Mind the Gap White Paper

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The CardioVascular Coalition released a white paper, titled Mind the Gap: The Case for Screening High-Risk Communities for PAD, on the value of Peripheral Artery Disease (PAD) screening among at-risk populations. The white paper urges the United States Preventive Services Task Force (USPSTF) to revisit its PAD screening recommendation guidelines.

The white paper argues recommendations should be updated to ensure Americans who have a high risk of developing the disease have better access to screening, which has been shown to significantly improve patient outcomes by preventing amputation.


Key Takeaways

  • The USPSTF found “insufficient evidence to assess the balance of benefits and harms” of the ankle-brachial index (ABI) screening methodology. This assessment is flawed because the USPSTF focused its guidelines on PAD screening for the general population, while ignoring the increased risk factors that certain populations face.
  • Screening and early detection has been shown to reduce the probability of an amputation due to PAD by 90 percent but is greatly underutilized.
  • Only 12.5 percent of patients with PAD are identified by physicians and treated.
  • A growing body of research shows that ethnic and racial minorities have a substantially greater risk of developing PAD and requiring amputations than their white counterparts.
  • USPSTF should seize the opportunity to improve patient outcomes, reduce long-term healthcare costs, and eliminate racial disparities in the cardiovascular space.




A new @CVC_Coalition white paper shows why USPSTF recommendations should be updated to ensure Americans at high risk of developing #PAD have better access to screening. Learn more: CardiovascularCoalition.com/Mind-the-Gap Click To Tweet