What question did this study set out to answer?

To update the US Preventive Services Task Force recommendation on screening for atrial fibrillation using electrocardiography in older adults.

August 7, 2018JAMAOpen Access

Screening for Atrial Fibrillation With Electrocardiography

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Why the study?

Does screening for atrial fibrillation with ECG improve outcomes in adults 65 years and older compared with usual care?

Population

Adults 65 years and older

Comparison

Screening for atrial fibrillation with… vs Usual care

Design

Guideline

Authors

SCSusan J. CurryLouis Stokes Cleveland VA Medical Center AKAlex H. KristArkansas Foundation for Medical Care DODouglas K OwensPreventive Cardiology

Discussion

Member takes

Implication

Insufficient evidence precludes routine ECG screening for AF in adults ≥65; leaves open whether screening improves outcomes.

Key Points

To update the US Preventive Services Task Force recommendation on screening for atrial fibrillation using electrocardiography in older adults.
Systematic evidence review assessing benefits and harms of ECG screening for atrial fibrillation in adults aged 65 years and older compared with usual care.
Evaluation of the effectiveness and safety of subsequent anticoagulant or antiplatelet therapy in screen-detected cases.
Evidence is inadequate to determine whether ECG screening and subsequent treatment in asymptomatic older adults improves health outcomes compared with usual care.
Screening presents established potential harms, including diagnostic workups prompted by false-positive or abnormal ECG results, misdiagnosis, and risks from invasive follow-up testing.
The USPSTF concluded that the balance of benefits and harms for routine ECG screening remains undetermined, issuing an 'I' statement.

Structured PICO

Does screening for atrial fibrillation with ECG improve outcomes in adults 65 years and older compared with usual care?

Population

Adults 65 years and older

Intervention

Screening for atrial fibrillation with electrocardiography (ECG)

Comparator

Usual care

Outcome

Benefits and harms of screening (stroke prevention vs harms of diagnostic follow-up and treatment)

The USPSTF found insufficient evidence to recommend for or against screening for atrial fibrillation with ECG in adults 65 years and older.

Cite This Study

Curry et al. (2018) studied this question.

synapsesocial.com/papers/6a86a0c7a063193d080cfebe https://doi.org/10.1001/jama.2018.10321

Topics

Atrial fibrillation Persistent AF management Anticoagulation in AF

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Screening for Atrial Fibrillation With Electrocardiography

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Screening for Atrial Fibrillation With Electrocardiography

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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