This website contains information for patients and the public relating to the SWAN Study
Abdominal aortic aneurysms (AAAs) are bulges in the main blood vessel in the abdomen. An AAA that gets too large can burst (rupture), an event that is usually fatal. Although AAAs do not usually cause any symptoms and are unlikely to cause problems until they burst, they can be easily diagnosed by simple ultrasound screening. In the UK, men aged 65 years are offered ultrasound to look for an AAA, and just over 1 in 100 men who are screened are found to have an AAA. If the AAA is large, men are offered an operation to prevent the aneurysm bursting; if it is small, they are offered regular scans to monitor their AAA.
Women are not currently screened for AAAs, mainly because they are less likely than men to have AAAs. Currently, there is no information on whether or not screening women for AAAs would save lives by preventing AAA rupture, or if such a screening programe would be cost-effective for the NHS. In this research, we have gathered together a wide range of available information about AAAs in women to find out if screening women for AAAs might be effective. We have developed a computer program to analyse all of this information and simulate what would happen if women were screened for AAAs.
Our research showed that offering women the same screening as men would have a very minor effect on the overall life expectancy of women, resulting in an average of just over 1 extra day of life for each woman invited to screening. Although there is considerable uncertainty, we estimate that around 3900 women would need to be invited to screening to prevent one death from AAAs, and that each death prevented by screening women for AAAs would cost the NHS £150,000.
Based on our findings, a national AAA screening programme for women would not be cost-effective for the NHS.
Feel free to provide us with feedback or send your questions - you may want to listen to the audio files below for more information
The video below describes the SWAN study and relevant findings (published July 2018)
Click below to hear about aneurysm screening and women, how this is relevant to you and your health and find out more about the study from Professor Matt Bown, Vascular Surgeon:
You can also follow us on Twitter - Professor Bown: @Matt_J_Bown & Mr Saratzis: @a_saratzis