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg. 2010;52:539-48. [PMID: 20630687]
13. Greco G, Egorova NN, Gelijns AC, Moskowitz AJ, Manganaro AJ, Zwolak RM, et al. Development of a novel scoring tool for the identification of large ≤5 cm abdominal aortic aneurysms. Ann Surg. 2010;252:675-82. [PMID: 20881774]
14. Lederle FA, Johnson GR, Wilson SE, Chute EP, Littooy FN, Bandyk D, et al. Prevalence and associations of abdominal aortic aneurysm detected through screening. Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Group. Ann Intern Med. 1997;126:441-9. [PMID: 9072929]
15. Sweeting MJ, Thompson SG, Brown LC, Powell JT; RESCAN collaborators. Meta-analysis of individual patient data to examine factors affecting growth and rupture of small abdominal aortic aneurysms. Br J Surg. 2012;99:655-65. [PMID: 22389113]
16. Lederle FA, Walker JM, Reinke DB. Selective screening for abdominal aortic aneurysms with physical examination and ultrasound. Arch Intern Med. 1988; 148:1753-6. [PMID: 3041938]
17. Lindholt JS, Vammen S, Juul S, Henneberg EW, Fasting H. The validity of ultrasonographic scanning as screening method for abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 1999;17:472-5. [PMID: 10375481]
18. Costantino TG, Bruno EC, Handly N, Dean AJ. Accuracy of emergency medicine ultrasound in the evaluation of abdominal aortic aneurysm. J Emerg Med. 2005;29:455-60. [PMID: 16243207]
19. Tayal VS, Graf CD, Gibbs MA. Prospective study of accuracy and outcome of emergency ultrasound for abdominal aortic aneurysm over two years. Acad Emerg Med. 2003;10:867-71. [PMID: 12896888]
20. Zarnke MD, Gould HR, Goldman MH. Computed tomography in the evaluation of the patient with symptomatic abdominal aortic aneurysm. Surgery. 1988;103:638-42. [PMID: 3375990]
21. U.S. Preventive Services Task Force. Screening for abdominal aortic aneurysm: recommendation statement. Ann Intern Med. 2005;142:198-202. [PMID: 15684208]
22. Guirguis-Blake JM, Beil TL, Sun X, Senger CA, Whitlock EP. Primary Care Screening for Abdominal Aortic Aneurysm: An Evidence Update for the U.S. Preventive Services Task Force. Evidence Synthesis no. 109. AHRQ publication no. 14-05202-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2014. [Forthcoming].
23. U.S. Preventive Services Task Force. U.S. Preventive Services Task Force Procedure Manual. Rockville, MD: Agency for Healthcare Research and Quality; 2008. Accessed at www.uspreventiveservicestaskforce.org/uspstf08/methods /procmanual.htm on 8 January 2014.
24. National Institute for Health and Care Excellence. Clinical guideline development methods: The guidelines manual 2012. Accessed at www.nice.org.uk /guidelinesmanual on 8 January 2014.
25. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol. 2003;3:25. [PMID: 14606960]
26. Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2013. Accessed at www.ohri.ca/programs/clinical-epidemiology/ oxford.asp on 1 April 2013.
