USPSTF Update: Screening for Abdominal Aortic Aneurysm
Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Describe the 2019 USPSTF guidelines for screening for abdominal aortic aneurysm 2. Discuss why USPSTF guidance for abdominal aortic aneurysm screening differ between men and women
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG
President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies. All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.
The PIM planners and others have nothing to disclose. The OBG Project planners and others have nothing to disclose.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from 1/15/2020 through 07/15/2022, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
In December 2019, the USPSTF updated the 2014 recommendations for screening asymptomatic adults for abdominal aortic aneurysm (AAA), based on 4 large population-based clinical trials
A newly added feature is the importance of family history (first degree relative) of AAA as a risk factor for screening decision in women
USPSTF recommends the following
Men 65 to 75 years who have ever smoked
Recommendation Grade B (offer or provide this service)
One-time screening ultrasound
Magnitude of net benefit of screening is moderate | Harms are small to moderate
Ever smoker “commonly defined as ≥100 cigarettes”
Men 65 to 75 years who have never smoked
Recommendation Grade C (offer or provide this service for selected patients depending on individual circumstances)
Selectively offer one-time screening ultrasound rather than routinely to all men in this age group
Magnitude of net benefit of screening is small | Harms are small to moderate
Medical history | Family history | Other Risk Factors | Personal values
Women who have never smoked and have no family history of AAA
Recommendation Grade D (discourage the use of this service)
“Adequate evidence” that there is no benefit to
screening ultrasound| Harms are small to moderate
Moderate certainty that harms outweigh benefits
Women 65 to 75 years who have ever smoked or have a family history of AAA
I Statement (if the service is offered, patients should understand the uncertainty about the balance of benefits and harms)
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined
Abdominal aortic aneurysm – there may be greater potential to prevent serious adverse outcomes
Compared to men, women with small AAAs have an increased risk of rupture
Approximately 25% to 33% of women have AAA with a diameter <5.5 cm surgical threshold at the time of rupture
However, women also experience higher risk of harms
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Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
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