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Trends in abdominal aortic aneurysm prevalence and mortality in non-European countries

2013; Elsevier BV; Volume: 170; Issue: 2 Linguagem: Inglês

10.1016/j.ijcard.2013.10.074

1874-1754

Jerson Munoz-Mendoza, Verônica Alcoforado Miranda, Henry C. Quevedo, Kathy Hebert,

Cardiac, Anesthesia and Surgical Outcomes

After 3 decades of epidemiologic research on abdominal aortic aneurysm (AAA), prevalence and mortality rates from AAA in England and Scandinavian countries have been shown to be decreasing [ 1 Davis M. Harris M. Earnshaw J.J. Implementation of the National Health Service Abdominal Aortic Aneurysm Screening Program in England. J Vasc Surg. 2013 May; 57: 1440-1445 Abstract Full Text Full Text PDF PubMed Scopus (94) Google Scholar , 2 Svensjo S. Björck M. Gürtelschmid M. Gidlund K.D. Hellberg A. Wanhainen A. Low prevalence of abdominal aortic aneurysm among 65-year-old Swedish men indicates a change in the epidemiology of the disease. Circulation. 2011; 124: 1118-1123 Crossref PubMed Scopus (370) Google Scholar ], raising the question about what the trends of prevalence and mortality rates from AAA in non-European countries are. With that aim, we conducted a literature search for observational studies and randomized controlled trials that assessed prevalence and mortality rates in non-European populations published since January 1983 till June 2013 in MEDLINE, EMBASE and LILACS electronic databases. The search strategy was [abdominal aortic aneurysm] and the name of all non-European countries, which were 170 countries in total. We screened 4740 full article (or abstracts). We found 20 studies referring to the prevalence of AAA from 14 countries [ 3 Lederle F.A. Johnson G.R. Wilson S.E. et al. Prevalence and associations of abdominal aortic aneurysm detected through screening. Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Group. Ann Intern Med. 1997 Mar 15; 126: 441-449 Crossref PubMed Scopus (751) Google Scholar , 4 Lederle F.A. A summary of the contributions of the VA cooperative studies on abdominal aortic aneurysms. Ann N Y Acad Sci. 2006 Nov; 1085: 29-38 Crossref PubMed Scopus (7) Google Scholar , 5 Kent K.C. Zwolak R.M. Egorova N.N. et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg. 2010 Sep; 52: 539-548 Abstract Full Text Full Text PDF PubMed Scopus (513) Google Scholar , 6 Norman P.E. Jamrozik K. Lawrence-Brown M.M. et al. Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ. 2004; 329: 1259 Crossref PubMed Scopus (471) Google Scholar , 7 al-Zahrani H.A. Rawas M. Maimani A. Gasab M. al Khail BA Aba Screening for abdominal aortic aneurysm in the Jeddah area, western Saudi Arabia. Cardiovasc Surg. 1996 Feb; 4: 87-92 Crossref PubMed Scopus (13) Google Scholar , 8 Adachi K. Iwasawa T. Ono T. Screening for abdominal aortic aneurysms during a basic medical checkup in residents of a Japanese rural community. Surg Today. 2000; 30: 594-599 Crossref PubMed Scopus (32) Google Scholar , 9 Ishikawa S. Ohtaki A. Takahashi T. et al. The characteristics of screened patients with abdominal aortic aneurysm. Int Angiol. 2001; 20: 74-77 PubMed Google Scholar , 10 Bonamigo T.P. Siqueira I. Screening for abdominal aortic aneurysms. Rev Hosp Clin Fac Med S Paulo. 2003; 58: 63-68 PubMed Google Scholar , 11 Puech-Leao P. Molnar L.J. Oliveira I.R. Cerri G.G. Prevalence of abdominal aortic aneurysms–a screening program in Sao Paulo Brazil. Sao Paulo Med J. 2004 Jul 1; 122: 158-160 PubMed Google Scholar , 12 Barros F.S. Pontes S.M. Taylor M.A. et al. Rastreamento do aneurisma da aorta abdominal na população da cidade de Vitória (ES) Screening for abdominal aortic aneurysm in the population of the city of Vitória, ES. J Vasc Br. 2005; 4: 59-65 Google Scholar , 13 Valdés F. Sepúlveda N. Krämer A. et al. Frecuencia de aneurisma aórtico abdominal en población adulta con factores de riesgo conocidos/Frequency of abdominal aortic aneurysms in subjects with cardiovascular risk factors. Rev Méd Chile. 