27. DerSimonian R, Kacker R. Random-effects model for meta-analysis of clinical trials: an update. Contemp Clin Trials. 2007;28:105-14. [PMID: 16807131]
28. Guolo A. Higher-order likelihood inference in meta-analysis and metaregression. Stat Med. 2012;31:313-27. [PMID: 22173666]
29. Thompson SG, Ashton HA, Gao L, Buxton MJ, Scott RA; Multicentre Aneurysm Screening Study (MASS) Group. Final follow-up of the Multicentre Aneurysm Screening Study (MASS) randomized trial of abdominal aortic aneurysm screening. Br J Surg. 2012;99:1649-56. [PMID: 23034729]
30. Ashton HA, Buxton MJ, Day NE, Kim LG, Marteau TM, Scott RA, et al; Multicentre Aneurysm Screening Study Group. The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial. Lancet. 2002;360:1531-9. [PMID: 12443589]
31. Kim LG, P Scott RA, Ashton HA, Thompson SG; Multicentre Aneurysm Screening Study Group. A sustained mortality benefit from screening for abdominal aortic aneurysm. Ann Intern Med. 2007;146:699-706. [PMID: 17502630]
32. Thompson SG, Ashton HA, Gao L, Scott RA; Multicentre Aneurysm Screening Study Group. Screening men for abdominal aortic aneurysm: 10 year mortality and cost effectiveness results from the randomised Multicentre Aneurysm Screening Study. BMJ. 2009;338:b2307. [PMID: 19553269]
33. Scott RA, Wilson NM, Ashton HA, Kay DN. Influence of screening on the incidence of ruptured abdominal aortic aneurysm: 5-year results of a randomized controlled study. Br J Surg. 1995;82:1066-70. [PMID: 7648155]
34. Scott RA, Bridgewater SG, Ashton HA. Randomized clinical trial of screening for abdominal aortic aneurysm in women. Br J Surg. 2002;89:283-5. [PMID: 11872050]
35. Vardulaki KA, Walker NM, Couto E, Day NE, Thompson SG, Ashton HA, et al. Late results concerning feasibility and compliance from a randomized trial of ultrasonographic screening for abdominal aortic aneurysm. Br J Surg. 2002;89:861-4. [PMID: 12081734]
36. Ashton HA, Gao L, Kim LG, Druce PS, Thompson SG, Scott RA. Fifteenyear follow-up of a randomized clinical trial of ultrasonographic screening for abdominal aortic aneurysms. Br J Surg. 2007;94:696-701. [PMID: 17514666]
37. Lindholt JS, Juul S, Fasting H, Henneberg EW. Screening for abdominal aortic aneurysms: single centre randomised controlled trial. BMJ. 2005;330:750. [PMID: 15757960]
38. Lindholt JS, Juul S, Fasting H, Henneberg EW. Preliminary ten year results from a randomised single centre mass screening trial for abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2006;32:608-14. [PMID: 16893663]
39. Lindholt JS, Juul S, Fasting H, Henneberg EW. Hospital costs and benefits of screening for abdominal aortic aneurysms. Results from a randomised population screening trial. Eur J Vasc Endovasc Surg. 2002;23:55-60. [PMID: 11748949]
40. Lindholt JS, Sørensen J, Søgaard R, Henneberg EW. Long-term benefit and cost-effectiveness analysis of screening for abdominal aortic aneurysms from a randomized controlled trial. Br J Surg. 2010;97:826-34. [PMID: 20473995]
41. Lindholt JS, Juul S, Henneberg EW. High-risk and low-risk screening for abdominal aortic aneurysm both reduce aneurysm-related mortality. A stratified analysis from a single-centre randomised screening trial. Eur J Vasc Endovasc Surg. 2007;34:53-8. [PMID: 17331750]
42. Norman PE, Jamrozik K, Lawrence-Brown MM, Le MT, Spencer CA, Tuohy RJ, et al. Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ. 2004;329:1259. [PMID: 15545293]
