无症状颈动脉狭窄筛查：美国预防服务工作组推荐声明。
Screening for asymptomatic carotid artery stenosis: U.S. Preventive Services Task Force recommendation statement.
出版信息
Ann Intern Med. 2014 Sep 2;161(5):356-62. doi: 10.7326/M14-1333.
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 recommendation applies to adults without a history of transient ischemic attack, stroke, or other neurologic signs or symptoms.
RECOMMENDATION
The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population. (D recommendation).
描述
对 2007 年美国预防服务工作组（USPSTF）筛查颈动脉硬化建议的更新。
方法
USPSTF委托进行了一项系统评价，以综合筛查试验准确性、外部验证风险分层工具、无症状颈动脉硬化颈动脉内膜切除术（CEA）或颈动脉血管成形术和支架置入术（CAAS）治疗的益处、当前标准医学治疗中添加药物的益处，以及筛查和 CEA 或 CAAS 治疗的危害。
人群
本建议适用于无短暂性脑缺血发作、中风或其他神经系统体征或症状史的成年人。
建议
USPSTF 建议不对一般成年人群进行无症状颈动脉硬化筛查。（D 级推荐）。
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