ACR Appropriateness Criteria® Screening for Abdominal Aortic Aneurysm.
J Am Coll Radiol
; 21(6S): S286-S291, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38823950
ABSTRACT
Abdominal aortic aneurysm (AAA) is a significant vascular disease found in 4% to 8% of the screening population. If ruptured, its mortality rate is between 75% and 90%, and it accounts for up to 5% of sudden deaths in the United States. Therefore, screening of AAA while asymptomatic has been a crucial portion of preventive health care worldwide. Ultrasound of the abdominal aorta is the primary imaging modality for screening of AAA recommended for asymptomatic adults regardless of their family history or smoking history. Alternatively, duplex ultrasound and CT abdomen and pelvis without contrast may be appropriate for screening. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Societies, Medical
/
Mass Screening
/
Aortic Aneurysm, Abdominal
/
Evidence-Based Medicine
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Am Coll Radiol
Journal subject:
RADIOLOGIA
Year:
2024
Document type:
Article