Uptake of abdominal aortic aneurysm screening

A cohort study

N.P. Ross, N. W. Scott, J.L. Duncan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Abdominal aortic aneurysms (AAA) are responsible for 1.4% of UK deaths. Deprivation is a risk factor for AAA. Screening reduces AAA related mortality and is cost effective if uptake remains high. The Highland aneurysm screening programme (HASP) began in 2001 offering screening to men in a sparsely populated area. The aim was to identify whether uptake varies with deprivation or rurality, in the context of an established programme. Methods: Retrospective interrogation of HASP records was performed on all men offered screening from 2001 until 2010. Deprivation and rurality status were derived from postcode of residence (SIMD'09 and URC'08) and the relationships with screening uptake were examined. Results: Mean uptake over the decade was 90.1%. There was a strong association between deprivation and uptake, which ranged from 79.5% in the most deprived population to 97.5% in the least deprived (p <0.001). The odds of men who were least deprived attending was 10.6 times higher than those who were most deprived (p <0.001). Higher uptake was observed in more rural areas (p = 0.02). When combined in a logistic regression model, only deprivation remained significant, indicating any apparent effect of rurality was explained by deprivation. No change was observed in the mean aortic diameter of 65-year-old men or the incidence of AAA. Conclusion: HASP has a high uptake even in the most deprived and rural populations, demonstrating that programme design has overcome any potential rural disadvantage. A gradient of uptake associated with deprivation remains, although even the most deprived have an uptake of almost 80%.
Original languageEnglish
Pages (from-to)610-615
Number of pages6
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume45
Issue number6
Early online date27 Mar 2013
DOIs
Publication statusPublished - Jun 2013

Fingerprint

Abdominal Aortic Aneurysm
Cohort Studies
Aneurysm
Logistic Models
Population Control
Rural Population
Costs and Cost Analysis
Mortality
Incidence
Population

Keywords

  • aortic aneurysm
  • abdominal
  • population screening
  • rural population
  • rural health services
  • socioeconomic factors
  • public health

Cite this

Uptake of abdominal aortic aneurysm screening : A cohort study. / Ross, N.P.; Scott, N. W.; Duncan, J.L.

In: European Journal of Vascular and Endovascular Surgery, Vol. 45, No. 6, 06.2013, p. 610-615.

Research output: Contribution to journalArticle

@article{a601072eadf043cbbdee6c9eb70112ad,
title = "Uptake of abdominal aortic aneurysm screening: A cohort study",
abstract = "Background: Abdominal aortic aneurysms (AAA) are responsible for 1.4{\%} of UK deaths. Deprivation is a risk factor for AAA. Screening reduces AAA related mortality and is cost effective if uptake remains high. The Highland aneurysm screening programme (HASP) began in 2001 offering screening to men in a sparsely populated area. The aim was to identify whether uptake varies with deprivation or rurality, in the context of an established programme. Methods: Retrospective interrogation of HASP records was performed on all men offered screening from 2001 until 2010. Deprivation and rurality status were derived from postcode of residence (SIMD'09 and URC'08) and the relationships with screening uptake were examined. Results: Mean uptake over the decade was 90.1{\%}. There was a strong association between deprivation and uptake, which ranged from 79.5{\%} in the most deprived population to 97.5{\%} in the least deprived (p <0.001). The odds of men who were least deprived attending was 10.6 times higher than those who were most deprived (p <0.001). Higher uptake was observed in more rural areas (p = 0.02). When combined in a logistic regression model, only deprivation remained significant, indicating any apparent effect of rurality was explained by deprivation. No change was observed in the mean aortic diameter of 65-year-old men or the incidence of AAA. Conclusion: HASP has a high uptake even in the most deprived and rural populations, demonstrating that programme design has overcome any potential rural disadvantage. A gradient of uptake associated with deprivation remains, although even the most deprived have an uptake of almost 80{\%}.",
keywords = "aortic aneurysm, abdominal, population screening, rural population, rural health services, socioeconomic factors, public health",
author = "N.P. Ross and Scott, {N. W.} and J.L. Duncan",
year = "2013",
month = "6",
doi = "10.1016/j.ejvs.2013.02.018",
language = "English",
volume = "45",
pages = "610--615",
journal = "European Journal of Vascular and Endovascular Surgery",
issn = "1078-5884",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Uptake of abdominal aortic aneurysm screening

T2 - A cohort study

AU - Ross, N.P.

