Journal Watch General Medicine Alert for January 15, 2008

USPSTF Recommends Against Screening for Asymptomatic Carotid Artery Stenosis
Clinical Practice Guideline Watch Free

In a new guideline, the USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general population. The recommendation is graded “D.” The suggestion is that such screening be discouraged.
At first glance, the recommendation seems surprising — but upon further examination, it makes sense.
By Richard Saitz, MD, MPH, FACP, FASAM
January 15, 2008
Covering: Wolff T et al. Ann Intern Med 2007 Dec 18; 147:860
U.S. Preventive Services Task Force. Ann Intern Med 2007 Dec 18; 147:854