oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Opening Pandora's box: The experiences of having an asymptomatic aortic aneurysm under surveillance
Research Unit and Section for General Practice, FoUU-centrum i Fyrbodal, Vänersborg, Sweden.ORCID iD: 0000-0002-5313-2598
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Department of Vascular Surgery, Sahlgrenska University Hospital, Gothenburg, sweden; Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
2012 (English)In: Health, Risk and Society, ISSN 1369-8575, E-ISSN 1469-8331, Vol. 14, no 4, p. 341-359Article in journal (Refereed) Published
Abstract [en]

Abdominal aortic aneurysm (AAA) is a ballooning-out of the aorta that does not normally give any symptoms. Undetected and untreated an aortic aneurysm can rupture, which in most cases is fatal. Mass screening of 65-year old men for the early detection of AAA and, in selected cases, operation seem to reduce mortality due to rupture, although, screening has not reduced the overall mortality in this group. In Västra Götaland, the southwest part of Sweden, screening for AAA amongst 65-year old men started in 2009. There are controversies within the medical community about the benefits and adverse effects of screening. In order to explore men's experiences of being screened and knowing they had an aortic aneurysm, we undertook a qualitative interview study with 15 men who in the screening programme were identified as having an aortic aneurysm and who were to be followed-up with annual ultrasonic examinations for an indeterminate number of years. The interviews were analysed for categories and themes using content analysis. The study found that the men were ambivalent about the knowledge that they had an AAA and about the follow-up monitoring. They appreciated having the knowledge but it was accompanied by worry, feelings of anxiety and existential thoughts about the fragility and finiteness of life. We recommend that before a screening programme is implemented, the psycho-social consequences should be thoroughly investigated. Participants should be given adequate and understandable information about the consequences of screening so that they can make an informed choice whether to participate or not.

Place, publisher, year, edition, pages
Taylor & Francis, 2012. Vol. 14, no 4, p. 341-359
Keywords [en]
Risk, risk perception, mass screening, abdominal aortic aneurysm, mortality, qualitative research, psycho-social health
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Medical Ethics
Identifiers
URN: urn:nbn:se:oru:diva-66071DOI: 10.1080/13698575.2012.680953ISI: 000304172000003Scopus ID: 2-s2.0-84862094367OAI: oai:DiVA.org:oru-66071DiVA, id: diva2:1193118
Available from: 2018-03-26 Created: 2018-03-26 Last updated: 2018-03-27Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records BETA

Hansson, Anders

Search in DiVA

By author/editor
Hansson, Anders
In the same journal
Health, Risk and Society
Health Care Service and Management, Health Policy and Services and Health EconomyMedical Ethics

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 2 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf