title: Implementation of the National Health Service Abdominal Aortic Aneurysm Screening Program in England.
abstract: The National Health Service Abdominal Aortic Aneurysm Screening Program (NAAASP) has been introduced after research and analysis of data from a number of randomized trials and existing local screening programs in England that showed a reduction in aneurysm-related mortality when men aged ≥ 65 years were offered ultrasound screening. The evidence was assessed by the United Kingdom National Screening Committee against a set of internationally recognized criteria that confirmed that screening all men aged ≥ 65 years saves lives. The introduction of abdominal aortic aneurysm (AAA) screening to men aged 65 years is estimated to reduce premature death from ruptured AAAs by up to 50% over the next 10 years. This article describes the AAA screening program in England, its ongoing implementation and current challenges, and outcomes in the first 150,000 men.
authors.affiliation: Royal Free London NHS Trust, London, United Kingdom.
authors.forename: Meryl
authors.initials: M
authors.lastname: Davis
authors.forename: Mike
authors.initials: M
authors.lastname: Harris
authors.forename: Jonothan J
authors.initials: JJ
authors.lastname: Earnshaw
mesh_terms: D000367:Age Factors; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging* / Q000401:mortality / Q000628:therapy; D001019:Aortic Rupture / Q000401:mortality / Q000517:prevention & control*; D004739:England / Q000453:epidemiology; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D015995:Prevalence; D011379:Prognosis; D016730:Program Development; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors; D013222:State Medicine / Q000592:standards; D013997:Time Factors; D014463:Ultrasonography