Geography, private costs and uptake of screening for abdominal aortic aneurysm in a remote rural area

Lindsay, Sandra M.; Duncan, John L.; Cairns, John; Godden, David J.
January 2006
BMC Public Health;2006, Vol. 6, p80
Academic Journal
Background: The relationship between geographical location, private costs, health provider costs and uptake of health screening is unclear. This paper examines these relationships in a screening programme for abdominal aortic aneurysm in the Highlands and Western Isles of Scotland, a rural and remote area of over 10,000 square miles. Methods: Men aged 65-74 (n = 9323) were invited to attend screening at 51 locations in 50 settlements. Effects of geography, deprivation and age on uptake were examined. Among 8,355 attendees, 8,292 completed a questionnaire detailing mode of travel and costs incurred, time travelled, whether accompanied, whether dependants were cared for, and what they would have been doing if not attending screening, thus allowing private costs to be calculated. Health provider (NHS) costs were also determined. Data were analysed by deprivation categories, using the Scottish Indices of Deprivation (2003), and by settlement type ranging from urban to very remote rural. Results: Uptake of screening was high in all settlement types (mean 89.6%, range 87.4 - 92.6%). Non-attendees were more deprived in terms of income, employment, education and health but there was no significant difference between non-attendees and attendees in terms of geographical access to services. Age was similar in both groups. The highest private costs (median £7.29 per man) and NHS screening costs (£18.27 per man invited) were observed in very remote rural areas. Corresponding values for all subjects were: private cost £4.34 and NHS cost £15.72 per man invited. Conclusion: Uptake of screening for abdominal aortic aneurysm in this remote and rural setting was high in comparison with previous studies, and this applied across all settlement types. Geographical location did not affect uptake, most likely due to the outreach approach adopted. Private and NHS costs were highest in very remote settings but still compared favourably with other published studies.


Related Articles

  • Screening for abdominal aortic aneurysms was cost-effective for prolonging survival from AAA-related death in older men. Michaels, Jonathan A. // ACP Journal Club;Jul/Aug2003, Vol. 139 Issue 1, p24 

    Deals with a multicentre aneurysm screening study. Main cost and outcome measures; Information on abdominal aortic aneurysm at four years; Sensitivity analysis in the study.

  • Screening for abdominal aortic aneurysm (AAA) reduced AAA mortality in Danish men 64-73 years of age. Lindholt, J. S.; Juul, S.; Fasting, H.; Michaels, Jonathan A. // Evidence Based Medicine;Oct2005, Vol. 10 Issue 5, p142 

    The article reports that in Danish men 64-73 years of age, screening for abdominal aortic aneurysm (AAA) reduced specific mortality caused by AAA but not all cause morality. In men 64-73 years of age, about 3 AAA related deaths were averted for every 1000 men invited for screening. However, the...

  • Free Screenings for AAA With Joe Theismann Was a Touchdown. Dugger II, A. J. // Tennessee Tribune;5/12/2011, Vol. 22 Issue 19, p1A 

    The article announces the free screening for Abdominal Aortic Aneurysms (AAA) organized by Find The AAAnswers and the Society for Vascular Nursing held at the Loews Vanderbilt Hotel in Tennessee on May 5, 2011

  • When to screen for aortic aneurysms. Donohue, Paul G. // Adirondack Daily Enterprise;6/22/2010, Vol. 117 Issue 146, p6 

    The article presents an advisory on the right time to screen aortic aneurysms.

  • Screening for abdominal aortic aneurysm well worth it in Denmark.  // PharmacoEconomics & Outcomes News;7/21/2012, Issue 658, p1 

    The article discusses research on the cost effectiveness of abdominal aortic aneurysm screening and rescreening in men in Denmark, referencing a study by R. Søgaard and colleagues, published in the July 9, 2010 issue of the "British Medical Journal" (BMJ).

  • Corrections and clarifications.  // BMJ: British Medical Journal (International Edition);6/19/2004, Vol. 328 Issue 7454, p1486 

    Presents corrections to articles found in the April and May 2004 issues of the "British Medical Journal." Article on the British national screening program for aortic aneurism; Article on the pathogenesis and treatment of varicoceles.

  • Screening for abdominal aortic aneurysm on the agenda.  // New Zealand Doctor;8/28/2013, p11 

    The article reports on the agenda of the University of Otago's Dunedin School of Medicine to introduce a screening programme for abdominal aortic aneurysm (AAA) in New Zealand.

  • Aortic aneurysm screens attract 70% attendance.  // GP: General Practitioner;6/22/2007, p3 

    The article reports that a pilot aortic aneurysm screening program has attracted 70 percent attendance in Tyneside, England. According to Hamdi Ashour, the study has helped to detect a number of aneurysms in high-risk individuals which may have been left untreated. Ashour stressed that this was...

  • Treatment of ascending aortic aneurysms using different surgical techniques: a single-centre experience with 548 patients. Kallenbach, Klaus; Kojic, Dubravka; Oezsoez, Merve; Bruckner, Thomas; Sandrio, Stany; Arif, Rawa; Beller, Carsten J.; Weymann, Alexander; Karck, Matthias // European Journal of Cardio-Thoracic Surgery;Aug2013, Vol. 44 Issue 2, p337 

    OBJECTIVES The proper treatment of aneurysms of the ascending aorta is still under debate. Here, we describe the early and late outcomes after composite replacement (CR), supracommissural aortic replacement (SCR) and aortic valve-sparing (AVS) operations. METHODS Five hundred and fourty-eight...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics