USPSTF Recommends One-Time AAA Screening for Male Smokers

Selective testing urged for male never smokers; no routine screening for female never smokers

USPSTF Recommends One-Time AAA Screening for Male Smokers

TUESDAY, June 24, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) has concluded that a one-time abdominal aortic aneurysm (AAA) screening should be offered to asymptomatic men, aged 65 to 75 years, who have ever smoked, while screening for non-smoking men should be selective. These findings are presented in a final recommendation statement published online June 24 in the Annals of Internal Medicine.

Michael L. LeFevre, M.D., M.S.P.H., on behalf of the USPSTF, conducted a systematic review to examine the evidence on the benefits and harms of screening for AAA among asymptomatic adults aged 50 years and older.

Based on the current evidence, the researches recommend one-time AAA screening with ultrasonography for men aged 65 to 75 years who have ever smoked (Grade B recommendation). For male never smokers, aged 65 to 75 years, they recommend that clinicians selectively offer screening (Grade C recommendation). For women aged 65 to 75 years who have never smoked, the evidence is currently insufficient to weigh the balance of benefits and harms for screening (I statement). For women who have never smoked, routine AAA screening is not recommended (Grade D recommendation).

"The good news is that, if you are a 65- to 75-year-old man who smokes or used to smoke, one-time AAA screening with an ultrasound, along with appropriate treatment, can reduce your risk of dying from rupture," USPSTF co-vice chair Albert Siu M.D, M.S.P.H., said in a statement.

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