Can family physicians accurately screen for AAA with point-of-care ultrasound?

Can family physicians accurately screen for AAA with point-of-care ultrasound?

Likely yes. Point-of-care ultrasound (POCUS) screening for abdominal aortic aneurysm (AAA) by nonradiologist physicians is 98% sensitive and 99% specific, compared with imaging performed by radiologists (strength of recommendation [SOR]: B, meta-analysis of diagnostic accuracy studies mostly involvi...

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Veröffentlicht in:The Journal of Family Practice 2021-07, Vol.70 (6), p.304-307
Hauptverfasser: Cade, Nathan, Granath, Brad, Neher, Jon O, Safranek, Sarah
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal - diagnosis
Clinical Competence - standards
Clinical Competence - statistics & numerical data
Humans
Male
Mass Screening - standards
Mass Screening - statistics & numerical data
Middle Aged
Physicians, Family - standards
Physicians, Family - statistics & numerical data
Point-of-Care Systems - standards
Point-of-Care Systems - statistics & numerical data
Practice Guidelines as Topic
Radiologists - standards
Radiologists - statistics & numerical data
Risk Factors
Ultrasonography - standards
Ultrasonography - statistics & numerical data
United States
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Beschreibung
Zusammenfassung:Likely yes. Point-of-care ultrasound (POCUS) screening for abdominal aortic aneurysm (AAA) by nonradiologist physicians is 98% sensitive and 99% specific, compared with imaging performed by radiologists (strength of recommendation [SOR]: B, meta-analysis of diagnostic accuracy studies mostly involving emergency medicine physicians). European family physicians demonstrated 100% concordance with radiologist readings (SOR: C, very small subsequent diagnostic accuracy studies).
ISSN:1533-7294
DOI:10.12788/jfp.0231