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Editor's Correspondence
June 10, 2013

Regarding “Time to Rethink Screening for Abdominal Aortic Aneurysm?”

Author Affiliations

Author Affiliations: Department of Vascular Surgery, Kaiser Permanente, San Francisco, California.

JAMA Intern Med. 2013;173(11):1032-1033. doi:10.1001/jamainternmed.2013.336

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