How can an AAA screening program be implemented in Germany?: English version

Background Screening programs are currently of crucial importance in health politics. Large international studies of abdominal aortic aneurysm (AAA) screening programs have shown a significant decrease in aneurysm-related mortality. In view of these findings, AAA screening programs have been implemented in a number of countries using various healthcare infrastructures. Aim A screening program is also needed in Germany; however, the implementation of such a program depends on a variety of factors. This article presents the healthcare system in Germany and compares it with countries that have already established AAA screening programs. A comparative analysis of factors influencing the possible prerequisites to introducing an AAA screening program in Germany was carried out. Material and methods A nationwide written survey of 2000 representatively chosen German family practitioners was carried out in order to evaluate their knowledge of AAAs, the availability of ultrasound devices, and their motivation to perform screening. Results The majority of German family practitioners possess the required knowledge of AAAs and the ultrasound skills to perform screening. In addition, more than two thirds had an ultrasound device at their disposal. Most practitioners were confident about performing screening and would participate in a nationwide AAA screening program. Conclusion The prerequisites for the nationwide implementation of an AAA screening program performed with the help of general practitioners are fulfilled in terms of knowledge, motivation, and ultrasound availability. Implementation at the general practitioner level seems to be advantageous given the lower logistical and financial expenditure involved compared with foreign AAA screening programs.