Decision analysis: Difference between revisions
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A decision tree is a "graphic device used in decision analysis, series of decision options are represented as branches (hierarchical)."<ref>{{MeSH|Decision tree}}</ref> | A decision tree is a "graphic device used in decision analysis, series of decision options are represented as branches (hierarchical)."<ref>{{MeSH|Decision tree}}</ref> | ||
An example of a decision analysis used in health care addresses screening for [[colorectal cancer]].<ref name="pmid18838717">{{cite journal |author=Zauber AG, Lansdorp-Vogelaar I, Knudsen AB, Wilschut J, van Ballegooijen M, Kuntz KM |title=Evaluating Test Strategies for Colorectal Cancer Screening: A Decision Analysis for the U.S. Preventive Services Task Force |journal=Annals of internal medicine |volume= |issue= |pages= |year=2008 |month=October |pmid=18838717 |doi= |url=http://www.annals.org/cgi/content/full/0000605-200811040-00244v1 |issn=}}</ref> | |||
The use of decision analysis may improve the validity of [[clinical practice guideline]]s.<ref name="pmid10605977">{{cite journal| author=Kuntz KM, Tsevat J, Weinstein MC, Goldman L| title=Expert panel vs decision-analysis recommendations for postdischarge coronary angiography after myocardial infarction. | journal=JAMA | year= 1999 | volume= 282 | issue= 23 | pages= 2246-51 | pmid=10605977 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&[email protected]&retmode=ref&cmd=prlinks&id=10605977 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
==Interpretation== | |||
Guidelines on interpreting a decision analysis in health care are available.<ref name="pmid7715043">{{cite journal |author=Richardson WS, Detsky AS |title=Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence-Based Medicine Working Group |journal=JAMA : the journal of the American Medical Association |volume=273 |issue=16 |pages=1292–5 |year=1995 |month=April |pmid=7715043 |doi=10.1001/jama.1995.03520400062046 |url=http://jama.ama-assn.org/cgi/content/summary/273/16/1292 |issn=}}</ref><ref name="pmid7745775">{{cite journal |author=Richardson WS, Detsky AS |title=Users' guides to the medical literature. VII. How to use a clinical decision analysis. B. What are the results and will they help me in caring for my patients? Evidence Based Medicine Working Group |journal=JAMA : the journal of the American Medical Association |volume=273 |issue=20 |pages=1610–3 |year=1995 |pmid=7745775 |doi=10.1001/jama.1995.03520440064038 |url=http://jama.ama-assn.org/cgi/content/summary/273/20/1610 |issn=}}</ref> | Guidelines on interpreting a decision analysis in health care are available.<ref name="pmid7715043">{{cite journal |author=Richardson WS, Detsky AS |title=Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence-Based Medicine Working Group |journal=JAMA : the journal of the American Medical Association |volume=273 |issue=16 |pages=1292–5 |year=1995 |month=April |pmid=7715043 |doi=10.1001/jama.1995.03520400062046 |url=http://jama.ama-assn.org/cgi/content/summary/273/16/1292 |issn=}}</ref><ref name="pmid7745775">{{cite journal |author=Richardson WS, Detsky AS |title=Users' guides to the medical literature. VII. How to use a clinical decision analysis. B. What are the results and will they help me in caring for my patients? Evidence Based Medicine Working Group |journal=JAMA : the journal of the American Medical Association |volume=273 |issue=20 |pages=1610–3 |year=1995 |pmid=7745775 |doi=10.1001/jama.1995.03520440064038 |url=http://jama.ama-assn.org/cgi/content/summary/273/20/1610 |issn=}}</ref> | ||
