Do I need to worry about an Aneurysm?

The US Preventive Services Task Force (USPSTF) has released a new recommendation statement on screening for abdominal aortic aneurysms (AAA) in asymptomatic adults 50 years or older. 

As of 10 December 2019, the USPSTF suggests :

  1. One-time screening in men aged 65–75 years who have ever smoked
  2. Selective screening for AAA in men aged 65–75 years who have never smoked
  3. No routine screening for  women who have never smoked and have no family history of AAA
  4. Current evidence is insufficient to assess the balance of benefits and harms of screening for AAA in women aged 65–75 years who have ever smoked or have a family history of AAA.

In a more detailed summary of the recommendation that clinicians selectively offer screening for AAA in men aged 65–75 who have never smoked, rather than routinely screening all men in this group, the USPSFT elaborate: “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, or other risk factors, and personal values”.

The statement details that the prevalence of AAA has declined over the past two decades among screened men aged 65 years or older in various countries such as the United Kingdom, New Zealand, Sweden, Australia and Denmark, with the reduction in prevalence being attributed to the decrease in the incidence of smoking over time. In the USA, however, current prevalence of AAA is unclear because of the low uptake of screening.

In short, don’t worry about if you have an aneurysm …. thats our job!

 

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