Draft Recommendation Statement, Abdominal Aortic Aneurysm: Screening
Abstract
Draft: Recommendation Summary
Population
Recommendation
Grade
(What's This?)
Men ages 65 to 74 years who have ever smoked
The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked.
Men ages 65 to 75 years who have never smoked
The USPSTF recommends that clinicians selectively offer screening for AAA with ultrasonography in men ages 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.
Women who have never smoked with no family history
The USPSTF recommends against routine screening for AAA with ultrasonography in women who have never smoked and have no family history.
Women ages 65 to 75 years who have ever smoked or have a family history
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 ages 65 to 75 years who have ever smoked or have a family history.
RPR Commentary
The USPSTF recommends screening male smokers between 65 and 75 for AAA with ultrasound (B recommendation) and offering screening to selected male non-smokers 65 to 74 after discussing benefits and hazards.