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January 16, 2002

Diagnosis and Treatment of Peripheral Arterial Disease

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(3):313-316. doi:10.1001/jama.287.3.313

To the Editor: Dr Hirsch and colleagues1 reported that PAD was found in 1865 (29%) of 6979 patients aged 70 years or older or aged 50 through 69 years with history of cigarette smoking or diabetes. They and Dr Ouriel2 (in his accompanying Editorial) advocate a more aggressive screening approach to PAD in the primary care setting. This would be beyond what is currently recommended by the US Preventive Services Task Force,3 which states that clinicians should screen for hypertension and hypercholesterolemia, provide appropriate counseling regarding tobacco use, and be alert to symptoms of PAD in persons at increased risk (older than 50 years, smokers, and those with diabetes).

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