43. Hafez H, Druce PS, Ashton HA. Abdominal aortic aneurysm development in men following a "normal" aortic ultrasound scan. Eur J Vasc Endovasc Surg. 2008;36:553-8. [PMID: 18718773]
44. Lederle FA, Johnson GR, Wilson SE, Littooy FN, Krupski WC, Bandyk D, et al. Yield of repeated screening for abdominal aortic aneurysm after a 4-year interval. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators. Arch Intern Med. 2000;160:1117-21. [PMID: 10789604]
45. Emerton ME, Shaw E, Poskitt K, Heather BP. Screening for abdominal aortic aneurysm: a single scan is enough. Br J Surg. 1994;81:1112-3. [PMID: 7953333]
46. Scott RA, Vardulaki KA, Walker NM, Day NE, Duffy SW, Ashton HA. The long-term benefits of a single scan for abdominal aortic aneurysm (AAA) at age 65. Eur J Vasc Endovasc Surg. 2001;21:535-40. [PMID: 11397028]
47. d'Audiffret A, Santilli S, Tretinyak A, Roethle S. Fate of the ectatic infrarenal aorta: expansion rates and outcomes. Ann Vasc Surg. 2002;16:534-6. [PMID: 12183768]
48. Devaraj S, Dodds SR. Ultrasound surveillance of ectatic abdominal aortas. Ann R Coll Surg Engl. 2008;90:477-82. [PMID: 18765027]
49. Lindholt JS, Vammen S, Juul S, Fasting H, Henneberg EW. Optimal interval screening and surveillance of abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2000;20:369-73. [PMID: 11035969]
50. McCarthy RJ, Shaw E, Whyman MR, Earnshaw JJ, Poskitt KR, Heather BP. Recommendations for screening intervals for small aortic aneurysms. Br J Surg. 2003;90:821-6. [PMID: 12854107]
51. Darwood R, Earnshaw JJ, Turton G, Shaw E, Whyman M, Poskitt K, et al. Twenty-year review of abdominal aortic aneurysm screening in men in the county of Gloucestershire, United Kingdom. J Vasc Surg. 2012;56:8-13. [PMID: 22503187]
52. Wild JB, Stather PW, Biancari F, Choke EC, Earnshaw JJ, Grant SW, et al. A multicentre observational study of the outcomes of screening detected subaneurysmal aortic dilatation. Eur J Vasc Endovasc Surg. 2013;45:128-34. [PMID: 23273900]
53. Lindholt JS, Vammen S, Fasting H, Henneberg EW. Psychological consequences of screening for abdominal aortic aneurysm and conservative treatment of small abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2000;20:79-83. [PMID: 10906303]
54. Spencer CA, Norman PE, Jamrozik K, Tuohy R, Lawrence-Brown M. Is screening for abdominal aortic aneurysm bad for your health and well-being? ANZ J Surg. 2004;74:1069-75. [PMID: 15574151]
55. Wanhainen A, Rosén C, Rutegard J, Bergqvist D, Björck M. Low quality of life prior to screening for abdominal aortic aneurysm: a possible risk factor for negative mental effects. Ann Vasc Surg. 2004;18:287-93. [PMID: 15354629]
56. Lucarotti ME, Heather BP, Shaw E, Poskitt KR. Psychological morbidity associated with abdominal aortic aneurysm screening. Eur J Vasc Endovasc Surg. 1997;14:499-501. [PMID: 9467527]
57. Lesjak M, Boreland F, Lyle D, Sidford J, Flecknoe-Brown S, Fletcher J. Screening for abdominal aortic aneurysm: does it affect men's quality of life? Aust J Prim Health. 2012;18:284-8. [PMID: 22951209]
58. Lindholt JS, Norman P. Screening for abdominal aortic aneurysm reduces overall mortality in men. A meta-analysis of the mid- and long-term effects of screening for abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2008;36: 167-71. [PMID: 18485756]
59. Takagi H, Goto SN, Matsui M, Manabe H, Umemoto T. A further metaanalysis of population-based screening for abdominal aortic aneurysm. J Vasc Surg. 2010;52:1103-8. [PMID: 20541347]
