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Objectives: To evaluate the feasibility of a mobile screening service model for abdominal aortic aneurysm (AAA) in a remote population centre in Australia.
Design: Screening test evaluation.
Setting: A remote regional centre (population: 20 000) in far western NSW.
Participants: Men aged 65-74 years, identified from the Australian Electoral roll.
Interventions: A mobile screening service using directed ultrasonography, a basic health check and post-screening consultation.
Main Outcome Measures: Attendance at the screening program, occurrence of AAA in the target population and effectiveness of screening processes.
Results: A total of 516 men without a previous diagnosis of AAA were screened, an estimated response rate of 60%. Of these, 463 (89.7%) had a normal aortic diameter, 28 (5.4%) ectatic and 25 (4.9%) a small, moderate or significant aneurysm. Two men with AAA were recommended for surgery. Feedback from participants indicated that the use of a personalised letter of invitation helped with recruitment, that the screening process was acceptable and the service valued.
Conclusions: It is feasible to organise and operate a mobile AAA screening service from moderate sized rural and remote population centres. This model could be scaled up to provide national coverage for rural and remote residents.
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| http://dx.doi.org/10.1111/j.1440-1584.2010.01128.x | DOI Listing |
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