You are here

Task Force Issues Draft Recommendation Statement on Screening for Carotid Artery Stenosis

Screening is unnecessary in general adult population (February 18)

The U.S. Preventive Services Task Force has posted its draft recommendation statement and draft evidence report on screening adults for carotid artery stenosis (CAS), recommending against screening in the general adult population.

CAS is one of many risk factors for stroke, which is a leading cause of death and disability in the U.S.

After reviewing the evidence, the task force has issued a draft recommendation against screening for CAS in the general adult population. Adults with a history of stroke, transient ischemic attack (“mini-stroke”), or signs and symptoms of stroke are not included in this recommendation.

“CAS is uncommon in the general adult population, so screening everyone would lead to many false positive results, and this can lead to follow-up tests and surgery that carry risk of serious harms, including stroke, heart attack, and death,” said task force member Jessica Herzstein, MD, MPH.

Task force co-vice chair Michael LeFevre, MD, MSPH, added: “The good news is that we have ways to reduce the risk of a stroke: control blood pressure and cholesterol, don’t smoke, be physically active, and eat a healthful diet.”

Source: USPSTF; February 18, 2014.

Recent Headlines

Study finds fewer than half of trials followed the law
WHO to meet tomorrow to decide on international public heath emergency declaration
Study of posted prices finds wild variations and missing data
Potential contamination could lead to supply chain disruptions
Despite older, sicker patients, mortality rate fell by a third in 10 years
Declining lung cancer mortality helped fuel the progress
Kinase inhibitor targets tumors with a PDGFRA exon 18 mutation
Delayed surgery reduces benefits; premature surgery raises risks
Mortality nearly doubled when patients stopped using their drugs