The U.S. Preventive Services Task Force (USPSTF) recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked. (B recommendation)
The USPSTF recommends that clinicians selectively offer screening for AAA in men ages 65 to 75 years who have never smoked rather than routinely screening all men in this group. Evidence indicates that the net benefit of screening all men ages 65 to 75 years who have never smoked is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of evidence relevant to the patient's medical history, family history, other risk factors, and personal values. (C recommendation)
See the Clinical Considerations section for additional information on risk assessment.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for AAA in women ages 65 to 75 years who have ever smoked. (I statement)
See the Clinical Considerations section for suggestions for practice regarding the I statement.
The USPSTF recommends against routine screening for AAA in women who have never smoked. (D recommendation)
These recommendations apply to asymptomatic adults age 50 years and older.
For the purposes of this recommendation, an “ever-smoker” is a person who has smoked at least 100 cigarettes in his or her lifetime.