60. Cosford PA, Leng GC. Screening for abdominal aortic aneurysm. Cochrane Database Syst Rev. 2007:CD002945. [PMID: 17443519]
61. Higgins JP, Whitehead A. Borrowing strength from external trials in a metaanalysis. Stat Med. 1996;15:2733-49. [PMID: 8981683]
62. Kontopantelis E, Springate DA, Reeves D. A re-analysis of the Cochrane Library data: the dangers of unobserved heterogeneity in meta-analyses. PLoS One. 2013;8:e69930. [PMID: 23922860]
63. Takagi H, Niwa M, Mizuno Y, Goto SN, Umemoto T; All-Literature Investigation of Cardiovascular Evidence Group. The Last Judgment upon abdominal aortic aneurysm screening [Letter]. Int J Cardiol. 2013;167:2331-2. [PMID: 23174171]
64. Mureebe L, Egorova N, Giacovelli JK, Gelijns A, Kent KC, McKinsey JF. National trends in the repair of ruptured abdominal aortic aneurysms. J Vasc Surg. 2008;48:1101-7. [PMID: 18771883]
65. Kung HC, Hoyert DL, Xu J, Murphy SL. Deaths: final data for 2005. Natl Vital Stat Rep. 2008;56:1-120. [PMID: 18512336]
66. Longo C, Upchurch GR Jr. Abdominal aortic aneurysm screening: recommendations and controversies. Vasc Endovascular Surg. 2005;39:213-9. [PMID: 15920649]
67. Svensjö S, Björck M, Wanhainen A. Current prevalence of abdominal aortic aneurysm in 70-year-old women. Br J Surg. 2013;100:367-72. [PMID: 23192439]
68. Linné A, Lindström D, Hultgren R. High prevalence of abdominal aortic aneurysms in brothers and sisters of patients despite a low prevalence in the population. J Vasc Surg. 2012;56:305-10. [PMID: 22425245]
69. Ogata T, MacKean GL, Cole CW, Arthur C, Andreou P, Tromp G, et al. The lifetime prevalence of abdominal aortic aneurysms among siblings of aneurysm patients is eight-fold higher than among siblings of spouses: an analysis of 187 aneurysm families in Nova Scotia, Canada. J Vasc Surg. 2005;42:891-7. [PMID: 16275443]
70. Badger SA, O'Donnell ME, Boyd CS, Hannon RJ, Lau LL, Lee B, et al. The low prevalence of abdominal aortic aneurysm in relatives in Northern Ireland. Eur J Vasc Endovasc Surg. 2007;34:163-8. [PMID: 17470405]
71. Sandiford P, Mosquera D, Bramley D. Trends in incidence and mortality from abdominal aortic aneurysm in New Zealand. Br J Surg. 2011;98:645-51. [PMID: 21381003]
72. Svensjö S, Björck M, Gürtelschmid M, Djavani Gidlund K, Hellberg A, Wanhainen A. Low prevalence of abdominal aortic aneurysm among 65-year-old Swedish men indicates a change in the epidemiology of the disease. Circulation. 2011;124:1118-23. [PMID: 21844079]
73. NHS Abdominal Aortic Aneurysm Screening Programme. NHS Abdominal Aortic Aneurysm Screening Programme 2011-12 Summary. Gloucester, United Kingdom: National Health Service; 2013. Accessed at www.aaa. screening.nhs.uk/ annualreport on 8 January 2014.
74. Mell MW, Hlatky MA, Shreibati JB, Dalman RL, Baker LC. Late diagnosis of abdominal aortic aneurysms substantiates underutilization of abdominal aortic aneurysm screening for Medicare beneficiaries. J Vasc Surg. 2013;57:1519-23, 1523.e1. [PMID: 23414696]
75. Lederle FA. The rise and fall of abdominal aortic aneurysm [Editorial]. Circulation. 2011;124:1097-9. [PMID: 21900095]
76. Anjum A, von Allmen R, Greenhalgh R, Powell JT. Explaining the decrease in mortality from abdominal aortic aneurysm rupture. Br J Surg. 2012;99:637-45. [PMID: 22473277]
77. Chun KC, Teng KY, Van Spyk EN, Carson JG, Lee ES. Outcomes of an abdominal aortic aneurysm screening program. J Vasc Surg. 2013;57:376-81. [PMID: 23141680]