This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Randomized clinical trial of screening for abdominal aortic aneurysm in women. BJS 2002; 89: 283-285.

Published: 5th November 2002

Authors: R. A. P. Scott, S. G. Bridgewater, H. A. Ashton

Background

Screening for abdominal aortic aneurysm (AAA) is commonly restricted to men. Recent studies have indicated a possible increase in deaths due to ruptured AAA in women, and a higher rate of rupture in women than in men. The present report details results from a randomized controlled trial that assessed the effects of screening women for AAA.

Method

Some 9342 women aged 65–80 years were entered into the trial and randomized to age‐matched screen and control groups. A single ultrasonographic scan was offered to women in the screening arm of the study. Women with an AAA received follow‐up scans, and were considered for elective surgery if certain criteria were met.

Results

The prevalence of AAA was six times lower in women (1·3 per cent) than in men (7·6 per cent). Over 5‐ and 10‐year follow‐up intervals, the incidence of rupture was the same in the screened and control groups of women.

Conclusion

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