• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

USPSTF recommends aneurysm screening in men who have ever smoked

byAimme Li, MD
June 23, 2014
in Cardiology, Chronic Disease, Emergency, Public Health, Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Based on a systematic review, the U.S. Preventive Services Task Force  (USPSTF) has released a statement recommending one-time ultrasonography screening for asymptomatic abdominal aortic aneurysms (AAAs) in men 65-75 years old who have a history of smoking (B recommendation). 

Evidence Rating Level: 1 (Excellent)  

Study Rundown: There is particular interest in the benefits of screening for abdominal aortic aneurysms (AAA).  AAAs are associated with high mortality after rupture, but unfortunately usually remain asymptomatic and undetected until this point.  Based on a recent commissioned systematic review, the USPSTF has released a recommendation statement pertaining to ultrasonography AAA screening. Primarily, the statement recommends that clinicians offer one-time screening to male patients aged 65-75 years old who have a history of past or present smoking (B recommendation).  This statement was based on four large randomized control trials (RCTs) in men, of which the two of the highest-quality trials of showed a relative reduction in AAA-specific mortality of 42-66% associated with one-time AAA screening. AAAs are most prevalent in men who have ever smoked (6-7%), and thus, the highest absolute benefit can be achieved in this particular patient population.

Although screening in men overall reduces poor outcomes associated with AAA, given the lower prevalence of AAAs in in men who have never smoked, the net benefit of screening in this group is small.  The statement also recommended against ultrasound screening for AAA in women who have never smoked (D recommendation), but identified that that there is insufficient evidence to assess screening in woman who have a history of smoking (I statement).

Click to read the study, published today in the Annals of Internal Medicine

Relevant Reading: The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial

In-Depth [systematic review]: This recommendation statement applies to asymptomatic patients greater than 50 years old.  The systematic review identified four large RCTs in men, which showed that one-time screening was associated with a 42-66% relative reduction in AAA-specific mortality.  Only one RCT identified included woman, which showed no difference in AAA related outcomes among women.  Given the relatively low prevalence in women who have smoked (0.8-2%), the USPSTF concluded that there was inadequate evidence to determine the benefits and harms of screening in women who have smoked aged 65 to 75 years old.  However, in women who have never smoked, the prevalence of AAA is very low (0.3%) and therefore, the USPSTF have recommended against screening among this population.   The recommendation statement also reviewed the harms of detection and early treatment.  In the reviewed trials, the screened groups were more likely to undergo AAA surgery (mostly elective).  However, the mortality risk of elective is less than that associated with acute AAA rupture.

RELATED REPORTS

Vitamin C supplementation in pregnant smokers leads to improved airway function in offspring

  Vitamin C supplementation in pregnancy improves respiratory function in children of smoking mothers at 5 years of age

Heavy smoking and alcohol use may be associated with insomnia and sleep dissatisfaction

More from this author:The CLOT Trial: Dalteparin versus warfarin [Classics Series]The ONTARGET trial: Telmisartan is non-inferior to ramipril in improving cardiovascular outcomes in high-risk populations [Classics Series]The HOPE trial: Ramipril significantly reduces cardiovascular events in high-risk patients with normal ejection fractions [Classics Series]High mortality rates reported in ill patients with MERS-CoVInsufficient evidence for behavioral interventions to prevent adolescent drug use

Image: CC/Wiki 

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.

Tags: abdominal aortic aneurysmssmoking
Previous Post

Caregiver-mediated autism interventions effective for low-resourced families

Next Post

Obesity linked with prostate cancer progression

RelatedReports

2 Minute Rewind November 29, 2021
Obstetrics

Vitamin C supplementation in pregnant smokers leads to improved airway function in offspring

December 28, 2022
Risk of autism in offspring linked to maternal pregestational diabetes and severe obesity
Chronic Disease

  Vitamin C supplementation in pregnancy improves respiratory function in children of smoking mothers at 5 years of age

December 7, 2022
E-interventions linked to short-term reduction in alcohol consumption in college students
Chronic Disease

Heavy smoking and alcohol use may be associated with insomnia and sleep dissatisfaction

November 18, 2022
Plagiocephaly/brachycephaly associated with lower cognitive and academic achievement scores
Wellness

Wellness Check: Sleep

November 17, 2022
Next Post
Sunitinib showed no change in overall survival for metastatic prostate cancer

Obesity linked with prostate cancer progression

Mediterranean diet linked to reduced diabetes risk in high risk cardiovascular patients

2 Minute Medicine Rewind June 16 – June 23, 2014

Cardiac Resynchronization Therapy may be more beneficial in women

Cardiac Resynchronization Therapy may be more beneficial in women

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Plant-based diets may be associated with lower risk of aggressive prostate cancer
  • #VisualAbstract: Adagrasib provides antitumour activity against KRAS G12C mutant metastatic colorectal cancer both as monotherapy and in combination with cetuximab
  • Chronic obstructive pulmonary disease associated with worse postoperative outcomes
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options