USPSTF: Evidence lacking for nontraditional CVD risk factors

January 17, 2018

(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient to assess the use of nontraditional risk factors for cardiovascular disease (CVD) risk assessment. They also conclude that evidence is lacking for the use of the ankle-brachial index (ABI) to screen for peripheral arterial disease (PAD) in asymptomatic individuals. These findings form the basis of two draft recommendation statements published online Jan. 16 by the USPSTF.

Jennifer S. Lin, M.D., from the Kaiser Permanente Center for Health Research in Portland, Ore., and colleagues reviewed use of ABI, high-sensitivity C-reactive protein, and score in asymptomatic adults. The authors found that there was adequate evidence for the benefit of adding these factors to existing CVD models; however, the evidence was inadequate for assessing treatment decision-making guided by these scores. Based on these findings, the USPSTF concluded that the current evidence is insufficient to assess the balance of harms and benefits of adding these scores to traditional risk assessment.

Janelle M. Guirguis-Blake, M.D., also from the Kaiser Permanente Center for Health Research, and colleagues conducted a systematic review relating to ABI screening for PAD and CVD. The researchers found that ABI is an accurate test for detecting PAD in symptomatic patients, but few data were available on the accuracy of ABI for identifying who could benefit from treatment. Based on these findings, the USPSTF concluded that the current evidence is insufficient for assessing the balance of benefits and harms associated with PAD and CVD risk screening with ABI.

These findings form the basis of two draft recommendation statements, which are available for public comment from Jan. 16 through Feb. 12, 2018.

Explore further: USPSTF reviews use of ECG for preventing A-fib, CVD events

More information: Evidence Review - CVD
Draft Recommendation Statement - CVD
Comment on Recommendation Statement - CVD
Evidence Review - PAD
Draft Recommendation Statement - PAD
Comment on Recommendation Statement - PAD

Related Stories

USPSTF reviews use of ECG for preventing A-fib, CVD events

December 19, 2017
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has found that the current evidence is inadequate to assess the benefits and harms of screening with electrocardiogram (ECG) for atrial fibrillation (AF) in older ...

USPSTF: evidence lacking for pelvic screening examinations

June 29, 2016
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has concluded that the current evidence is insufficient to weigh the balance of benefits and harms for screening pelvic examinations in asymptomatic, nonpregnant ...

USPSTF draft recommendation urges against COPD screening

August 18, 2015
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has found no net benefit for chronic obstructive pulmonary disease (COPD) screening in asymptomatic adults and consequently recommends against screening. These ...

USPSTF finds evidence lacking for autism screening in children

August 4, 2015
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has concluded that there is currently insufficient evidence to assess the benefits and harms of screening for autism spectrum disorder (ASD) in asymptomatic children ...

Evidence insufficient to screen for celiac disease

March 28, 2017
The U.S. Preventive Services Task Force (USPSTF) has concluded that the current evidence is insufficient to assess the balance of benefits and harms of screening for celiac disease in asymptomatic persons. The report appears ...

USPSTF finds evidence lacking for sleep apnea screening

June 15, 2016
(HealthDay)—The U.S. Preventive Services Task Force (USPSTF) has found insufficient evidence for the benefit of obstructive sleep apnea (OSA) screening in asymptomatic populations. These findings form the basis of a draft ...

Recommended for you

Eating yogurt may reduce cardiovascular disease risk

February 15, 2018
A new study in the American Journal of Hypertension, published by Oxford University Press, suggests that higher yogurt intake is associated with lower cardiovascular disease risk among hypertensive men and women.

Newly discovered gene may protect against heart disease

February 14, 2018
Scientists have identified a gene that may play a protective role in preventing heart disease. Their research revealed that the gene, called MeXis, acts within key cells inside clogged arteries to help remove excess cholesterol ...

Blood thinners may raise stroke risk in over-65s with kidney disease

February 14, 2018
People over 65 years old may be increasing their stroke risk by taking anticoagulants for an irregular heartbeat if they also have chronic kidney disease, finds a new study led by UCL, St George's, University of London and ...

Cardiac macrophages found to contribute to a currently untreatable type of heart failure

February 14, 2018
A team of Massachusetts General Hospital (MGH) investigators has discovered, for the first time, that the immune cells called macrophages contribute to a type of heart failure for which there currently is no effective treatment. ...

Study maps molecular mechanisms crucial for new approach to heart disease therapy

February 13, 2018
Creating new healthy heart muscle cells within a patient's own ailing heart. This is how scientists hope to reverse heart disease one day. Today, a new study led by UNC-Chapel Hill researchers reveals key molecular details ...

Congenital heart defects linked to increased risk of dementia

February 13, 2018
Being born with a heart defect may raise the odds of later developing dementia, especially early-onset dementia, a new study finds.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.