Prof. Dr. R.T. Grundmann
In: "Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms", book edited by R.T. Grundmann, ISBN 978-953-307-466-5, Published: September 12, 2011 under CC BY-NC-SA 3.0 license
Mass screening is claimed for finding a disease in which symptoms are not yet occurred. The indication for such an examination is given if the early detection of the disease allows treatment with lower morbidity and mortality than treatment at an advanced stage. In addition, the long-term prognosis of the patients must be considered. Screening makes only sense if the overall mortality of a specific population can be diminished by the diagnostic and therapeutic measures. In assessing the screening for an asymptomatic abdominal aortic aneurysm (AAA) that has to be treated surgically to avoid the rupture of the AAA with its associated high fatality rate, the expected extension of life should be weighed against the risk of surgery.