AU - Scott, N. W.

AU - Duncan, J.L.

PY - 2013/6

Y1 - 2013/6

N2 - Background: Abdominal aortic aneurysms (AAA) are responsible for 1.4% of UK deaths. Deprivation is a risk factor for AAA. Screening reduces AAA related mortality and is cost effective if uptake remains high. The Highland aneurysm screening programme (HASP) began in 2001 offering screening to men in a sparsely populated area. The aim was to identify whether uptake varies with deprivation or rurality, in the context of an established programme. Methods: Retrospective interrogation of HASP records was performed on all men offered screening from 2001 until 2010. Deprivation and rurality status were derived from postcode of residence (SIMD'09 and URC'08) and the relationships with screening uptake were examined. Results: Mean uptake over the decade was 90.1%. There was a strong association between deprivation and uptake, which ranged from 79.5% in the most deprived population to 97.5% in the least deprived (p <0.001). The odds of men who were least deprived attending was 10.6 times higher than those who were most deprived (p <0.001). Higher uptake was observed in more rural areas (p = 0.02). When combined in a logistic regression model, only deprivation remained significant, indicating any apparent effect of rurality was explained by deprivation. No change was observed in the mean aortic diameter of 65-year-old men or the incidence of AAA. Conclusion: HASP has a high uptake even in the most deprived and rural populations, demonstrating that programme design has overcome any potential rural disadvantage. A gradient of uptake associated with deprivation remains, although even the most deprived have an uptake of almost 80%.

AB - Background: Abdominal aortic aneurysms (AAA) are responsible for 1.4% of UK deaths. Deprivation is a risk factor for AAA. Screening reduces AAA related mortality and is cost effective if uptake remains high. The Highland aneurysm screening programme (HASP) began in 2001 offering screening to men in a sparsely populated area. The aim was to identify whether uptake varies with deprivation or rurality, in the context of an established programme. Methods: Retrospective interrogation of HASP records was performed on all men offered screening from 2001 until 2010. Deprivation and rurality status were derived from postcode of residence (SIMD'09 and URC'08) and the relationships with screening uptake were examined. Results: Mean uptake over the decade was 90.1%. There was a strong association between deprivation and uptake, which ranged from 79.5% in the most deprived population to 97.5% in the least deprived (p <0.001). The odds of men who were least deprived attending was 10.6 times higher than those who were most deprived (p <0.001). Higher uptake was observed in more rural areas (p = 0.02). When combined in a logistic regression model, only deprivation remained significant, indicating any apparent effect of rurality was explained by deprivation. No change was observed in the mean aortic diameter of 65-year-old men or the incidence of AAA. Conclusion: HASP has a high uptake even in the most deprived and rural populations, demonstrating that programme design has overcome any potential rural disadvantage. A gradient of uptake associated with deprivation remains, although even the most deprived have an uptake of almost 80%.

KW - aortic aneurysm

KW - abdominal

KW - population screening

KW - rural population

KW - rural health services

KW - socioeconomic factors

KW - public health

UR - http://www.scopus.com/inward/record.url?scp=84878105763&partnerID=8YFLogxK

U2 - 10.1016/j.ejvs.2013.02.018

DO - 10.1016/j.ejvs.2013.02.018

M3 - Article

VL - 45

SP - 610

EP - 615

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

SN - 1078-5884

IS - 6

ER -