{
  "release_id": "5dcd9b263fe17744",
  "id": "cardio:guideline-uspstf-2022-af-screening",
  "owner": "cardio",
  "kind": "guideline",
  "slug": "guideline-uspstf-2022-af-screening",
  "name": "USPSTF 2022: screening for atrial fibrillation",
  "aliases": [
    "Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement"
  ],
  "atlases": [
    "cardio"
  ],
  "summary_plain": "The 2022 statement issued by the US Preventive Services Task Force on screening adults aged 50 or older, who have no symptoms, for atrial fibrillation. The Task Force found the evidence insufficient to weigh benefits against harms, which it labels an I statement. That is a statement about the evidence, not advice against screening. This statement updates its 2018 recommendation.",
  "summary_technical": "JAMA 2022;327(4):360-367, doi 10.1001/jama.2021.23732, PMID 35076659. The USPSTF page dates the final statement January 25, 2022. Only the PubMed abstract and that date line were read. The USPSTF permits reuse of its work only under its copyright notice, so this atlas states the statement in its own words, with a citation and a link.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-15",
  "last_evidence_check": "2026-10-15",
  "next_review_due": null,
  "identifiers": [
    {
      "scheme": "doi",
      "value": "10.1001/jama.2021.23732",
      "normalized_value": "10.1001/jama.2021.23732",
      "match": "exact",
      "version": null,
      "label": null,
      "from_source": true
    },
    {
      "scheme": "pmid",
      "value": "35076659",
      "normalized_value": "35076659",
      "match": "exact",
      "version": null,
      "label": null,
      "from_source": true
    }
  ],
  "navigation": {
    "cardio": {
      "system": [
        "heart"
      ],
      "condition-area": [
        "arrhythmias",
        "risk-and-prevention"
      ]
    }
  },
  "payload": {
    "source": "cardio:uspstf-2022-af-screening",
    "issuers": [
      "core:uspstf"
    ],
    "edition": "2022 recommendation statement",
    "published": "2022-01-25",
    "planned_update": null,
    "status": "not_checked",
    "scope": "Screening for atrial fibrillation in asymptomatic adults aged 50 or older.",
    "plain_interpretation": null
  },
  "content_digest": "48895aae107a09986a0241877ce6cca37a0ca986fd705e406be6d3f739f38127",
  "review": {
    "content_digest": "48895aae107a09986a0241877ce6cca37a0ca986fd705e406be6d3f739f38127",
    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [
    {
      "release_id": "5dcd9b263fe17744",
      "id": "cardio:claim-uspstf-2022-af-screening-i",
      "owner": "cardio",
      "subject_entity_id": "cardio:guideline-uspstf-2022-af-screening",
      "category": "recommendation",
      "statement": "For asymptomatic adults aged 50 or older, the USPSTF finds the evidence now available too limited to judge whether screening for atrial fibrillation does more good than harm (an I statement). The abstract says evidence is lacking, so the balance cannot be determined.",
      "context": {
        "id": "cardio:ctx-uspstf-2022-adults-50-plus-no-af-diagnosis",
        "label": "Adults 50 or older without an AF diagnosis or symptoms (USPSTF 2022 AF screening statement)",
        "recipient": "adult",
        "population": "Adults aged 50 or older with no diagnosis or symptoms of atrial fibrillation and no earlier transient ischemic attack or stroke, as the abstract defines the population. The abstract describes the recommendation as concerning asymptomatic adults.",
        "care_setting": "Not stated in the abstract.",
        "geography": "United States (a USPSTF recommendation)",
        "life_stage_note": "Adults aged 50 or older",
        "life_stage_terms": null,
        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (guideline context)",
        "eligibility": {
          "inclusion": [
            "Aged 50 or older",
            "No diagnosis or symptoms of atrial fibrillation",
            "No earlier transient ischemic attack or stroke"
          ],
          "exclusion": [
            "People with a diagnosis or symptoms of atrial fibrillation",
            "People who have had a transient ischemic attack or stroke"
          ]
        }
      },
      "evidence_stage": "guidance",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "An I statement means the evidence is too thin to support a recommendation either way. It is not advice against screening, and it does not say that screening finds nothing or that anticoagulation does not help. The statement updates a 2018 recommendation. Only the PubMed abstract and the date line of the USPSTF page were read. No recommendation record is written, because this atlas has no record for atrial fibrillation screening itself.",
