Discover and read the best of Twitter Threads about #uspstf
Most recents (2)
In Oct, the #USPSTF released draft guidelines addressing aspirin (ASA) use for the primary prevention of cardiovascular disease (CVD).
Why is ASA falling more out of favor? Join me for a #MedTwitter #Tweetorial about the hx of ASA use in *primary* prevention of CVD 1/20
Why is ASA falling more out of favor? Join me for a #MedTwitter #Tweetorial about the hx of ASA use in *primary* prevention of CVD 1/20
We'll answer a few questions on this journey:
1) What is new in the USPSTF draft update?
2) What trials informed the old practice patterns and guidelines?
3) What new trials have caused such a shift in how we think about ASA for the primary prevention of CVD?
2/20
1) What is new in the USPSTF draft update?
2) What trials informed the old practice patterns and guidelines?
3) What new trials have caused such a shift in how we think about ASA for the primary prevention of CVD?
2/20
First, what is in the USPSTF update?
ASA would now be recommended only after a shared-decision making conversation in those 40-59, at ⬆️risk of CVD (ASCVD risk >10%), at low risk for bleeding.
The recommendation grade is a "C", suggesting any net benefit is likely small. 3/20
ASA would now be recommended only after a shared-decision making conversation in those 40-59, at ⬆️risk of CVD (ASCVD risk >10%), at low risk for bleeding.
The recommendation grade is a "C", suggesting any net benefit is likely small. 3/20
1/We salute experts who insist on *evidence* for preventive screening recommendations. Question-based screening for drug use in primary care has been endorsed by #USPSTF and @UnhealthyAlcDrg points out is it not evidence based practice jamanetwork.com/journals/jama/…
2/For screening to be “evidence based”, when you apply it to people who have no sign of the disease, the screening produces significant benefit & no (or minimal) harm. #USPSTF has new different standard:that treatment works for folks with problems, mostly seeking treatment
3/Of course there are lots of reasons docs should wish to know whether patients happen to use drugs. That is not in dispute as a matter of common sense. But...
