sábado, 14 de diciembre de 2019

Final Update Summary: Abdominal Aortic Aneurysm: Screening - US Preventive Services Task Force

Final Update Summary: Abdominal Aortic Aneurysm: Screening - US Preventive Services Task Force

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Final Recommendation Statement:

Screening for Abdominal Aortic Aneurysm

Final Recommendation Statement: Screening for Abdominal Aortic Aneurysm

The U.S. Preventive Services Task Force released today a final recommendation statement on screening for abdominal aortic aneurysm. Recommendations vary depending on sex, age, smoking status, and family history. To view the recommendation, the evidence on which it is based, and a summary for clinicians, please go here. The final recommendation statement can also be found in the December 10 online issue of JAMA.
The Final Recommendation Statement Is Available
read the final recommendation

FINAL RECOMMENDATION SUMMARY

Population
Recommendation
Grade
Men aged 65 to 75 years who have ever smoked
The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
B
Men aged 65 to 75 years who have never smoked
The USPSTF recommends that clinicians selectively offer screening for AAA with ultrasonography in men aged 65 to 75 years who have never smoked rather than routinely screening all men in this group. Evidence indicates that the net benefit of screening all men in this group is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of evidence relevant to the patient’s medical history, family history, other risk factors, and personal values.
C
Women who have never smoked
The USPSTF recommends against routine screening for AAA with ultrasonography in women who have never smoked and have no family history of AAA.
D
Women aged 65 to 75 years who have ever smoked
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for AAA with ultrasonography in women aged 65 to 75 years who have ever smoked or have a family history of AAA.
I

WHY THIS MATTERS

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“Screening can reduce AAA-related death, rupture, and emergency surgery,” says USPSTF member Michael J. Barry, M.D. “The evidence shows that older men who are current or past smokers benefit the most from screening and should be screened. Older men who have never smoked might also consider screening.”

WHERE WE ARE IN THE PROCESS

Draft
Research Plan
Final
Research Plan
Draft
Recommendation / Draft Evidence Review 
Final Recommendation / Evidence Summary

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