      "editorial_state": "draft",
      "checked_at": "2026-10-15",
      "next_review_due": null,
      "valid_from": null,
      "valid_to": null,
      "citations": [
        {
          "evidence_role": "supports",
          "locator": "Abstract, RECOMMENDATION, sentence 1",
          "applicability_note": "Evidence insufficient to assess benefits and harms of screening.",
          "snapshot": {
            "id": "cardio:pubmed-35076659-2026-10-15",
            "retrieved_at": "2026-10-15T13:48:56Z",
            "content_hash": "b6eca7cc7d6b7dbcbcad87b38e8110eda733e7a3b44642b6f83a720a3fab9b51",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:uspstf-2022-af-screening",
            "source_type": "guideline",
            "title": "Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement",
            "canonical_url": "https://doi.org/10.1001/jama.2021.23732",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1001/jama.2021.23732",
                "normalized_value": "10.1001/jama.2021.23732",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "35076659",
                "normalized_value": "35076659",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2022-01-25",
            "publisher": "JAMA",
            "edition": "Recommendation statement published in JAMA 2022;327(4):360-367. PubMed abstract and bibliographic data, plus the date line of the USPSTF recommendation page (both fetched 2026-10-15). The full statement and the evidence review were not read. PubMed lists no correction to the statement.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities on 2026-10-15. Only the hash of the bytes is kept; nothing is committed. The USPSTF copyright notice (see source core:uspstf-about) lets the public reproduce USPSTF work only without changes, except as fair use, and asks that the USPSTF page be cited. That is not clear permission to repost wording, so public text is cite_only: public pages state the recommendation in the atlas's own words, with a citation and a link. The notice also says the work may not be sold for profit or folded into a profit-making venture without written permission from AHRQ (see source cardio:uspstf-copyright-notice, fetched 2026-10-15). Whether the atlas counts as such a venture is not settled here, so every USPSTF fact is kept in the atlas's own words. Quote rows from the abstract are short evidence fragments for the reviewer, and the USPSTF page is quoted only for its date line.",
            "public_text": "cite_only"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, RECOMMENDATION, sentence 2",
          "applicability_note": "The I statement label.",
          "snapshot": {
            "id": "cardio:pubmed-35076659-2026-10-15",
            "retrieved_at": "2026-10-15T13:48:56Z",
            "content_hash": "b6eca7cc7d6b7dbcbcad87b38e8110eda733e7a3b44642b6f83a720a3fab9b51",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:uspstf-2022-af-screening",
            "source_type": "guideline",
            "title": "Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement",
            "canonical_url": "https://doi.org/10.1001/jama.2021.23732",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1001/jama.2021.23732",
                "normalized_value": "10.1001/jama.2021.23732",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "35076659",
                "normalized_value": "35076659",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2022-01-25",
            "publisher": "JAMA",
            "edition": "Recommendation statement published in JAMA 2022;327(4):360-367. PubMed abstract and bibliographic data, plus the date line of the USPSTF recommendation page (both fetched 2026-10-15). The full statement and the evidence review were not read. PubMed lists no correction to the statement.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities on 2026-10-15. Only the hash of the bytes is kept; nothing is committed. The USPSTF copyright notice (see source core:uspstf-about) lets the public reproduce USPSTF work only without changes, except as fair use, and asks that the USPSTF page be cited. That is not clear permission to repost wording, so public text is cite_only: public pages state the recommendation in the atlas's own words, with a citation and a link. The notice also says the work may not be sold for profit or folded into a profit-making venture without written permission from AHRQ (see source cardio:uspstf-copyright-notice, fetched 2026-10-15). Whether the atlas counts as such a venture is not settled here, so every USPSTF fact is kept in the atlas's own words. Quote rows from the abstract are short evidence fragments for the reviewer, and the USPSTF page is quoted only for its date line.",
