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Aust J Rural Health. 2010 Apr;18(2):72-7. doi: 10.1111/j.1440-1584.2010.01128.x.

Evaluation of a mobile screening service for abdominal aortic aneurysm in Broken Hill, a remote regional centre in far western NSW.

Author information

1
Greater Western Area Health Service, Broken Hill, New South Wales, Australia. mlesjak@gwahs.health.nsw.gov.au <mlesjak@gwahs.health.nsw.gov.au>

Abstract

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.

[Indexed for MEDLINE]

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