Baseline prevalence of abdominal aortic aneurysm, peripheral arterial disease and hypertension in men aged 65–74 years from a population screening study (VIVA trial)

Grøndal, N; Søgaard, R; Lindholt, J S

doi:10.1002/bjs.9825

Cited by 126Aortic aneurysm repair treatmentsHealth Promotion and Cardiovascular PreventionPeripheral Artery Disease Management

Baseline prevalence of abdominal aortic aneurysm, peripheral arterial disease and hypertension in men aged 65–74 years from a population screening study (VIVA trial)

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Grøndal, N, Søgaard, R, Lindholt, J S·2015·British Journal of Surgery

DOI 10.1002/bjs.9825

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Abstract

Background: Abdominal aortic aneurysm (AAA) screening has been introduced into some health systems and could easily be supplemented with broader vascular screening. The aim of this study was to evaluate the screening set-up and investigate combined screening for AAA, peripheral arterial disease (PAD) and possible hypertension (HT), and detection rates. Methods: This observational study was based on the intervention arm of a screening trial in 25 083 Danish men aged 65–74 years. A combined screening programme for AAA, PAD and HT was offered at local hospitals. Participants with positive test results were offered secondary prophylaxis and/or referred to their general practitioner. The programme set-up included decentralized screening by three mobile teams at 14 venues. Diagnostic criteria were: aortic diameter at least 30 mm for AAA, ankle : brachial pressure index below 0·9 or above 1·4 for PAD, and BP exceeding 160/100 mmHg for HT. Results: Overall, 18 749 men (uptake 74·7 per cent) attended the screening. An AAA was diagnosed in 3·3 (95 per cent c.i. 3·0 to 3·6) per cent, PAD in 10·9 (10·5 to 11·4) per cent and HT in 10·5 (10·0 to 10·9) per cent. Lipid-lowering and/or antiplatelet treatment was initiated in 34·8 per cent of the participants. Conclusion: Preventive actions were started in one-third of the attenders. The long-term effect of this on morbidity and mortality is an important part of future analysis. The trial confirms that the prevalence of AAA in Denmark has decreased only slightly in the past decade, from 4·0 to 3·3 per cent, in contrast to other nations.

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In other screening studies, 26% of people with diabetes have been shown to have PAD, and diabetes increased the odds of having PAD by 85%.
“Similarly, in other screening studies, 26% of people with diabetes have been shown to have PAD (224), and diabetes increased the odds of having PAD by 85% (225).”
From 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes—2026 (2026) · cites this paper as [225]

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Authors: Grøndal, N., Søgaard, R., & Lindholt, J. S.
Affiliations: Regionshospitalet Viborg (DK)
Aarhus University (DK)
Odense University Hospital (DK)
Corresponding author: Grøndal, N
ORCID: Søgaard, R
Lindholt, J S
Venue: British Journal of Surgery
Publisher: Oxford University Press (OUP)
Published: 2015-04-28
Volume: 102
Issue: 8
Pages: 902-906
ISSN: 0007-1323 (ISSN-L)
1365-2168
DOI: 10.1002/bjs.9825
OpenAlex: W1503915976
Cited by: 126
References: 23
Citations by year: 2026: 8 · 2025: 10 · 2024: 10 · 2023: 14 · 2022: 14 · 2021: 16 · 2020: 12 · 2019: 13 · 2018: 13 · 2017: 7 · 2016: 5 · 2015: 4
FWCI: 7.66
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations: British journal of surgery (publishedVersion)
PubMed (publishedVersion)
University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion, other-oa)
Funders: 7th European framework programme: Health-2007-2.4.2-2 (200647)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Aortic aneurysm repair treatments
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
Keywords: abdominal aortic aneurysm, peripheral arterial disease, hypertension, vascular screening, baseline prevalence, ankle-brachial index, aortic diameter, secondary prevention, lipid-lowering therapy, antiplatelet therapy, screening uptake
MeSH terms: Aged, Denmark, Humans, Hypertension, Male, Mass Screening, Prevalence, Aortic Aneurysm, Abdominal, Peripheral Arterial Disease

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Baseline prevalence of abdominal aortic aneurysm, peripheral arterial disease and hypertension in men aged 65–74 years from a population screening study (VIVA trial)

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