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First Polish screening program for abdominal aortic aneurysm,
Jawień et al.
www.angiologia.pl
chirurga naczyniowego, uwzględniające wymienione
przedziały wymiaru aorty, są podejmowane przez osobę
wykonującą badanie bezpośrednio po jego wykonaniu.
Wprowadzenie programu w województwie kujaw-
sko-pomorskim stanowi krok w dobrym kierunku w celu
zmniejszenia śmiertelności związanej z pękniętym tętnia-
kiem aorty brzusznej na terenie objętym tą profilaktyką.
Doświadczenia tego działania pozwolą na aktywny udział
polskiego ośrodka w dyskusji międzynarodowej na temat
ewentualnych modyfikacji i zwiększenia efektywności
w walce z tą niebezpieczną chorobą.
Finansowanie
Badania były finansowane ze środkówwojewództwa
kujawsko-pomorskiego, Urzędu Miasta Bydgoszcz, Eu-
ropejskiego Funduszu Społecznego i Budżetu Państwa
w ramach Zintegrowanego Programu Operacyjnego
Rozwoju Regionalnego, Działania 2.6 „Regionalne Stra-
tegie Innowacyjne i transfer wiedzy” projektu własne-
go województwa kujawsko-pomorskiego „Stypendia
dla doktorantów 2008/2009 — ZPORR” i projektu
stypendialnego „Krok w przyszłość — stypendia dla
doktorantów III edycja” realizowanego w ramach Pod-
działania 8.2.2 Regionalne strategie innowacji Programu
Operacyjnego Kapitał Ludzki 2007–2013.
physician immediately after performing ultrasonography.
Implementation of the screening program for AAA in the
Kuyavian-Pomeranian province seems to be an important
step toward reduction of mortality associatedwith ruptured
abdominal aortic aneurysm in our region. The experience
learnt from this activity will allow the Polish centre to share
its results worldwide and be more active in international
discussions onpossiblemodifications and increasedefficiency
in the fight against such a dangerous disease.
Source of Funding
Financial support was provided by the Kuyavian-Po-
meranian Voivodeship, the City Council of Bydgoszcz,
the European Social Fund, and the State Budget under
the Integrated Regional Operational Programme, Meas-
ure 2.6 “Regional Innovation Strategies and transfer
of knowledge” of the project’s own Kuyavian-Pomer-
anian Voivodeship “Scholarships for PhD students in
2008/2009 — Integrated Regional Operational Pro-
gramme”, and the scholarship project “Step into the
future — scholarships for PhD students, third edition”
implemented under Sub-measure 8.2.2 of the Regional
innovation strategies of Human Capital Operational
Programme 2007–2013.
References
1. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier
L, Stanley JC (1991) Suggested standards for reporting on
arterial aneurysms. Subcommittee on Reporting Standards
for Arterial Aneurysms, Ad Hoc Committee on Reporting
Standards, Society for Vascular Surgery and North Ame-
rican Chapter, International Society for Cardiovascular
Surgery. J Vasc Surg, 13: 452–458.
2. Sonesson B, Lanne T, Hansen F, Sandgren T (1994) Infrarenal
aortic diameter in thehealthy person. Eur J Vasc Surg, 8: 89–95.
3. Scott RA, Wilson NM, Ashton HA, Kay D (1995) Influence
of screening on the incidence of ruptured abdominal aortic
aneurysm: 5-yeras results of a randomised controlled
study. Br J Surg, 82: 1066–1070.
4. Vardulaki KA, Walker NM, Couto E et al. (2002) Late
results concerning feasibility and compliance from a ran-
domized trial of ultrasonographic screening for abdominal
aortic aneurysm. Br J Surg, 89: 861–864.
5. Scott RA, Bridgewater SG, Ashton HA (2002) Randomized
clinical trial of screening for abdominal aortic aneurysm in
women. Br J Surg, 89: 283–285.
6. Kniemeyer HW, Kessler T, Reber PU, Ris HB, Hakki H,
Widmer MK (2000) Treatment of ruptured abdominal
aortic aneurysm, a permanent challenge or a waste of
resources? Prediction of outcome using a multi-organ-dys-
function score. Eur J Vasc Endovasc Surg, 19: 190–196.
7. Earnshaw JJ (2011) Doubts and dilemmas over abdominal
aortic aneurysm. Br J Surg, 98: 607–608.
8. Tagaki H, Goto SN, Matsui M, Manabe H, Umemoto
T (2010) A further meta-analysis of population-based
screening for abdominal aortic aneurysm. J Vasc Surg, 52:
1103–1108.
9. Lindholt JS, Norman PE (2011) Meta-analysis of postop-
erative mortality after elective repair of abdominal aortic
aneurysms detected by screening. Br J Surg, 98: 619–622.
10. Wilmink AB, ForshawM, Quick CR, Hubbard CS, Day NE
(2002) Accuracy of serial screening for abdominal aortic
aneurysms by ultrasound. J Med Screen, 9: 125–127.
11. Wilmink AB, Hubbard CS, Quick CR (1997) Quality of
the measurement of the infrarenal aortic diameter by
ultrasound. J Med Screen, 4: 49–53.
12. Barnett SB, Ter Haar GR, Ziskin MC, Rott HD, Duck FA,
Maeda K (2000) International recommendations and guide-
lines for the safe use of diagnostic ultrasound in medicine.
Ultrasound Med Biol, 26: 355–366.
13. Lederle FA, Wilson SE, Johnson GR et al (1995) Variability in
measurementof abdominal aorticaneurysms.AbdominalAortic
AneurysmDetectionandManagementVeteransAdministration
Cooperative Study Group. J Vasc Surg, 21: 945–952.
14. Witryna internetowa Medicare. Abdominal Aortic Aneu-
rysm (AAA) Screening. 2010 http://www.medicare.gov.
15. Witryna internetowa National Health Service Abdominal
Aortic Aneurysm Screening Program. http://aaa.screen-
ing.nhs.uk/.
16. Singh K, Bonaa KH, Solberg S, Sorlie DG, Bjork L (1998)
Intra- and interobserver variability in ultrasound measure-
ments of abdominal aortic diameter: the Tromso Study.
Eur J Vasc Endovasc Surg, 15: 497–504.
17. ht tp: / /www. ku j awsko -pomorsk i e .p l /p l i k i / zdro -
wie/20120111_tetniak/tetniak.pdf.
18. ht tp: / / aotm. gov.p l / as set s / f i l es /Op i n i e- sam_pr_
zdr/2011/OP-170-2011.pdf.