ArticleEuropean heart journal2024
Abdominal aortic aneurysm repair in Sweden vs. Finland: benefits of population-wide screening.
Article in European heart journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Undiagnosed Thoracic Aortic Aneurysms: Prevalence, Risk Factors, Screening Modalities.Deutsches Arzteblatt international · 2026Review
- The Aorta Is One Organ; Our Response Is Not: A Global Case for Systems Redesign in Acute Aortic Syndromes.Journal of clinical medicine · 2026Review
- Abdominal aortic aneurysm progression: A review of preclinical and clinical data.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Review
- Global, regional, and national burden of aortic aneurysm and its risk factors, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021.International journal of surgery (London, England) · 2026Article
- Thymic stromal lymphopoietin promotes abdominal aortic aneurysm formation by regulating macrophage polarization.Frontiers in immunology · 2026Article
- Abdominal Aorta Remodeling in Hypertensive Patients: The Campania Salute Network.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
- Decreasing aortic diameter and decreasing prevalence of infrarenal aortic aneurysms in a population-based screening programme.The British journal of surgery · 2025Article
- Poor Information Quality of Abdominal Aortic Aneurysm Videos on Chinese Social Media: A Cross-Sectional Study.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
aimsIn 2006, screening of 65-year-old men for abdominal aortic aneurysm (AAA) was started in Sweden. Decline in aneurysm-related mortality has been reported since, but aneurysm incidence has been diminishing globally. Neighbouring Finland with similar population structure and health care system has no AAA screening programme. The aim of this study was to compare incidence and results of AAA repair in Sweden and Finland to differentiate the effect of screening from other changes in the epidemiology and treatment of AAA.
methodsAll repairs for intact AAA (iAAA) or ruptured AAA (rAAA) from 1998 to 2017 were identified from national registers, and mortality data for these patients were collected.
resultsA total of 15 927 operations for iAAA were performed in Sweden and 6933 in Finland. In Sweden, the yearly operation volume increased after introduction of screening. Both countries showed a decrease in number of rAAA operations, but the decrease was more pronounced in Sweden. Sweden had a higher proportion of all AAA repairs because of rupture in the start of the study but by the end, the proportions were similar in both countries. Long-term survival improved for 65-79-old men in Sweden after start of screening.
conclusionsThis study reveals improvements in results of AAA repair in Sweden. A decrease in rAAA repair and increase in iAAA repair were evident after AAA screening was started in 2006 and resulted in better outcomes. These changes are likely the result of AAA screening as they cannot be seen in neighbouring Finland that is lacking an AAA screening programme.
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