Mortality from abdominal aortic aneurysm: trends in European Union 15+countries from 1990 to 2017

Background This observational study assessed trends in abdominal aortic aneurysm (AAA) death rates in European Union (EU) 15+ countries for the years 1990 to 2017. Methods Age-standardized death rates (ASDRs) were extracted from the Global Burden of Disease Study Global Health Data Exchange. Trends were analysed using joinpoint regression analysis. Results Between 1990 and 2017, ASDRs from AAA decreased in all 19 EU15+ countries for women, and in 18 of 19 countries for men. Increasing AAA mortality was observed only for men in Greece (+5 center dot 3 per cent). The largest relative decreases in ASDR between 1990 and 2017 were observed in Australia (men -65 center dot 6 per cent, women -50 center dot 4 per cent) and Canada (men -60 center dot 8 per cent, women -48 center dot 6 per cent). Over the 28-year interval, the smallest decreases in ASDR for women were noted in Greece (-2 center dot 3 per cent) and in Italy (-2 center dot 5 per cent). In 2017, the highest mortality rates were observed in the UK for both men and women (7 center dot 5 per 100 000 and 3 center dot 7 per 100 000 respectively). The lowest ASDR was observed in Portugal for men (2 center dot 8 per 100 000) and in Spain for women (1 center dot 0 per 100 000). ASDRs for AAA in 2017 were higher for men than women in all 19 EU15+ countries. The most recent trends demonstrated increasing AAA ASDRs in 14 of 19 countries for both sexes; the increases were relatively small compared with the improvements in the preceding years. Conclusion This observational study identified decreasing mortality from AAA across EU15+ countries since 1990. The most recent trends demonstrated relatively small increases in AAA mortality across the majority of EU15+ countries since 2012.