Controversies in vascular screening - Art versus science

Research output: Contribution to journalReview article

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Abstract

Whether or not to screen asymptomatic members of the general public for various forms of vascular disease is a controversial issue with huge medical, social, and financial ramifications. This article reviews several criteria for determining the appropriateness cf vascular screening, including: (1) is it possible to detect occult vascular disease 'early'?; (2) what should we screen for, and how should me do it?; (3) who should be screened?; and (4) what standards for vascular screening should be set? While some of these controversies may ultimately be resolvable using an evidence-based approach, it is apparent that there are issues which will not be amenable to strict scientific analysis. Individualized approaches to screening will therefore remain the rule for the foreseeable future.

Original languageEnglish (US)
Pages (from-to)235-242
Number of pages8
JournalVascular Medicine
Volume12
Issue number3
DOIs
StatePublished - Nov 19 2007

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Keywords

  • Abdominal aortic aneurysm (AAA)
  • Carotid disease
  • Peripheral arterial disease (PAD)
  • Venous insufficiency

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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