Aortic Abdominal Aneurysm Pilot Screening Programme

Study Overview
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Brief Summary
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Populational abdominal aortic aneurysm (AAA) pilot screening programme performed by duplex ultrasonography in population born in 1952 in health areas depending from Hospital de la Santa Creu i Sant Pau in Barcelona. Descriptive data analysis and cost-effectiveness study will be performed.

Detailed Description
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Populational abdominal aortic aneurysm (AAA) pilot screening programme performed by duplex ultrasonography in population born in 1952 in areas depending from Hospital de la Santa Creu i Sant Pau in Barcelona. Ultrasonography evaluations will be performed in primary health centers by previously trained doctors according to study protocol and AAA management will be according to United Kingdom's National Health Service screening model. A descriptive analysis will be performed to estimate local population prevalence of AAA in both men and women in order to create the basis for a future state AAA screening programme. A cost-effectiveness analysis will be performed in order to assess optimal screening strategies in our population.

Official Title
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Analysis of Aortic Abdominal Aneurysm Prevalence in a Population Pilot Screening Program Based on Primary Care Duplex Ultrasound Evaluation

Conditions
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Aortic Aneurysm, Abdominal

Intervention / Treatment
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* Diagnostic Test: ABDOMINAL DUPLEX ULTRASONOGRAPHY


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All men in our area's population census and an aleatory sample of women born in 1952 living in Hospital de la Santa Creu i Sant Pau area. Exclusion Criteria: Previously detected or operated AAA Fragile patients not eligible for AAA repair if needed Dead people when contacted Eligible people refusing to participate Eligible people failed to be contacted twice by our department

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Men<br>Men born in 1952 in Barcelona in health areas depending from Hospital de la Santa Creu i Sant Pau. | Diagnostic Test: ABDOMINAL DUPLEX ULTRASONOGRAPHY<br>* Abdominal ultrasonography performed by both primary care doctors or vascular surgeons in Hospital de la Santa Creu i Sant Pau area<br>|
| Women<br>Aleatory sample of women born in 1952 in Barcelona in health areas depending from Hospital de la Santa Creu i Sant Pau. | Diagnostic Test: ABDOMINAL DUPLEX ULTRASONOGRAPHY<br>* Abdominal ultrasonography performed by both primary care doctors or vascular surgeons in Hospital de la Santa Creu i Sant Pau area<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abdominal aortic measurement | Ultrasound infrarrenal aortic diameter measurement in mm | Days (only one day measurement is performed) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Smoking habits | Defined by current smoker, former smoker (more than one year without smoking) or non smoker | 1 day | 
| Surgical intervention if needed | Registry of kind of intervention and date of intervention | 1 day | 
| Family AAA history | First or second degree relatives with AAA, or no family AAA history | 1 day | 
| Personal Cardiovascular Risk Factors | Coronary disease, neurovascular disease, peripheral arterial disease or diabetes mellitus | 1 day | 
| Dislipidaemia | Altered lipid parameters in blood analysis | 1 day | 
| Arterial Hypertension | Arterial hypertension under medical treatment | 1 day | 
| Height | measures in cm | 1 day | 
| Weight | measures in kg | 1 day | 
| Abdominal perimeter | measures in cm | 1 day | 
| Goldberg questionnaire | Complete goldberg anxiety and depression questionnaire. It consists of 12 questions and 5 posible answers for each question, and each answer is rated with 1 to 5 points. Total score above 9 indicates risk of depression. | 1 day | 
| EuroQOL 5 score | EuroQOL 5 quality of life evaluation questionnaire. It consistis of 5 questions with 3 posible answers for each question, and a visual analogical scale for self health perception. Each combination of answers indicates a pattern of health status that can be rated. | 1 day |