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USPSTF Issues Draft Recommendations on Abdominal Aortic Aneurysm Screening — Physician’s First Watch

Medical News |
January 28, 2014

USPSTF Issues Draft Recommendations on Abdominal Aortic Aneurysm Screening

By Amy Orciari Herman

The U.S. Preventive Services Task Force now says that the evidence is insufficient to weigh the benefits and harms of screening for abdominal aortic aneurysm (AAA) in women aged 65 to 75 who've ever smoked. The so-called "I statement," published as part of the group's draft recommendation statement on Monday, updates its 2005 guidance, which clearly advised against screening for all women.

As in 2005, the task force continues to recommend:

  • one-time ultrasound screening for AAA in men aged 65 to 75 who've ever smoked (grade B recommendation).

  • selective screening of men in that age group who've never smoked (grade C); never-smokers who might warrant screening include those with a history of vascular aneurysm or a first-degree relative with AAA.

  • no screening for women who've never smoked (grade D).

The recommendations apply to asymptomatic adults aged 50 and older. The draft statement is available for public comment until Feb. 24 at the link below.

Reader Comments (4)

James Baker, M.D., M.P.H. Physician, Emergency Medicine, Academic and Clinical Medicine

Having cared for many older people with ruptured aneurysms who survived following rapid detection and intervention, I strongly disagree with this proposal. Dr. Shapiro: An aneurysm will ONLY be detectable with a plain film radiograph if the walls are calcified - period. Wouldn't you agree?

Dr Margit Janossa, MD,DO,ND, BSc(Hons)Ost..Med. Physician, Internal Medicine, London, UK, Hampstead Private Medical -OsteopathicPractica

Ultrasound assessment is advisable for men/women. smokers or non-smokers in that age group, AAA is a very unpredictable , most of the times asymptomatic. Lifestyle, weight problems, abdominal exercises, weight trainings...... are one of the most common possible predisposing factors.
Regards
Dr M.Janosssa

HARRY STUBER Physician, Obstetrics/Gynecology, Private office

ACA offers one AAA screen for women with a family hx. of the condition, but needs to be modified to include smoking status if USPSTF recommentation is adopted.

Jack Shapiro M.D. Physician, Internal Medicine, retired

A cross table lateral X-Ray of the abdomen will identify a clinically significant aneurysm of the abdomen at 1/10 the cost of an ultrasound. If you don't play the game you should not make the rules. This is what you get from amateurs who have never practiced the art of medicine-just plain stupid.

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