{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:53:24Z","timestamp":1771037604436,"version":"3.50.1"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,4,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Abdominal aortic aneurysm (AAA) screening programs have been active in the United States since 2005, but are not the only way AAAs are detected. AAA management and outcomes have not been investigated broadly in the context of \u201cimplicit AAA screening,\u201d whereby radiologic examinations not intended for focused screening can identify AAAs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We examined the association between imaging\u2010based AAA screening, both explicit and implicit, and various outcomes for \u22481.6\u00a0million veterans in the Veterans Affairs health care system from 2005 to 2015. Screened\u2010positive, screened\u2010negative, and unscreened veterans were identified in the overall cohort and within a subgroup of veterans aged 65\u00a0years in 2005. The yearly composite screening rate increased over 10 years, from 11.7% to 18.3%, whereas the screened\u2010positive rate decreased from 7.3% to 4.9%. Only 12.9% of screening examinations were explicit AAA screening ultrasounds. The subgroup\u2019s composite screening rate was 74% within its 10\u2010year eligibility window, with implicit screening accounting for 91.8% of examinations. In the 2005 subgroup, all\u2010cause mortality and Charlson comorbidity scores were higher for veterans who underwent screening compared with those unscreened (31.2% versus 23.1% and 0.47 versus 0.25, respectively;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). AAA rupture rates were similar between those unscreened and screened\u2010negative individuals.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Accounting for both explicit and implicit screening, AAA screening in the Veterans Affairs population has moderate reach. Efforts to expand explicit AAA screening are not likely to impact either all\u2010cause mortality or AAA rupture on the population scale as significantly as a careful accounting for and use of implicit screening data.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.024571","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T09:19:02Z","timestamp":1648545542000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of Implicit Abdominal Aortic Aneurysm Screening in the Veterans Affairs Health Care System Over 10 Years"],"prefix":"10.1161","volume":"11","author":[{"given":"Joseph R.","family":"Leach","sequence":"first","affiliation":[{"name":"Department of Radiology and Biomedical Imaging University of CaliforniaSan Francisco, and San Francisco Veterans Affairs Medical Center San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Shen","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Medical Center San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugene","family":"Huo","sequence":"additional","affiliation":[{"name":"Department of Radiology and Biomedical Imaging University of CaliforniaSan Francisco, and San Francisco Veterans Affairs Medical Center San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas A.","family":"Hope","sequence":"additional","affiliation":[{"name":"Department of Radiology and Biomedical Imaging University of CaliforniaSan Francisco, and San Francisco Veterans Affairs Medical Center San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Mitsouras","sequence":"additional","affiliation":[{"name":"Department of Radiology and Biomedical Imaging University of CaliforniaSan Francisco, and San Francisco Veterans Affairs Medical Center San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary A.","family":"Whooley","sequence":"additional","affiliation":[{"name":"San Francisco Veterans Affairs Medical Center San Francisco CA"},{"name":"Department of Medicine University of California San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9832-5732","authenticated-orcid":false,"given":"Michael D.","family":"Hope","sequence":"additional","affiliation":[{"name":"Department of Radiology and Biomedical Imaging University of CaliforniaSan Francisco, and San Francisco Veterans Affairs Medical Center San Francisco CA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0081260"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.044"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-142-3-200502010-00012"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2001.1534"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11522-4"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5780"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38272.478438.55"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.3810\/pgm.2009.01.1962"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.01.053"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.08.038"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.008"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.10.036"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2010.01625.x"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-2831-z"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.12.016"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.01.054"},{"key":"e_1_3_1_18_2","unstructured":"Draft recommendation: colorectal cancer: screening | United States Preventive Services Taskforce . https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/draft\u2010recommendation\/colorectal\u2010cancer\u2010screening3. 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Accessed January 30 2021. http:\/\/wonder.cdc.gov\/ucd\u2010icd10.html"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.121.024571","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:32:39Z","timestamp":1715599959000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.121.024571"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,5]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,4,5]]}},"alternative-id":["10.1161\/JAHA.121.024571"],"URL":"https:\/\/doi.org\/10.1161\/jaha.121.024571","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,5]]},"assertion":[{"value":"2021-11-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e024571"}}