ArticleThe British journal of surgery2014
Cost-effectiveness of the National Health Service Abdominal Aortic Aneurysm Screening Programme in England.
Article in The British journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Recommendations on screening for abdominal aortic aneurysm in primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Guideline
- Meta-analysis of the current prevalence of screen-detected abdominal aortic aneurysm in women.The British journal of surgery · 2016Pooled it
- Article
- Targeted abdominal aortic aneurysm screening: a retrospective review of a high-volume Irish tertiary vascular centre.Irish journal of medical science · 2026Article
- Cost-effectiveness of one-off upper abdominal CT screening as an add-on to lung cancer screening in England.British journal of cancer · 2025Article
- Development and validation of a risk prediction model for abdominal aortic aneurysm: a nationwide population-based cohort study.Scientific reports · 2025Article
- Advances in Imaging and Diagnosis of Abdominal Aortic Aneurysm: A Shift in Clinical Practice.Cureus · 2025Review
- Review
- In-silico trials of targeted screening for abdominal aortic aneurysms using linked healthcare data: A study protocol.PloS one · 2025Article
- One-time screening for abdominal aortic aneurysm in Ontario, Canada: a model-based cost-utility analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Improving cardiovascular health in patients with an abdominal aortic aneurysm: development of the cardiovascular risk reduction in patients with aneurysms (CRISP) behaviour change intervention.Pilot and feasibility studies · 2024Article
- Prevalence of abdominal aortic aneurysm (AAA) in first-degree relatives: detecting AAA in adult offspring of AAA patients.BJS open · 2024Article
- A feasibility study of the CRISP intervention; a cardiovascular risk reduction intervention in patients with an abdominal aortic aneurysm.NIHR open research · 2024Article
- Treatment Outcomes of Patients With Ruptured Abdominal Aortic Aneurysms.Journal of Korean medical science · 2023Article
- Morphological factors associated with progression of subaneurysmal aortas.The British journal of surgery · 2023Article
- Abdominal aortic aneurysm growth rates in patients undergoing local ultrasound surveillance.Ultrasound (Leeds, England) · 2023Article
- Epidemiology of Abdominal Aortic Aneurysm Repair in Brazil from 2008 to 2019 and Comprehensive Review of Nationwide Statistics Across the World.World journal of surgery · 2022Review
- Overview of screening eligibility in patients undergoing ruptured AAA repair from 2003 to 2019 in the Vascular Quality Initiative.Journal of vascular surgery · 2022Observational
- AAA Revisited: A Comprehensive Review of Risk Factors, Management, and Hallmarks of Pathogenesis.Biomedicines · 2022Review
- Ultrasound screening for abdominal aortic aneurysm in high-risk women.The British journal of surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundImplementation of the National Health Service abdominal aortic aneurysm (AAA) screening programme (NAAASP) for men aged 65 years began in England in 2009. An important element of the evidence base supporting its introduction was the economic modelling of the long-term cost-effectiveness of screening, which was based mainly on 4-year follow-up data from the Multicentre Aneurysm Screening Study (MASS) randomized trial. Concern has been expressed about whether this conclusion of cost-effectiveness still holds, given the early performance parameters, particularly the lower prevalence of AAA observed in NAAASP.
methodsThe existing published model was adjusted and updated to reflect the current best evidence. It was recalibrated to mirror the 10-year follow-up data from MASS; the main cost parameters were re-estimated to reflect current practice; and more robust estimates of AAA growth and rupture rates from recent meta-analyses were incorporated, as were key parameters as observed in NAAASP (attendance rates, AAA prevalence and size distributions).
resultsThe revised and updated model produced estimates of the long-term incremental cost-effectiveness of £5758 (95 per cent confidence interval £4285 to £7410) per life-year gained, or £7370 (£5467 to £9443) per quality-adjusted life-year (QALY) gained.
conclusionAlthough the updated parameters, particularly the increased costs and lower AAA prevalence, have increased the cost per QALY, the latest modelling provides evidence that AAA screening as now being implemented in England is still highly cost-effective.
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