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Letters |16 August 2005

Screening for Abdominal Aortic Aneurysms

Jack L. Cronenwett, MD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756.

    Potential Financial Conflicts of Interest: None disclosed.

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TO THE EDITOR:
The U.S. Preventive Services Task Force (USPSTF) recommended screening for abdominal aortic aneurysms (AAAs) with ultrasonography only in male smokers 65 to 75 years of age. Other subsets were excluded in part because of “good evidence that screening and early treatment result in important harms, including an increased number of surgeries with associated morbidity and mortality, and psychological harms” (1). I question the evidence regarding harms.
First, the companion review on this topic by Fleming and colleagues (2) concluded that “screening does not appear to be associated with significant physical or psychological harms.” Second, the harm...
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Cronenwett JL. Screening for Abdominal Aortic Aneurysms. Ann Intern Med. 2005;143:309. doi: 10.7326/0003-4819-143-4-200508160-00015

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Published: Ann Intern Med. 2005;143(4):309.

DOI: 10.7326/0003-4819-143-4-200508160-00015

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2005 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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