Recommendation

The USPSTF recommends screening for AAA in men between the ages of 65 and 75 years who have ever smoked, with no recommendation for or against screening men who never smoked, and recommending against routine screening in women (USPSTF, 2005). The Society for Vascular Surgery recommends screening all men age 60 to 85 years, women age 60 to 85 with risk factors for CHD, and men and women age 50 or older with a family history of AAA (Fleming et al., 2005).

Screening for AAA with ultrasound is part of a package of ultrasound screening offered by for-profit companies that is being marketed directly to patients. These packages usually include screening for carotid artery stenosis (CAS), AAA, and peripheral arterial disease (PAD). Patients may ask about these during visits to a family physician. Although there is evidence that screening for AAA in some populations is beneficial, evidence indicates that screening for CAS and PAD is harmful and thus not recommended (USPSTF, 2005, 2007).

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