PMID- 24026320 OWN - NLM STAT- MEDLINE DCOM- 20131113 LR - 20131121 IS - 1539-3704 (Electronic) IS - 0003-4819 (Linking) VI - 159 IP - 5 DP - 2013 Sep 3 TI - Screening for peripheral artery disease and cardiovascular disease risk assessment with the ankle-brachial index in adults: U.S. Preventive Services Task Force recommendation statement. PG - 342-8 LID - 10.7326/0003-4819-159-5-201309030-00008 [doi] AB - DESCRIPTION: Update of the 2005 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for peripheral artery disease (PAD). METHODS: The USPSTF reviewed the evidence on the use of resting ankle-brachial index (ABI) as a screening test for PAD or as a risk predictor for cardiovascular disease (CVD). The review focused on resting ABI as the sole screening method; the diagnostic performance of ABI testing in primary care populations, unselected populations, and asymptomatic populations; the predictive value of ABI testing for major CVD outcomes in primary care or unselected populations; and the effect of treatment on general CVD and PAD-specific morbidity in patients with asymptomatic or minimally symptomatic PAD. POPULATION: This recommendation applies to asymptomatic adults who do not have a known diagnosis of PAD, CVD, severe chronic kidney disease, or diabetes. RECOMMENDATION: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for PAD and CVD risk assessment with the ABI in adults. (I statement). FAU - Moyer, Virginia A AU - Moyer VA CN - U.S. Preventive Services Task Force LA - eng PT - Journal Article PT - Practice Guideline PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Ann Intern Med JT - Annals of internal medicine JID - 0372351 RN - 0 (Fibrinolytic Agents) RN - R16CO5Y76E (Aspirin) SB - IM SPIN- Ann Intern Med. 2013 Sep 3;159(5):I-28. PMID: 24026333 MH - Adult MH - *Ankle Brachial Index MH - Aspirin/adverse effects/therapeutic use MH - Asymptomatic Diseases MH - Cardiovascular Diseases/*epidemiology MH - Cost of Illness MH - Early Diagnosis MH - Fibrinolytic Agents/adverse effects/therapeutic use MH - Hemorrhage/chemically induced MH - Humans MH - Mass Screening/adverse effects/*methods MH - Peripheral Arterial Disease/*diagnosis/drug therapy MH - Predictive Value of Tests MH - Risk Assessment FIR - Moyer, Virginia A IR - Moyer VA FIR - LeFevre, Michael L IR - LeFevre ML FIR - Siu, Albert L IR - Siu AL FIR - Baumann, Linda Ciofu IR - Baumann LC FIR - Bibbins-Domingo, Kirsten IR - Bibbins-Domingo K FIR - Curry, Susan J IR - Curry SJ FIR - Ebell, Mark IR - Ebell M FIR - Flores, Glenn IR - Flores G FIR - Garcia, Francisco A R IR - Garcia FA FIR - Cantu, Adelita Gonzales IR - Cantu AG FIR - Grossman, David C IR - Grossman DC FIR - Herzstein, Jessica IR - Herzstein J FIR - Nicholson, Wanda K IR - Nicholson WK FIR - Owens, Douglas K IR - Owens DK FIR - Phillips, William R IR - Phillips WR FIR - Pignone, Michael P IR - Pignone MP FIR - Wilt, Timothy IR - Wilt T EDAT- 2013/09/13 06:00 MHDA- 2013/11/14 06:00 CRDT- 2013/09/13 06:00 PHST- 2013/09/13 06:00 [entrez] PHST- 2013/09/13 06:00 [pubmed] PHST- 2013/11/14 06:00 [medline] AID - 1733279 [pii] AID - 10.7326/0003-4819-159-5-201309030-00008 [doi] PST - ppublish SO - Ann Intern Med. 2013 Sep 3;159(5):342-8. doi: 10.7326/0003-4819-159-5-201309030-00008.