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Can family physicians accurately screen for AAA with point-of-care ultrasound?

Author/s: 
Cade, N., Granath, B., Nether, J. O., Safranek, S.

EVIDENCE-BASED ANSWER:
LIKELY YES. POINT-OF-CARE ULTRASOUND (POCUS) SCREENING FOR ABDOMINAL AORTIC ANEURYSM (AAA) BY NONRADIOLOGIST PHYSICIANS IS 98% SENSITIVE AND 99% SPECIFIC, COMPARED WITH IMAGING PERFORMED BY RADIOLOGISTS (STRENGTH OF RECOMMENDATION [SOR]: B, META-ANALYSIS OF DIAGNOSTIC ACCURACY STUDIES MOSTLY INVOLVING EMERGENCY MEDICINE PHYSICIANS). EUROPEAN FAMILY PHYSICIANS DEMONSTRATED 100% CONCORDANCE WITH RADIOLOGIST READINGS (SOR: C, VERY SMALL SUBSEQUENT DIAGNOSTIC ACCURACY STUDIES).

The EveryONE Project Neighborhood Navigator

As part of a continued commitment to help our members address social determinants of health (SDOH) at point of care, the AAFP’s EveryONE Project offers tools for screening patients to identify social needs, and addressing health equity in your practice.

The Neighborhood Navigator provides the next step for improving social determinants of health among your patients.

Keywords 
social determinants of health point-of-care health equality health resources
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