Two new USPSTF recommendation statements

July 10, 2018

Bottom Line: In two new statements, the U.S. Preventive Services Task Force (USPSTF) concludes current evidence is insufficient to make recommendations assessing cardiovascular disease (CVD) risk with certain nontraditional risk factors and screening for peripheral artery disease (PAD) and CVD risk with the ankle-brachial index (ABI).

What: In the first statement, evidence is insufficient to make a recommendation regarding screening for PAD and CVD risk with the ABI in asymptomatic adults.

What: In the second statement, evidence is insufficient to make a recommendation regarding adding the nontraditional risk factors of the ABI, high-sensitivity C-reactive protein (hsCRP) level, and coronary artery calcium (CAC) score to traditional risk assessments for CVD in asymptomatic adults to prevent CVD events.

Related material

The following related elements from The JAMA Network are also available on the For The Media website:

-- A podcast interview with Michael J. Barry, M.D., a member of the USPSTF and co-author of the recommendation statements.

-- Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment With the Ankle-Brachial Index - US Preventive Services Task Force Recommendation Statement

-- Screening for Peripheral Artery Disease Using the Ankle-Brachial Index - Evidence Report and Systematic Review for the US Preventive Services Task Force

-- Ankle-Brachial Index Screening and Improving Peripheral Artery Disease Detection and Outcomes - JAMA editorial

-- Screening for Peripheral Artery Disease With Ankle-Brachial Index - JAMA Patient Page

-- Risk Assessment for Cardiovascular Disease With Nontraditional Risk Factors - US Preventive Services Task Force Recommendation Statement

-- Nontraditional Risk Factors in Cardiovascular Disease Risk Assessment - Evidence Report and Systematic Review for the US Preventive Services Task Force

-- USPSTF Recommendations for Assessment of Cardiovascular Risk With Nontraditional Risk Factors - JAMA editorial

-- Viewing the Value of Coronary Artery Calcium Testing From Different Perspectives - JAMA Cardiology editorial

Editor's Note: Please see the articles for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Note: More information about the U.S. Preventive Services Task Force, its process, and its recommendations can be found on the newsroom page of its website.
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Want to embed a link to these reports in your story? Links will be live at the embargo time and all links to all USPSTF articles remain free indefinitely. Here's the link to the recommendation statement on screening for PAD and CVD risk assessment with the ABI: http://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2018.8357  Here's the link to the recommendation statement on risk assessment for CVD with nontraditional risk factors: http://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2018.8359

JAMA

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