{"id":408653,"date":"2021-01-05T09:18:24","date_gmt":"2021-01-05T14:18:24","guid":{"rendered":"http:\/\/www.marketnewsdesk.com\/?p=408653"},"modified":"2021-01-05T09:18:24","modified_gmt":"2021-01-05T14:18:24","slug":"study-of-patients-undergoing-abdominal-aortic-aneurysm-repair-suggests-screening-guidelines-may-be-inadequate","status":"publish","type":"post","link":"https:\/\/www.marketnewsdesk.com\/index.php\/study-of-patients-undergoing-abdominal-aortic-aneurysm-repair-suggests-screening-guidelines-may-be-inadequate\/","title":{"rendered":"Study of patients undergoing abdominal aortic aneurysm repair suggests screening guidelines may be inadequate"},"content":{"rendered":"

\nStudy published in Journal of Vascular Surgery
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Rosemont, Ill., Jan. 05, 2021 (GLOBE NEWSWIRE) — A retrospective study analyzing approximately 55,000 patients undergoing abdominal aortic aneurysm (AAA) repair suggests current AAA screening guidelines may be inadequate in detecting a significant number of new cases. Additionally, expanding screening for certain population segments may be warranted. The study patients were enrolled in the Vascular Quality Initiative between years 2003 and 2019.<\/p>\n

The study was spearheaded by Jeffrey E. Indes, MD, vascular surgeon at Montefiore Einstein Center for Heart and Vascular Care, and results were published in the December 2020 edition of the Journal of Vascular Surgery.<\/p>\n

Few diagnoses are as devastating as a ruptured AAA. Ruptured AAAs were responsible for close to 10,000 deaths in 2017 and represent the 15th leading cause of death in the United States.<\/p>\n

\u201cScreening can lead to elective AAA repair, which has a far lower mortality than ruptured AAA,\u201d said first author Matthew L. Carnevale, MD, of the Montefiore Health System and Albert Einstein College of Medicine. \u201cThe mortality rate for a patient with a ruptured AAA who never makes it to a hospital is exceedingly high. For those who do make it to a hospital, the 30-day mortality rates vary between 20 and 50%.\u201d<\/p>\n

Screening guidelines derived from the 2005 U.S. Preventive Services Task Force (USPTF) recommendations involve a one-time abdominal ultrasound examination only for men aged 65-75 with a history of smoking. An update published in December 2019 added selective screening only for men aged 65-75 without a history of smoking.<\/p>\n

In 2018, the Society for Vascular Surgery (SVS) suggested including women aged 65-75 with a history of smoking. Additionally, the SVS expanded its criteria to include: first-degree relatives of those with an AAA, and anyone older than 75 with a history of smoking and who is fit for repair.<\/p>\n

Amongst those cases, the percentage of patients that would have been captured via screening depended on the guidelines used:<\/p>\n

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