EPIDEMIOLOGICAL TRANSITION IN ABDOMINAL AORTIC ANEURYSM

  • Marina Dias-Neto Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar de São João Porto, Porto; Centro de Investigação Cardiovascular, Departamento de Fisiologia e Cirurgia Cardiotorácica, Faculdade de Medicina da Universidade do Porto, Porto
  • José Fernando Ramos Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar de São João Porto, Porto
  • Sérgio Sampaio Serviço de Angiologia e Cirurgia Vascular, Centro Hospitalar de São João Porto, Porto; Centro de Investigação e Tecnologia de Informação em Sistemas de Saúde (CINTESIS), Departamento de Ciências da Informacão e da Decisão em Saúde, Faculdade de Medicina, Universidade do Porto, Porto
  • Alberto Freitas Centro de Investigação e Tecnologia de Informação em Sistemas de Saúde (CINTESIS), Departamento de Ciências da Informacão e da Decisão em Saúde, Faculdade de Medicina, Universidade do Porto, Porto
Keywords: abdominal aortic aneurysm, epidemiology, incidence, mortality

Abstract

Abdominal aortic aneurysm (AAA) has shown an epidemiological transition in Western countries. The standard of the XX century characterized by increasing incidence and mortality has been replaced by decreasing incidence and mortality due to AAA. The decrease in deaths from AAA observed since the 90s seems to have been motivated by reduced exposure to risk factors, increased use of cardioprotective drugs, increased availability of diagnostics and improved treatment modalities. This epidemiological transition could have an impact on the screening strategy (both in organized or opportunistic screening) as well as in the management of resources related to the treatment of AAA. The objective of this review is to scrutinize the magnitude of these epidemiological changes, the possible underlying causes and its potential impact.

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Published
2017-06-03
Section
Review Article

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