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Can screening programmes for abdominal aortic aneurysm safely be made more efficient by targeting them at people at the highest risk of disease?

In-silico trials of targeted screening for abdominal aortic aneurysm using linked healthcare data: can the efficiency of the NHS Abdominal Aortic Aneurysm Screening Programme be improved whilst maintaining publicly acceptable levels of disease detection in an ethically acceptable manner

Status
Recruiting
Phases
Unknown
Study type
Unknown
Source
ISRCTN
Registry ID
ISRCTN49655213
Enrollment
750000
Registered
2022-04-20
Start date
2013-04-01
Completion date
Unknown
Last updated
2026-07-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Abdominal aortic aneurysm Circulatory System

Interventions

This is an in-silico trial that will make use of routine healthcare data gathered as part of the NHS AAA Screening Programme linked to primary care records for these men. Between 2013 and 2022 approxi

Sponsors

University of Leicester
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: Men invited for AAA screening by the NHS AAA Screening Programme (2013 to date)

Exclusion criteria

Exclusion criteria: Men who have opted out of NHS data sharing or NHS AAA Screening Programme research.

Design outcomes

Primary

MeasureTime frame
Diagnostic accuracy of AAA screening – sensitivity of targeted screening for AAA detection in comparison to whole population screening. AAA detection will be determined from AAA screening records at a single time point

Secondary

MeasureTime frame
1. Effectiveness of targeted screening – using the baseline of whole population screening the clinical and economic effectiveness of targeted screening will be estimated using a validated discrete event simulation model. Model parameters will be determined from the analysis of AAA screening outcome data at a single time point 2. Diagnostic accuracy will be determined from data provided by the NHS AAA Screening Programme. This consists of attendance for screening and binary screening outcome (attendance yes/no, aneurysm yes/no). The gold standard for diagnostic accuracy will be the observed results from whole population screening. The results of targeted screening will be compared to this with data for AAA screening outcomes for each individual compared across the two strategies at a single time point

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jul 23, 2026