Evidence map›Paper›PMID 28453577›Full record

ArticlePloS one2017

Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare.

Antoni Sisó-Almirall, Belchin Kostov, Marta Navarro González, Daniel Cararach Salami, Alfonso Pérez Jiménez, Rosa Gilabert Solé, Concepció Bru Saumell, Lluís Donoso Bach, Mireia Villalta Martí, Luis González-de Paz and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Antoni Sisó-AlmirallConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.ORCID http://orcid.org/0000-0001-9832-2689
Belchin KostovConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Marta Navarro GonzálezConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Daniel Cararach SalamiConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Alfonso Pérez JiménezConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Rosa Gilabert SoléServei de Radiodiagnòstic, Centre de Diagnòstic per la Imatge, Hospital Clínic de Barcelona, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Concepció Bru SaumellServei de Radiodiagnòstic, Centre de Diagnòstic per la Imatge, Hospital Clínic de Barcelona, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Lluís Donoso BachServei de Radiodiagnòstic, Centre de Diagnòstic per la Imatge, Hospital Clínic de Barcelona, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Mireia Villalta MartíConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Luis González-de PazConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Rafael Ruiz RieraConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Vicenç Riambau AlonsoServei de Cirurgia Vascular, Institut Clínic del Tòrax, Hospital Clínic de Barcelona, Barcelona, Spain.
Nihan Acar-DenizliDepartment of Statistics, Faculty of Science and Letters, Mimar Sinan Fine Arts University, Istanbul, Turkey.
Marta Farré AlmacellasInstitut Clínic de Medicina Interna i Dermatologia (ICMID), Hospital Clínic de Barcelona, Barcelona, Spain.
Manuel Ramos-CasalsInstitut Clínic de Medicina Interna i Dermatologia (ICMID), Hospital Clínic de Barcelona, Barcelona, Spain.
Jaume Benavent ÀreuConsorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), Grup Tranversal de Recerca en Atenció Primària, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Consorci d’Atenció Primària de Salut Barcelona Esquerra · ESHospital Clínic de Barcelona · ESMimar Sinan Güzel Sanatlar Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We determined the feasibility of abdominal aortic aneurysm (AAA) screening program led by family physicians in public primary healthcare setting using hand-held ultrasound device. The potential study population was 11,214 men aged ≥ 60 years attended by three urban, public primary healthcare centers. Participants were recruited by randomly-selected telephone calls. Ultrasound examinations were performed by four trained family physicians with a hand-held ultrasound device (Vscan®). AAA observed were verified by confirmatory imaging using standard ultrasound or computed tomography. Cardiovascular risk factors were determined. The prevalence of AAA was computed as the sum of previously-known aneurysms, aneurysms detected by the screening program and model-based estimated undiagnosed aneurysms. We screened 1,010 men, with mean age of 71.3 (SD 6.9) years; 995 (98.5%) men had normal aortas and 15 (1.5%) had AAA on Vscan®. Eleven out of 14 AAA-cases (78.6%) had AAA on confirmatory imaging (one patient died). The total prevalence of AAA was 2.49% (95%CI 2.20 to 2.78). The median aortic diameter at diagnosis was 3.5 cm in screened patients and 4.7 cm (p<0.001) in patients in whom AAA was diagnosed incidentally. Multivariate logistic regression analysis identified coronary heart disease (OR = 4.6, 95%CI 1.3 to 15.9) as the independent factor with the highest odds ratio. A screening program led by trained family physicians using hand-held ultrasound was a feasible, safe and reliable tool for the early detection of AAA.

Indexed as

Point-of-Care TestingPrimary Health CareUltrasonographyAgedAged, 80 and overAorta, AbdominalAortic Aneurysm, AbdominalCoronary DiseaseEarly DiagnosisFeasibility StudiesHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds Ratio

Identifiers

PMID28453577
PMCPMC5409053
OpenAlexW2608337415

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.