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Evidence-Based Screening and Management of Abdominal Aortic Aneurysm

John D. Birkmeyer, MD; and Gilbert R. Upchurch Jr., MD
[+] Article, Author, and Disclosure Information

From the University of Michigan, Ann Arbor, MI 48104.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: John D. Birkmeyer, MD, M-SCORE, 211 North 4th Avenue, Ann Arbor, MI 48104; e-mail, jbirkmey@med.umich.edu.

Current Author Addresses: Drs. Birkmeyer and Upchurch: M-SCORE, 211 North 4th Avenue, Ann Arbor, MI 48104.

Ann Intern Med. 2007;146(10):749-750. doi:10.7326/0003-4819-146-10-200705150-00009
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Each year, approximately 10 000 Americans die of abdominal aortic aneurysm (AAA), making this condition the 14th leading cause of death in the United States. Because most of these patients die of rupture of previously undetected AAAs, many researchers advocate earlier diagnosis using screening ultrasonography. A recent meta-analysis of 4 large, randomized clinical trials suggested that population-based screening substantially reduces AAA-related mortality in selected patient groups (15). In light of these findings, the U.S. Preventive Services Task Force (USPSTF) and a consortium of leading professional organizations recommend 1-time screening with abdominal ultrasonography for all men age 65 to 74 years who have ever smoked (67).

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