            "public_text": "cite_only"
          }
        },
        {
          "evidence_role": "supports",
          "locator": "Abstract, EVIDENCE ASSESSMENT, sentence 1",
          "applicability_note": "Evidence is lacking; the balance cannot be determined.",
          "snapshot": {
            "id": "cardio:pubmed-35076659-2026-10-15",
            "retrieved_at": "2026-10-15T13:48:56Z",
            "content_hash": "b6eca7cc7d6b7dbcbcad87b38e8110eda733e7a3b44642b6f83a720a3fab9b51",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:uspstf-2022-af-screening",
            "source_type": "guideline",
            "title": "Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement",
            "canonical_url": "https://doi.org/10.1001/jama.2021.23732",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1001/jama.2021.23732",
                "normalized_value": "10.1001/jama.2021.23732",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "35076659",
                "normalized_value": "35076659",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2022-01-25",
            "publisher": "JAMA",
            "edition": "Recommendation statement published in JAMA 2022;327(4):360-367. PubMed abstract and bibliographic data, plus the date line of the USPSTF recommendation page (both fetched 2026-10-15). The full statement and the evidence review were not read. PubMed lists no correction to the statement.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities on 2026-10-15. Only the hash of the bytes is kept; nothing is committed. The USPSTF copyright notice (see source core:uspstf-about) lets the public reproduce USPSTF work only without changes, except as fair use, and asks that the USPSTF page be cited. That is not clear permission to repost wording, so public text is cite_only: public pages state the recommendation in the atlas's own words, with a citation and a link. The notice also says the work may not be sold for profit or folded into a profit-making venture without written permission from AHRQ (see source cardio:uspstf-copyright-notice, fetched 2026-10-15). Whether the atlas counts as such a venture is not settled here, so every USPSTF fact is kept in the atlas's own words. Quote rows from the abstract are short evidence fragments for the reviewer, and the USPSTF page is quoted only for its date line.",
            "public_text": "cite_only"
          }
        },
        {
          "evidence_role": "context",
          "locator": "Abstract, POPULATION, sentence 1",
          "applicability_note": "Adults 50 or older without AF diagnosis or symptoms and without a past TIA or stroke.",
          "snapshot": {
            "id": "cardio:pubmed-35076659-2026-10-15",
            "retrieved_at": "2026-10-15T13:48:56Z",
            "content_hash": "b6eca7cc7d6b7dbcbcad87b38e8110eda733e7a3b44642b6f83a720a3fab9b51",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:uspstf-2022-af-screening",
            "source_type": "guideline",
            "title": "Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement",
            "canonical_url": "https://doi.org/10.1001/jama.2021.23732",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1001/jama.2021.23732",
                "normalized_value": "10.1001/jama.2021.23732",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "35076659",
                "normalized_value": "35076659",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2022-01-25",
            "publisher": "JAMA",
            "edition": "Recommendation statement published in JAMA 2022;327(4):360-367. PubMed abstract and bibliographic data, plus the date line of the USPSTF recommendation page (both fetched 2026-10-15). The full statement and the evidence review were not read. PubMed lists no correction to the statement.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities on 2026-10-15. Only the hash of the bytes is kept; nothing is committed. The USPSTF copyright notice (see source core:uspstf-about) lets the public reproduce USPSTF work only without changes, except as fair use, and asks that the USPSTF page be cited. That is not clear permission to repost wording, so public text is cite_only: public pages state the recommendation in the atlas's own words, with a citation and a link. The notice also says the work may not be sold for profit or folded into a profit-making venture without written permission from AHRQ (see source cardio:uspstf-copyright-notice, fetched 2026-10-15). Whether the atlas counts as such a venture is not settled here, so every USPSTF fact is kept in the atlas's own words. Quote rows from the abstract are short evidence fragments for the reviewer, and the USPSTF page is quoted only for its date line.",
