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Should We Screen This Patient for Carotid Artery Stenosis?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.
Discussion From Beth Israel Deaconess Medical Center. Ann Intern Med. 2017 Oct 03;167(7):484-492 Authors: Smetana GW, Schermerhorn M, Mukamal KJ Abstract In July 2014, the U.S. Preventive Services Task Force (USPSTF) published a clinical guideline on screening for asymptomatic carotid artery stenosis. The guideline recommended against screening in asymptomatic adults, based primarily on the results of 3 large randomized trials (grade D recommendation). The principal screening test was carotid ultrasonography, and the intervention in the 3 trials was carotid endarterectomy for patients with stenosis ex...
Source: Annals of Internal Medicine - October 3, 2017 Category: Internal Medicine Authors: Smetana GW, Schermerhorn M, Mukamal KJ Tags: Ann Intern Med Source Type: research

Screening for Asymptomatic Carotid Artery Stenosis: A Systematic Review and Meta-analysis for the U.S. Preventive Services Task Force.
Conclusion: Current evidence does not establish incremental overall benefit of CEA, stenting, or intensification of medical therapy. Potential for overall benefit is limited by low prevalence and harms. Primary Funding Source: Agency for Healthcare Research and Quality. PMID: 25004169 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - July 8, 2014 Category: Internal Medicine Authors: Jonas DE, Feltner C, Amick HR, Sheridan S, Zheng ZJ, Watford DJ, Carter JL, Rowe CJ, Harris R Tags: Ann Intern Med Source Type: research

Screening for Asymptomatic Carotid Artery Stenosis: U.S. Preventive Services Task Force Recommendation Statement.
Abstract Description: Update of the 2007 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for carotid artery stenosis. Methods: The USPSTF commissioned a systematic review to synthesize the evidence on the accuracy of screening tests, externally validated risk stratification tools, the benefits of treatment of asymptomatic carotid artery stenosis with carotid endarterectomy (CEA) or carotid angioplasty and stenting (CAAS), the benefits from medications added to current standard medical therapy, and the harms of screening and treatment with CEA or CAAS. Population: This recommendat...
Source: Annals of Internal Medicine - July 8, 2014 Category: Internal Medicine Authors: LeFevre ML Tags: Ann Intern Med Source Type: research