I had zero risk factors for this and was totally asymptomatic, except that my Dad had 80% blockage and his doctor failed to tell him that any children had moved into the high risk category for carotid stenosis. So my stroke was totally preventable except my Dads' doctor failed at getting me informed of my risk.
Screening for Asymptomatic Carotid Artery Stenosis Lack of Clinical Benefit, Potential for Harm
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EditorialTo Screen or Not to Screen for Carotid StenosisSeemant Chaturvedi, MD
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EditorialScreening for Asymptomatic Carotid Artery Stenosis in Adult PatientsSalomeh Keyhani, MD, MPH; Eric M. Cheng, MD
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EditorialUSPSTF Recommendations for Screening for Carotid Stenosis to Prevent StrokeRebecca Smith-Bindman, MD; Kirsten Bibbins-Domingo, PhD, MD, MAS
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Research LetterScreening for Asymptomatic Carotid Artery Stenosis in the General PopulationJanelle M. Guirguis-Blake, MD; Elizabeth M. Webber, MS; Erin L. Coppola, MPH
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US Preventive Services Task ForceUSPSTF Recommendation: Screening for Asymptomatic Carotid Artery StenosisUS Preventive Services Task Force; Alex H. Krist, MD, MPH; Karina W. Davidson, PhD, MASc; Carol M. Mangione, MD, MSPH; Michael J. Barry, MD; Michael Cabana, MD, MA, MPH; Aaron B. Caughey, MD, PhD; Katrina Donahue, MD, MPH; Chyke A. Doubeni, MD, MPH; John W. Epling Jr, MD, MSEd; Martha Kubik, PhD, RN; Gbenga Ogedegbe, MD, MPH; Lori Pbert, PhD; Michael Silverstein, MD, MPH; Melissa A. Simon, MD, MPH; Chien-Wen Tseng, MD, MPH, MSEE; John B. Wong, MD
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JAMA Patient PageUSPSTF Recommendation: Screening for Carotid Artery StenosisJill Jin, MD, MPH
In the Recommendation Statement published in this issue of JAMA,1 the US Preventive Services Task Force (USPTF) has reaffirmed its 2014 recommendation, stating that “The USPTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population (D recommendation),” based on evidence that the harms of screening for carotid artery stenosis in asymptomatic adults outweigh the benefits, with no new evidence that would change the previous recommendation. The rationale for this confirmation is based on a combination of considerations, including the effects of false-positive results when screening the general population with duplex ultrasonography; inadequate evidence that screening for asymptomatic carotid artery stenosis leads to a reduction in stroke or death; and the likelihoods of small to moderate harms(What harm does ultrasound screening cause?) of screening for and treatment of asymptomatic carotid artery stenosis. The restated recommendation is also consistent with that of the 2014 guidelines from the American Heart Association not to screen low-risk populations for asymptomatic carotid artery stenosis.2
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