USPSTF Plan for Revising Breast Screening Guidance Questioned medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.
Dr. Larry Goldstein, chair of the University of Kentucky’s Department of Neurology, defends and elaborates on a recent statement by the U.S. Preventive Services Task Force (USPTF) in an editorial recently published in The Journal of the American Medical Association (JAMA). The USPTF statement reaffirmed its 2014 recommendation against screening for asymptomatic carotid artery stenosis in the general adult population. That statement was based on evidence that the harms of screening for carotid artery stenosis in asymptomatic adults outweigh the benefits, with no new evidence that would change the previous recommendation.
February 02, 2021
The US Preventive Services Task Force (USPSTF) continues to recommend against screening the general adult population for asymptomatic carotid stenosis, maintaining its stance from 2014.
“The USPSTF found no new substantial evidence that could change its recommendation and therefore concludes with moderate certainty that the harms of screening for asymptomatic carotid artery stenosis outweigh the benefits,” according to its statement published in the February 2, 2021, issue of
JAMA.
Task force member Michael Barry, MD (Harvard Medical School, Boston, MA), explained the rationale. Few strokes are attributable to carotid stenosis, and among patients with carotid disease, the annual rate of stroke is only about 1%. Screening tests, usually duplex ultrasound, are fairly accurate, but false-positive results can lead to unnecessary downstream testing and treatment. Moreover, revascularization with carotid endarterectomy or stenting does not appear to have a major
USPSTF Again Recommends Against Carotid Stenosis Screening medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.
Target Audience and Goal Statement: Pulmonologists, primary care physicians
The goal of the updated U.S. Preventive Services Task Force (USPSTF) recommendation statement was to evaluate the benefits and harms of primary care interventions on tobacco use cessation in adults, including pregnant persons.
Question Addressed:
What were the benefits and harms of primary care interventions on tobacco use cessation in adults, including pregnant persons?
Synopsis and Perspective:
In 1964, the U.S. Surgeon General released a report concluding that cigarette smoking was a cause of lung cancer in men, a probable cause of lung cancer in women, and the most important cause of chronic bronchitis. More than half a century later, another report was issued concluding that smoking cessation decreased the risk of all-cause mortality, cardiovascular diseases, chronic obstructive pulmonary disease, adverse reproductive health outcomes, and 12 types of cancer.