Peripheral Arterial Disease (PAD): Screening
Release Date: January 2005
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The USPSTF recommends against routine screening for peripheral arterial disease (PAD).
Rationale: The USPSTF found fair evidence that screening with ankle brachial index can detect adults with asymptomatic PAD. The evidence is also fair that screening for PAD among asymptomatic adults in the general population would have few or no benefits because the prevalence of PAD in this group is low and because there is little evidence that treatment of PAD at this asymptomatic stage of disease, beyond treatment based on standard cardiovascular risk assessment, improves health outcomes.
The USPSTF found fair evidence that screening asymptomatic adults with the ankle brachial index could lead to some small degree of harm, including false-positive results and unnecessary work-ups. Thus, the USPSTF concludes that, for asymptomatic adults, harms of routine screening for PAD exceed benefits.
Internet Citation: Final Update Summary: Peripheral Arterial Disease (PAD): Screening. U.S. Preventive Services Task Force. July 2019.