Effectiveness of Screening Postmenopausal Women for Cardiovascular Diseases: A Population Based, Prospective Parallel Cohort Study

Dahl, Marie; Søgaard, Rikke; Frost, Lars; Høgh, Annette; Lindholt, Jes Sanddal

doi:10.1016/j.ejvs.2018.02.034

“…We excluded 779 for following reasons: 82 records because they were case reports/case series, 11 were comments, 10 were editorials, 7 clinical guidelines, 79 were systematic reviews, 13 were meta-analyses that did not include cross-sectional studies on risk factors, 577 were about other topics. A total of 40 papers were considered for systematic review (Figure 1) [4,9,10,11,12,13,15,16,17,18,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62].…”

Section: Resultsmentioning

confidence: 99%

Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis

Altobelli

¹

,

Rapacchietta

²

,

Profeta

³

et al. 2018

IJERPH

View full text Add to dashboard Cite

Abdominal aortic aneurysm (AAA) represents an important public health problem with a prevalence between 1.3% and 12.5%. Several population-based randomized trials have evaluated ultrasound screening for AAA providing evidence of a reduction in aneurysm-related mortality in the screened population. The aim of our study was to perform a systematic review and meta-analysis of the risk factors for AAA. We conducted a systematic review of observational studies and we performed a meta-analysis that evaluated the following risk factors: gender, smoking habits, hypertension, coronary artery disease and family history of AAA. Respect to a previous a meta-analysis we added the funnel plot to examine the effect sizes estimated from individual studies as measure of their precision; sensitivity analysis to check the stability of study findings and estimate how the overall effect size would be modified by removal of one study; cumulative analysis to evaluate the trend between studies in relation to publication year. Abdominal aortic aneurysm prevalence is higher in smokers and in males. On the other hand, while diabetes is a risk factor for many cardiovascular diseases, it is not a risk factor for AAA. In addition, it is important to underline that all countries, where AAA screening was set up, had high income level and the majority belong to Western Europe (United Kingdom, Sweden, Italy, Poland, Spain and Belgium). Abdominal aortic aneurysm screening is fundamental for public health. It could avoid deaths, ruptures, and emergency surgical interventions if abdominal aortic aneurysm was diagnosed early in the population target for screening.

show abstract

“…Current smoking is associated with occurrence of AAA at younger ages [60]. Moreover, risk of AAA is higher for current smokers than past smokers and it increases with duration of smoking [54].…”

Section: Systematic Reviewmentioning

confidence: 99%

Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis

Altobelli¹,

Rapacchietta²,

Profeta³

et al. 2018

Preprint

View full text Add to dashboard Cite

Abdominal aortic aneurysm (AAA) represents an important public health problem with a prevalence between 1.3% and 12.5%. Several population-based randomized trials have evaluated ultrasound screening for AAA providing evidence of a reduction in aneurysm-related mortality in the screened population. The aim of our study was to perform a systematic review and meta-analysis of the risk factors for AAA. We conducted a systematic review of observational studies and we performed a meta-analysis that evaluated the following risk factors: gender, smoking habits, hypertension, diabetes mellitus, Coronary Artery Disease and family history of AAA. Abdominal aortic aneurysm prevalence is higher in smokers and in males. It is important to underline that all countries, where AAA screening was set up, had high income level and the majority belong to Western Europe (United Kingdom, Sweden, Italy, Poland, Spain and Belgium). Abdominal aortic aneurysm screening is fundamental for public health. It would avoid deaths, ruptures, and emergency surgical interventions if abdominal aortic aneurysm was diagnosed early in the population target for screening.

show abstract

“…Whether cardiovascular screening among women is effective is less investigated and conclusive. However, a multifaceted cardiovascular observational screening study among postmenopausal women reduced the mortality non-signi cantly by 11% (13). Besides effectiveness, screening and health checks have received attention for their potential psychological impact (14)(15)(16), for facilitating informed decision-making when an individual is faced with a screening invitation (17) and for the facilitators of and barriers to attendance (18,19).…”

Section: Introductionmentioning

confidence: 99%

Women’s reasons for declining cardiovascular screening – a qualitative study

Dahl

¹

,

Andersen

²

,

Heggen

³

et al. 2020

Preprint

Self Cite

0

View full text Add to dashboard Cite

Background During 2011–2013, women from a municipality in Denmark who were born in 1936, 1941, 1946 or 1951 were invited to cardiovascular screening (n = 1984); of those, ten nonattendees were interviewed about their perspectives on cardiovascular screening. The interviews were re-analysed to gain a deeper understanding of their motives for viewing screening as personally irrelevant. A salutogenic perspective formed the premise for the data analysis. Methods A secondary analysis applying a deductive content analysis inspired by Elo and Kyngäs. The core components of Sense of Coherence were used as a theoretical framework. Results We found that nonattendance was rooted in the women’s social role as caregiver and their individual inner logics. Being a caregiver provided the women with a feeling of Sense of Coherence in their daily lives. The inner logics reflected a line of reasoning without critical reflections and the women acted upon these when declining screening. Inner logics were used as a strategy to uphold their social role and identity. Conclusion The women had a salutogenic orientation to life and they found screening meaningless. Inner logics, caring role and personal desire to maintain control of one’s life interact with individuals’ experiences of Sense of Coherence, and thus their identities. If women are expected to attend screening, it must be emotionally and cognitively meaningful for them. This could be facilitated by using a salutogenic approach in the screening invitation.

show abstract

Effectiveness of Screening Postmenopausal Women for Cardiovascular Diseases: A Population Based, Prospective Parallel Cohort Study

Abstract: This multifaceted screening offer to a general population sample of postmenopausal women had no effects on all cause mortality or hospital admission for MI, IHD, PAD, and stroke within a short-term follow up period.

Cited by 8 publications

References 26 publications

Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis

Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis

Risk Factors for Abdominal Aortic Aneurysm in Population-Based Studies: A Systematic Review and Meta-Analysis

Women’s reasons for declining cardiovascular screening – a qualitative study

Contact Info

Product

Resources

About