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Trial registered on ANZCTR
Registration number
ACTRN12612000244808
Ethics application status
Approved
Date submitted
3/02/2012
Date registered
28/02/2012
Date last updated
1/03/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Screening for Abdominal Aortic Aneurysms: Improved detection by targeting high risk individuals.
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Scientific title
Does ultrasound screening of cardiovascular disease patients result in improved Abdominal Aortic Aneurysm detection rates in comparison with an age & gender model?
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Secondary ID [1]
279866
0
Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
abdominal aortic aneurysm
285774
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Condition category
Condition code
Cardiovascular
285946
285946
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Public Health
285947
285947
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0
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Epidemiology
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Public Health
285948
285948
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0
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Health service research
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A single transcutaneous ultrasound (US) scan of the abdomen will be performed to assess the presence or absence of abdominal aortic aneurysm (AAA). A blood sample will also be taken for analysis of genetic and biomarkers associated with AAA and other cardiovascular disease. This is a single consultation of approximately 20 minutes duration.
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Intervention code [1]
284190
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Not applicable
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Comparator / control treatment
Local historical AAA rates (~2% in healthy elderly (mean age 69) males (from the Dunedin based Vascular Assessment Laboratory (University of Otago), 2002-2011) In addition, this rate will be compared with New Zealand incidence data from 2000-2008 (Sandiford etal. British Journal of Surgery 2011; 98: 645–651) and the United Kingdom 2009-2010 data (Conway etal. British Journal of Surgery 2012; 99: 73–77)
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Control group
Historical
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Outcomes
Primary outcome [1]
286433
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Primary Outcome 1: to determine the prevalence of Abdominal Aortic Aneurysm in a screening population based on Cardiovascular disease risk. Test used: Transcutaneous ultrasound measured infra-renal abdominal aortic maximum diameter greater than or equal to 3cm
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Assessment method [1]
286433
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Timepoint [1]
286433
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at time of screening
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Primary outcome [2]
286434
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Primary Outcome 2: to describe an Abdominal Aortic Aneurysm risk algorithm to optimise screening. Test used: Multiple logistic regression modeling to identify the most at risk subgroups.
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Assessment method [2]
286434
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Timepoint [2]
286434
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post-screening (within 6 months of completing study recruitment)
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Primary outcome [3]
286435
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Primary Outcome 3: to test the feasibility of implementing Abdominal Aortic Aneurysm screening through primary and secondary care Cardiovascular disease healthcare providers. Test used: a statistical comparison of the historical age and gender based AAA rate with the two proposed screening models
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Assessment method [3]
286435
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Timepoint [3]
286435
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post-screening (within 6 months of completing study recruitment)
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Secondary outcome [1]
295888
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To identify genetic and biomarkers of Abdominal Aortic Aneurysm risk susceptibility
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Assessment method [1]
295888
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Timepoint [1]
295888
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Blood samples drawn at time of screening, analysis within 1 year of completing study recruitment
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Eligibility
Key inclusion criteria
Clinically documented cardiovascular disease (CVD);
or
Elevated cardiovascular disease risk factors (Heart Foundation CVD score of moderate (15-20%) 5-year event risk or higher).
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Minimum age
50
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Age <50 years as Abdominal Aortic Aneurysm seldom develops before this age.
Age >90yrs as treatment options are limited and the risk of rupture is likely to be less than the risk of surgical repair.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/02/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
2000
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4104
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New Zealand
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State/province [1]
4104
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Funding & Sponsors
Funding source category [1]
284638
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University
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Name [1]
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Dept of Surgical Sciences, Dunedin School of Medicine, University of Otago
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Address [1]
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P.O. Box 913, Dunedin 9054
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Country [1]
284638
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New Zealand
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Funding source category [2]
284639
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Charities/Societies/Foundations
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Name [2]
284639
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HealthCare Otago Charitable Trust
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Address [2]
284639
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Private Bag 1921, Dunedin 9054
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Country [2]
284639
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New Zealand
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Primary sponsor type
University
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Name
Department of Surgical Sciences, Dunedin School of Medicine, University of Otago
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Address
P.O. Box 913, Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
283551
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Address [1]
283551
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Country [1]
283551
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286628
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Upper South A Regional Ethics Committee (NZ)
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Ethics committee address [1]
286628
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c/- Ministry of Health Montgomery Watson Building 6 Hazeldean Road Christchurch 8024
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Ethics committee country [1]
286628
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New Zealand
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Date submitted for ethics approval [1]
286628
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06/11/2011
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Approval date [1]
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26/01/2012
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Ethics approval number [1]
286628
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URA/11/11/072
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Summary
Brief summary
While NZ does not currently have an Abdominal Aortic Aneurysm (AAA) screening programme, internationally ultrasound screening programmes are generally offered to males aged 65 or greater. This excludes women and those who develop AAA at a younger age and have more to gain from early detection. Our previous studies have identified that people with a history of arterial disease have a significantly greater risk of developing AAA. This trial will prospectively screen individuals with arterial disease or elevated cardiovascular disease (CVD) risk to validate these findings. Recruitment and screening will be undertaken through existing primary and secondary CVD healthcare providers to assess whether or not such a targeted approach delivered through existing services could be a viable screening strategy for NZ
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33730
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Address
33730
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Country
33730
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Phone
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Fax
33730
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Email
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Contact person for public queries
Name
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Professor Andre van Rij
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Address
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Department of Surgical Sciences
Dunedin School of Medicine
University of Otago
P.O. Box 913
Dunedin 9054
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Country
16977
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New Zealand
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Phone
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+64 3 4740999
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Fax
16977
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Email
16977
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[email protected]
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Contact person for scientific queries
Name
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Professor Andre van Rij
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Address
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Department of Surgical Sciences
Dunedin School of Medicine
University of Otago
P.O. Box 913
Dunedin 9054
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Country
7905
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New Zealand
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Phone
7905
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+64 3 4740999
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Fax
7905
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Email
7905
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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