2003; 131: 741-747 PubMed Google Scholar , 14 Yerly P. Madeleine G. Riesen W. Bovet P. Low prevalence of abdominal aortic aneurysm in the Seychelles population aged 50 to 65 years. Cardiovasc J Afr. 2013; 24: 17-18 Crossref PubMed Scopus (3) Google Scholar , 15 Teoh M.K. Ramasamy D. Wong K.P. Ultrasound screening of the abdominal aorta in Malaysians. Aust N Z J Surg. 1992; 62: 862-865 Crossref PubMed Scopus (4) Google Scholar , 16 Leong B.D. Ariffin A.Z. Chuah J.A. Voo S.Y. Prevalence of peripheral arterial disease and abdominal aortic aneurysm among patients with acute coronary syndrome. Med J Malaysia. 2013; 68: 10-12 PubMed Google Scholar , 17 Poon J.T. Cheng S.W. Wong J.S. Ting A.C. Prevalence of abdominal aortic aneurysm in Chinese patients with severe coronary artery disease. ANZ J Surg. 2010; 80: 630-633 Crossref PubMed Scopus (20) Google Scholar , 18 Rothberg A.D. McLeod H. Walters L. Veller M. Screening for abdominal aortic aneurysm – a pilot study in six medical schemes. S Afr Med J. 2007; 97: 58-62 PubMed Google Scholar , 19 Al-Thani H. El-Menyar A. Shabana A. Tabeb A. Al-Sulaiti M. Almalki A. Incidental abdominal aneurysms: a retrospective study of 13 115 patients who underwent a computed tomography scan. Angiology. 2013 Mar; 18 ([Epub ahead of print]) Google Scholar , 20 Roshanali F. Mandegar M.H. Yousefnia M.A. Mohammadi A. Baharvand B. Abdominal aorta screening during transthoracic echocardiography. Echocardiography. 2007; 24: 685-688 Crossref PubMed Scopus (32) Google Scholar , 21 Oh S.H. Chang S.A. Jang S.Y. et al. Routine screening for abdominal aortic aneurysm during clinical transthoracic echocardiography in a Korean population. Echocardiography. 2010 Nov; 27: 1182-1187 Crossref PubMed Scopus (27) Google Scholar , 22 Batallés S.M. Capomasi M. Longo G. Pezzotto S.M. Villavicencio R. Prevalencia de aneurisma de aorta abdominal evaluada con ecografía aórtica y factores de riesgo cardiovascular. RAR. 2006; 70: 285-288 Google Scholar ]. Additionally, other 8 studies reported mortality rates in 5 countries [ 23 Sandiford P. Mosquera D. Bramley D. Trends in incidence and mortality from abdominal aortic aneurysm in New Zealand. Br J Surg. 2011; 98: 645-651 Crossref PubMed Scopus (88) Google Scholar , 24 Norman P.E. Castleden W.M. Hockey R.L. Prevalence of abdominal aortic aneurysm in Western Australia. Br J Surg. 1991 Sep; 78: 1118-1121 Crossref PubMed Scopus (55) Google Scholar , 25 Norman P.E. Spilsbury K. Semmens J.B. Falling rates of hospitalization and mortality from abdominal aortic aneurysms in Australia. J Vasc Surg. 2011; 53: 274-277 Abstract Full Text Full Text PDF PubMed Scopus (81) Google Scholar , 26 Lilienfeld D.E. Gunderson P.D. Sprafka M. Vargas C. Epidemiology of aortic aneurysms: I. Mortality trends in the United States, 1951 to 1981. Arterioscler Thromb Vasc Biol. 1987; 7: 637-643 Crossref Google Scholar , 27 Gillum R.F. Epidemiology of aortic aneurysm in the United States. J Clin Epidemiol. 1995; 48: 1289-1298 Abstract Full Text PDF PubMed Scopus (253) Google Scholar , 28 Centers for Disease Control, Prevention National Center for Health Statistics. Compressed Mortality File 1999–2009. CDC WONDER Online Database. http://wonder.cdc.gov/cmf-icd10.html Google Scholar , 29 Millar W.J. Cole C.W. Hill G.B. Trends in mortality and hospital morbidity due to abdominal aortic aneurysms. Health Rep. 1995; 7 ([21–30]): 19-27 PubMed Google Scholar , 30 Hu Y.H. Shimizu H. Kawakami N. Takatsuka N. Ido M. Hirose H. Increasing trends in mortality rate of aortic aneurysms in Japan, 1955–90. Tohoku J Exp Med. 1993; 171: 221-228 Crossref PubMed Scopus (6) Google Scholar ]. Twelve studies assessed prevalence of AAA using abdominal ultrasound as diagnostic tool in general population or elderly population [ 3 Lederle F.A. Johnson G.R. Wilson S.E. et al. Prevalence and associations of abdominal aortic aneurysm detected through screening. Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperative Study Group. Ann Intern Med. 1997 Mar 15; 126: 441-449 Crossref PubMed Scopus (751) Google Scholar , 4 Lederle F.A. A summary of the contributions of the VA cooperative studies on abdominal aortic aneurysms. Ann N Y Acad Sci. 2006 Nov; 1085: 29-38 Crossref PubMed Scopus (7) Google Scholar , 5 Kent K.C. Zwolak R.M. Egorova N.N. et al. Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg. 2010 Sep; 52: 539-548 Abstract Full Text Full Text PDF PubMed Scopus (513) Google Scholar , 6 Norman P.E. Jamrozik K. Lawrence-Brown M.M. et al. Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. BMJ. 2004; 329: 1259 Crossref PubMed Scopus (471) Google Scholar , 7 al-Zahrani H.A. Rawas M. Maimani A. Gasab M. al Khail BA Aba Screening for abdominal aortic aneurysm in the Jeddah area, western Saudi Arabia. Cardiovasc Surg. 1996 Feb; 4: 87-92 Crossref PubMed Scopus (13) Google Scholar , 8 Adachi K. Iwasawa T. Ono T. Screening for abdominal aortic aneurysms during a basic medical checkup in residents of a Japanese rural community. Surg Today. 2000; 30: 594-599 Crossref PubMed Scopus (32) Google Scholar , 9 Ishikawa S. Ohtaki A. Takahashi T. et al. The characteristics of screened patients with abdominal aortic aneurysm. Int Angiol. 2001; 20: 74-77 PubMed Google Scholar , 10 Bonamigo T.P. Siqueira I. Screening for abdominal aortic aneurysms. Rev Hosp Clin Fac Med S Paulo. 2003; 58: 63-68 PubMed Google Scholar , 11 Puech-Leao P. Molnar L.J. Oliveira I.R. Cerri G.G. Prevalence of abdominal aortic aneurysms–a screening program in Sao Paulo Brazil. Sao Paulo Med J. 2004 Jul 1; 122: 158-160 PubMed Google Scholar , 12 Barros F.S. Pontes S.M. Taylor M.A. et al. Rastreamento do aneurisma da aorta abdominal na população da cidade de Vitória (ES) Screening for abdominal aortic aneurysm in the population of the city of Vitória, ES. J Vasc Br. 2005; 4: 59-65 Google Scholar , 13 Valdés F. Sepúlveda N. Krämer A. et al. Frecuencia de aneurisma aórtico abdominal en población adulta con factores de riesgo conocidos/Frequency of abdominal aortic aneurysms in subjects with cardiovascular risk factors. Rev Méd Chile. 2003; 131: 741-747 PubMed Google Scholar , 14 Yerly P. Madeleine G. Riesen W. Bovet P. Low prevalence of abdominal aortic aneurysm in the Seychelles population aged 50 to 65 years. Cardiovasc J Afr. 2013; 24: 17-18 Crossref PubMed Scopus (3) Google Scholar ]. The other eight prevalence studies assessed AAA prevalence in population with additional risk factors including coronary artery disease, peripheral vascular disease or stroke [ 15 Teoh M.K. Ramasamy D. Wong K.P. Ultrasound screening of the abdominal aorta in Malaysians. Aust N Z J Surg. 1992; 62: 862-865 Crossref PubMed Scopus (4) Google Scholar , 16 Leong B.D. Ariffin A.Z. Chuah J.A. Voo S.Y. Prevalence of peripheral arterial disease and abdominal aortic aneurysm among patients with acute coronary syndrome. Med J Malaysia. 2013; 68: 10-12 PubMed Google Scholar , 17 Poon J.T. Cheng S.W. Wong J.S. Ting A.C. Prevalence of abdominal aortic aneurysm in Chinese patients with severe coronary artery disease. ANZ J Surg. 2010; 80: 630-633 Crossref PubMed Scopus (20) Google Scholar , 18 Rothberg A.D. McLeod H. Walters L. Veller M. Screening for abdominal aortic aneurysm – a pilot study in six medical schemes. S Afr Med J. 2007; 97: 58-62 PubMed Google Scholar ], or using different imaging modalities or incidentally noted [ 19 Al-Thani H. El-Menyar A. Shabana A. Tabeb A. Al-Sulaiti M. Almalki A. Incidental abdominal aneurysms: a retrospective study of 13 115 patients who underwent a computed tomography scan. Angiology. 2013 Mar; 18 ([Epub ahead of print]) Google Scholar , 20 Roshanali F. Mandegar M.H. Yousefnia M.A. Mohammadi A. Baharvand B. Abdominal aorta screening during transthoracic echocardiography. Echocardiography. 2007; 24: 685-688 Crossref PubMed Scopus (32) Google Scholar , 21 Oh S.H. Chang S.A. Jang S.Y. et al. Routine screening for abdominal aortic aneurysm during clinical transthoracic echocardiography in a Korean population. Echocardiography. 2010 Nov; 27: 1182-1187 Crossref PubMed Scopus (27) Google Scholar , 22 Batallés S.M. Capomasi M. Longo G. Pezzotto S.M. Villavicencio R. Prevalencia de aneurisma de aorta abdominal evaluada con ecografía aórtica y factores de riesgo cardiovascular. RAR. 2006; 70: 285-288 Google Scholar ] and were included as they were the only epidemiologic data on AAA available from 7 countries. An additional study of mortality rate due to overall aortic aneurysm and dissection was included, as it described a trend and was the only study on mortality available from Brazil [ [31] Santo A.H. Puech-Leão P. Krutman M. Trends in aortic aneurysm- and dissection-related mortality in the state of São Paulo, Brazil, 1985–2009: multiple-cause-of-death analysis. BMC Public Health. 2012 Oct 10; 12: 859 Crossref PubMed Scopus (16) Google Scholar ].