政府: 腹主动脉瘤(AAA)普查针对65-75岁抽烟者。只有一次。
http://www.ahrq.gov/professionals/clinicians-providers/resources/aaaprovider.html
Who should be screened for Abdominal Aortic Aneurysm?
The U.S. Preventive Services Task Force recommends one-time screening for abdominal aortic aneurysm (AAA) for men aged 65-75 who have smoked at least 100 cigarettes in their lifetime.
Screening should be routinely recommended only when a positive net benefit (benefits outweigh harms) exists. There is good evidence that screening and surgical repair of large aneurysms (5.5 cm or greater) in men 65-75 years of age who have ever smoked leads to decreased AAA-related deaths.
Screening should be routinely recommended only when a positive net benefit (benefits outweigh harms) exists. There is good evidence that screening and surgical repair of large aneurysms (5.5 cm or greater) in men 65-75 years of age who have ever smoked leads to decreased AAA-related deaths.
- Only men aged 65-75 who have ever smoked have a net benefit from screening for AAA. This group stands to benefit the most from early detection and reparative surgical treatment due to a relatively higher prevalence of larger AAAs compared to other patient groups.
- Men aged 65-75 who have never smoked and men age <65 are at lower risk for AAAs, particularly AAAs of a size likely to rupture.
- Men age >75 are at higher risk for AAAs, but the increased presence of comorbidities and limited life expectancy decreases the likelihood that they will benefit from screening.
- Women are at lower risk for AAAs. Thus, the net benefit from screening is small and routine screening is not recommended.
Abdominal aortic aneurysm screening
How often is it covered?
Medicare Part B (Medical Insurance) covers a one-time abdominal aortic aneurysm ultrasound. You must get a referral for it from your doctor.
Who's eligible?
People with Medicare who are eligible for an abdominal aortic aneurysm screening must be at risk. You're considered at risk if you meet one of these criteria:
- You have a family history of abdominal aortic aneurysms.
- You’re a man age 65 to 75 and have smoked at least 100 cigarettes in your lifetime.
Your costs in Original Medicare
You pay nothing for this test if the doctor or other qualified health care provider accepts assignment.