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Population-based pilot screening programme for abdominal aortic aneurysm in the Czech Republic


Authors: P. Utíkal 1,2;  M. Köcher 3,4;  T. Adla 5,6;  L. Dušek 7,8;  K. Hejcmanová 7;  K. Hejduk 7,8;  S. Heller 9,10;  D. Karetová 9,10;  O. Májek 7,8;  J. Moláček 1,11;  D. Obšilová 7;  J. Raupach 3,12;  M. Roček 5,13;  P. Šonka 14,15;  P. Šubrt 14,16
Authors‘ workplace: Česká společnost kardiovaskulární, chirurgie ČLS JEP 1;  Klinika kardiovaskulární, a transplantační chirurgie, LF UP a FN Olomouc 2;  Společnost intervenční radiologie, ČLS JEP 3;  Radiologická klinika LF UP, a FN Olomouc 4;  Radiologická společnost, ČLS JEP 5;  Pracoviště zobrazovacích metod, IKEM, Praha 6;  Národní screeningové centrum, ÚZIS ČR 7;  Institut biostatistiky a analýz, LF MU, Brno 8;  Česká angiologická společnost, ČLS JEP 9;  II. interní klinika kardiologie, a angiologie 1. LF UK, a VFN v Praze 10;  Chirurgická klinika LF UK, a FN Plzeň 11;  Radiologická klinika LF UK, a FN Hradec Králové 12;  Klinika zobrazovacích metod, 2. LF UK a FN Motol, Praha 13;  Sdružení praktických lékařů ČR 14;  Medison s. r. o., Přeštice 15;  Ordinace praktického lékaře, pro dospělé, Lhota pod Libčany 16
Published in: Rozhl. Chir., 2025, roč. 104, č. 6, s. 257-261.
Category: Review
doi: https://doi.org/0.48095/ccrvch2025257

Overview

A population-based pilot screening programme for abdominal aortic aneurysm was launched in the Czech Republic on January 1, 2025. Its goal is not only early diagnosis of the disease, but also the collection of key data that will make health statistics more accurate. The target population includes all men aged 65–67. Men are referred by their general practitioner for ultrasound examination to accredited ultrasound centers. With the findings, they return to the general practitioner, who will perform basic triage based on the results of the ultrasound examination. Patients with a positive finding are then dispensarized and treated in cardiovascular centers across the Czech Republic.

The pilot programme will last for 5 years. This period will serve to evaluate the benefits and effectiveness of the programme.

Major statement: A population-based pilot screening programme for abdominal aortic aneurysm in the Czech Republic has been launched.

Keywords:

screening – aneurysm – abdominal aorta


Sources

1.            Wanhainen A, Van Herzeele I, Bastor Goncalves F et al. European Society for Vascular Surgery (ESVS) 2024 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg 2024; 67(2): 192–331. doi: 10.1016/j.ejvs.2023.11.002.

2.            Wanhainen A, Verzini F, Van Herzeele I et al. European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg 2019; 57(1): 8–93. doi: 10.1016/j.ejvs.2018.09.020.

3.            Guirguis-Blake JM, Beil TL, Senger CA et al. Primary care screening for abdominal aortic aneurysm: a systematic evidence review for the U.S. Preventive services task force. Rockville (MD): Agency for Healthcare Research and Quality (US) 2019; Report No.: 19-05253-EF-1. PMID: 31877008.

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5.            Johansson M, Hansson A, Brodersen J. Estimating overdiagnosis in screening for abdominal aortic aneurysm: could a change in smoking habits and lowered aortic diameter tip the balance of screening towards harm? BMJ 2015; 350: h825. doi: 10.1136/bmj.h825.

6.            Thompson SG, Ashton HA, Gao L et al. Multicentre Aneurysm Screening Study group. Screening men for abdominal aortic aneurysm: 10 year mortality and cost effectiveness results from the randomised Multicentre Aneurysm Screening Study. BMJ 2009; 338: b2307. doi: 10.1136/bmj.b2307.

7.            Jacomelli J, Summers L, Stevenson A et al. Impact of the first 5 years of a national abdominal aortic aneurysm screening programme. Br J Surg 2016; 103(9): 1125–1131. doi: 10.1002/bjs.10173.

8.            Wanhainen A, Hultgren R, Linne A et al; Swedish Aneurysm Screening Study group. Outcome of the swedish nationwide abdominal aortic aneurysm screening program. Circulation 2016; 134(16): 1141–1148. doi: 10.1161/CIRCULATIONAHA.116.022305.

9.            Svensjo S, Bjorck M, Wanhainen A. Update on screening for abdominal aortic aneurysm: a topical review. Eur J Vasc Endovasc Surg 2014; 48(6): 659–667. doi: 10.1016/j.ejvs.2014.08.029.

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Surgery Orthopaedics Trauma surgery
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