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December 10, 2019

Screening for Abdominal Aortic Aneurysm—A Call to Arms?

Author Affiliations
  • 1Division of Vascular Surgery, University of California, Davis, Sacramento
JAMA Netw Open. 2019;2(12):e1917168. doi:10.1001/jamanetworkopen.2019.17168

The goal of abdominal aortic aneurysm (AAA) detection is to identify asymptomatic AAA before rupture, as the mortality rate associated with a ruptured aneurysm may exceed 80%, while the mortality rate of an elective repair is 0.5% to 4% in most contemporary studies. The US Preventive Services Task Force (USPSTF) has recommend 1-time screening for patients at risk of AAA since 2005, and AAA screening has been a covered benefit under Centers for Medicare & Medicaid Services since 2007. The 2019 update by USPSTF1,2 has incorporated new evidence since its last update in 2014 and continues to recommend 1-time screening for certain patients.

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