Can Abdominal Aorta Aneurysm Screening entail special challenges/risk that the patient/person needs to be informed of?
Authors: Gottfried Endel
Internal reviewers: Wilhelm Donner, Scott Goulden, Grace Jennings, Paolo Giorgi Rossi, Ingrid Wilbacher, Claudia Wild
For each medical intervention informed consent is necessary. The common quality framework for SSGIs shows the responsibilities of a public authority in this context. So the information materials needed for informed consent should be provided by this authority. They should not only cover information on the ultrasound test but also on subsequent management in case of a positive finding. It should thus be possible to reach an informed decision about the test and about the subsequent management. This includes all activities in the field of quality management and evaluation – with a special focus on data use (data protection rights).
Respect for autonomy: organised population screening does not threaten autonomy. The issuer of the recommendation has the responsibility to inform potential participants as comprehensively and extensively as possible
Non-maleficence: information should include the following management and aspects of data use
Beneficence: balancing risks and cost with potential benefits can only be done at the local level (information on cost is local). Organisational aspects are important
Justice: In this question the domain of justice addresses not only the test procedure but also organisational aspects especially in evaluation
The information provided should be as comprehensive and as extensive as possible. The (political) accountability in the field of SSGIs, data protection issues and the local cultural background have the most impact. See SOC5 with regard to positive or negative emotional reactions of screening subjects. Due to differences in local cultural background it can be expected that these reactions will differ.
Endel G Result Card ETH4 In: Endel G Ethical analysis In: Jefferson T, Vicari N, Frønsdal K [eds.]. Abdominal Aorta Aneurysm Screening [Core HTA], Agenzia nationale per i servizi sanitari regionali (age.na.s), Italy; 2013. [cited 30 June 2022]. Available from: http://corehta.info/ViewCover.aspx?id=106