The AAFP recommends one-time screening for abdominal aortic aneurysm (AAA) by ultrasonography in men ages 65 to 75 years who have ever smoked. (2014)
The AAFP recommends that clinicians selectively offer screening for AAA in men ages 65 to 75 years who have never smoked rather than routinely screening all men in this group. (2014)
Clinical Rationale: Existing evidence indicates that the net benefit of screening all men ages 65 to 75 years who have never smoked 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.
For Your Patients
View the criteria for AAFP clinical preventive services recommendations and grading.
The AAFP concludes that the current evidence is insufficientto assess the balance of benefits and harms of screening for AAA in women ages 65 to 75 years who have ever smoked. (2014)
The AAFP recommends against routine screening for AAA in women who have never smoked. (2014)
These recommendations are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient's family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These recommendations are only one element in the complex process of improving the health of America. To be effective, the recommendations must be implemented.
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Abdominal Aortic Aneurysm - Clinical Preventive Service Recommendation