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Authors: Gottfried Endel
Internal reviewers: Wilhelm Donner, Scott Goulden, Grace Jennings, Paolo Giorgi Rossi, Ingrid Wilbacher, Claudia Wild
Analysing the question shows that the main issue is in “organised population” screening (see PICO question). This implies the responsibility of the healthcare system (authority) for a recommendation. In most settings the “standard mode of care” means AAAs are found by accident or at a symptomatic stage. Healthcare providers may counsel individuals at high risk but there is no strong guidance and therefore high variability can be assumed.
The AAA screening survey (see current use domain) shows that only Sweden provides organised AAA screening programme. Lithuania describes the situation as an opportunistic one. The description resembles the answer of Spain. In CUR7 the UK NHS is cited as having an organised screening tool. In most countries organised population-based screening would be a new proposal.
Ultrasound examinations of the abdomen are well established in all healthcare systems. The new items therefore would be the
As proposed in the section on quality assessment tools and criteria for this question a score using the four ethical dimensions should be collected.
The general approach on the EU level has to be put into operation at the local level. This could be done using an interactive participatory approach to HTA.