Author Affiliations: Department of Vascular Surgery, Kaiser Permanente, San Francisco, California.
We would like to address the Invited Commentary by Harris et al,1 which we believe fails to back its assertions with relevant data. The authors suggest a concept of “harm” in screening for abdominal aortic aneurysm (AAA). They imply that the diagnosis of a small aneurysm will never cause physical harm (rupture) or require repair, leaving the patient only with anxiety. The literature to support this is conflicting and not supportive.2
Cardneau JD, Chang RW, Okuhn SP. Regarding “Time to Rethink Screening for Abdominal Aortic Aneurysm?”. JAMA Intern Med. 2013;173(11):1032-1033. doi:10.1001/jamainternmed.2013.336