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Presents correspondence in the October 1992 issue of the 'British Medical Journal.' Analysis of screening for abdominal aortic aneurysms; Prevention of childhood cancer by vitamin K; Safety of antenatal screening for Down's syndrome; Description of simulation models for planning renal services.

Offers a look at a medical screening project for abdominal aortic aneurysms in men. Use of ultrasound screening for abdominal aortic aneurysms in men; Reduction of mortality from aneurysm disease; Implementation of a national screening program for aneurysms in Great Britain; Cost of the medical program.

Examines the incidence of aortic aneurysms in England and Wales. Mortality and trend of the disease; Comparison on the incidence of the disease between men and women; Effect of the advances of diagnosis and surgery on the trend of the disease.

This editorial reports on a Cochrane review of screening asymptomatic people for abdominal aortic aneurysm with respect to patient mortality, treatment and cost effectiveness of the screening. While the authors believe that screening is favorable, they discusses the need to improve screening uptake, and to even out mortality statistics across Great Britain which vary widely depending on the resources of the hospitals where the procedures are performed.

Editorial. Claims that a national screening program for aortic aneurysm in Great Britain could make death from rupture a rarity. Prevalence of deaths from ruptured abdominal aortic aneurysms in 1992; Discussion of the cost-benefit analysis of a medical screening program for aortic aneurysm; Suggestion that Great Britain screen patients with peripheral arterial disease rather than the entire population.

The article discusses a study, published in the "British Journal of Surgery," which shows that patients with abdominal aortic aneurysms have a better chance of survival when they are operated on at a hospital that sees a high number of cases. The study supports the theory that surgical resources should be concentrated in large centers. The study asserts that there should be volume criteria for elective and emergency abdominal aortic aneurysm surgery in Great Britain. The article discusses a similar study in the U.S. that suggest that surgery should only be performed at medical facilities with a high volume of cases.

Presents medical news briefs. Painkiller that has been linked to suicide which is being withdrawn from the UK; Chronic fatigue syndrome which has now been recognised as a real disorder by the Netherlands; News of an extra payment for thalidomide survivors; Recommendation in the US that men 65 to 75-years-old who smoke should undergo screening for abdominal aortic aneurysm; NICE guidelines on treatment of osteoporosis.

Compares the epidemiology of aortic aneurysm and peripheral vascular disease in England and Wales. Distribution of mortality; Analysis of data on the deaths of people aged 20-74; Causes of aortic aneurysm.