            "public_text": "cite_only"
          }
        },
        {
          "evidence_role": "context",
          "locator": "Page header, date line of the final recommendation statement",
          "applicability_note": "Date of the final statement.",
          "snapshot": {
            "id": "cardio:uspstf-af-page-2026-10-15",
            "retrieved_at": "2026-10-15T13:55:02Z",
            "content_hash": "6ffd2cc2c0ec40a3ad29ec16eb7fc53d39466663bb1d3e28d75559568a4a7ba2",
            "source_effective_date": null,
            "public_archive_url": null,
            "source_state": "current"
          },
          "source": {
            "id": "cardio:uspstf-2022-af-screening",
            "source_type": "guideline",
            "title": "Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement",
            "canonical_url": "https://doi.org/10.1001/jama.2021.23732",
            "identifiers": [
              {
                "scheme": "doi",
                "value": "10.1001/jama.2021.23732",
                "normalized_value": "10.1001/jama.2021.23732",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              },
              {
                "scheme": "pmid",
                "value": "35076659",
                "normalized_value": "35076659",
                "match": "exact",
                "version": null,
                "label": null,
                "from_source": false
              }
            ],
            "publication_date": "2022-01-25",
            "publisher": "JAMA",
            "edition": "Recommendation statement published in JAMA 2022;327(4):360-367. PubMed abstract and bibliographic data, plus the date line of the USPSTF recommendation page (both fetched 2026-10-15). The full statement and the evidence review were not read. PubMed lists no correction to the statement.",
            "reuse_basis": "PubMed record fetched through NCBI E-utilities on 2026-10-15. Only the hash of the bytes is kept; nothing is committed. The USPSTF copyright notice (see source core:uspstf-about) lets the public reproduce USPSTF work only without changes, except as fair use, and asks that the USPSTF page be cited. That is not clear permission to repost wording, so public text is cite_only: public pages state the recommendation in the atlas's own words, with a citation and a link. The notice also says the work may not be sold for profit or folded into a profit-making venture without written permission from AHRQ (see source cardio:uspstf-copyright-notice, fetched 2026-10-15). Whether the atlas counts as such a venture is not settled here, so every USPSTF fact is kept in the atlas's own words. Quote rows from the abstract are short evidence fragments for the reviewer, and the USPSTF page is quoted only for its date line.",
            "public_text": "cite_only"
          }
        }
      ],
      "review": {
        "content_digest": "76ede2d5dadd6fb5363a4327de001ad56e076deb815ee29b618ad545ecbf6deb",
        "current": [],
        "conflicting": [],
        "stale": [],
        "inactive": []
      },
      "api_path": "api/v1/claims/cardio--claim-uspstf-2022-af-screening-i.json"
    }
  ],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "authored_by",
        "label": "Issuer: the Task Force is named as the author in the PubMed record",
        "clinical_claim_not_fact": false,
        "family": "sourced",
        "other_entity_id": "core:uspstf",
        "other_entity_in_atlas": true,
        "claim_id": null,
        "evidence": {
          "snapshot_id": "cardio:pubmed-35076659-2026-10-15",
          "locator": "AuthorList, CollectiveName"
        },
        "primary": false,
        "role": null,
        "valid_from": null,
        "valid_to": null
      }
    ],
    "incoming": []
  },
  "page_path": "guidelines/guideline-uspstf-2022-af-screening/",
  "context_path": "api/v1/context/cardio--guideline-uspstf-2022-af-screening.md"
}