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Screening for Abdominal Aortic Aneurysm: US Preventive Services Task Force Recommendation Statement

Wednesday, December 11, 2019

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Source Name: Journal of the American Medical Association


Douglas K. Owens, Karina W. Davidson, Alex H. Krist, Michael J. Barry, Michael Cabana, Aaron B. Caughey, Chyke A. Doubeni, John W. Epling Jr, Martha Kubik, C. Seth Landefeld, Carol M. Mangione, Lori Pbert, Michael Silverstein, Melissa A. Simon, Chien-Wen Tseng, and John B. Wong

On December 9, the US Preventive Services Task Force (USPSTF) published updated recommendations on the screening of abdominal aortic aneurysm (AAA) based on patient's gender, age, history of smoking, and family history of AAA for symptomatic adults:

  1. In men aged 65-75 years who have EVER smoked  =>  One-time screening for AAA with ultrasonography  (B recommendation);
  2. In men aged 65-75 years who have NEVER smoked  =>  Selective screening for AAA with ultrasonography (C recommendation);
  3. In women who have NEVER smoked and have NO family history of AAA  =>  Routine ultrasonographic screening for AAA is NOT recommended (D recommendation);
  4. Current evidence is insufficient to assess the balance of benefits and harms of screening for AAA with ultrasonography in women aged 65-75 years who have ever smoked or have a family history of AAA (I statement).

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