Methods for teaching understanding of decision analysis have been developed.<ref name="pmid19247720">{{cite journal |author=Lee A, Joynt GM, Ho AM, Keitz S, McGinn T, Wyer PC |title=Tips for teachers of evidence-based medicine: making sense of decision analysis using a decision tree |journal=J Gen Intern Med |volume=24 |issue=5 |pages=642–8 |year=2009 |month=May |pmid=19247720 |pmc=2669856 |doi=10.1007/s11606-009-0918-8 |url=http://dx.doi.org/10.1007/s11606-009-0918-8 |issn=}}</ref> | Methods for teaching understanding of decision analysis have been developed.<ref name="pmid19247720">{{cite journal |author=Lee A, Joynt GM, Ho AM, Keitz S, McGinn T, Wyer PC |title=Tips for teachers of evidence-based medicine: making sense of decision analysis using a decision tree |journal=J Gen Intern Med |volume=24 |issue=5 |pages=642–8 |year=2009 |month=May |pmid=19247720 |pmc=2669856 |doi=10.1007/s11606-009-0918-8 |url=http://dx.doi.org/10.1007/s11606-009-0918-8 |issn=}}</ref> |
Revision as of 07:08, 24 February 2010
Decision analysis is a formal method for modeling complex decisions in order to quantitatively compare choices.[1][2][3][4][5]
A decision tree is a "graphic device used in decision analysis, series of decision options are represented as branches (hierarchical)."[6]
An example of a decision analysis used in health care addresses screening for colorectal cancer.[7]
The use of decision analysis may improve the validity of clinical practice guidelines.[8]
Interpretation
Guidelines on interpreting a decision analysis in health care are available.[9][10]
Methods for teaching understanding of decision analysis have been developed.[11]
References
- ↑ Thornton JG, Lilford RJ, Johnson N (April 1992). "Decision analysis in medicine". BMJ (Clinical research ed.) 304 (6834): 1099–103. PMID 1530694. PMC 1881931. [e] PubMed Central
- ↑ Kassirer JP, Moskowitz AJ, Lau J, Pauker SG (February 1987). "Decision analysis: a progress report". Annals of Internal Medicine 106 (2): 275–91. PMID 3541727. [e]
- ↑ Sox HC (January 1987). "Decision analysis: a basic clinical skill?". The New England Journal of Medicine 316 (5): 271–2. PMID 3796704. [e]
- ↑ Pauker SG, Kassirer JP (January 1987). "Decision analysis". The New England Journal of Medicine 316 (5): 250–8. PMID 3540670. [e]
- ↑ Fineberg, Harvey V.; Weinstein, Milton C. (1980). Clinical decision analysis. Philadelphia: Saunders. ISBN 0-7216-9166-8.
- ↑ Anonymous (2024), Decision tree (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Zauber AG, Lansdorp-Vogelaar I, Knudsen AB, Wilschut J, van Ballegooijen M, Kuntz KM (October 2008). "Evaluating Test Strategies for Colorectal Cancer Screening: A Decision Analysis for the U.S. Preventive Services Task Force". Annals of internal medicine. PMID 18838717. [e]
- ↑ Kuntz KM, Tsevat J, Weinstein MC, Goldman L (1999). "Expert panel vs decision-analysis recommendations for postdischarge coronary angiography after myocardial infarction.". JAMA 282 (23): 2246-51. PMID 10605977.
- ↑ Richardson WS, Detsky AS (April 1995). "Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence-Based Medicine Working Group". JAMA : the journal of the American Medical Association 273 (16): 1292–5. DOI:10.1001/jama.1995.03520400062046. PMID 7715043. Research Blogging.
- ↑ Richardson WS, Detsky AS (1995). "Users' guides to the medical literature. VII. How to use a clinical decision analysis. B. What are the results and will they help me in caring for my patients? Evidence Based Medicine Working Group". JAMA : the journal of the American Medical Association 273 (20): 1610–3. DOI:10.1001/jama.1995.03520440064038. PMID 7745775. Research Blogging.
- ↑ Lee A, Joynt GM, Ho AM, Keitz S, McGinn T, Wyer PC (May 2009). "Tips for teachers of evidence-based medicine: making sense of decision analysis using a decision tree". J Gen Intern Med 24 (5): 642–8. DOI:10.1007/s11606-009-0918-8. PMID 19247720. PMC 2669856. Research Blogging.
External links
- Cancer Intervention and Surveillance Modeling Network (CISNET)
- Decision Analysis in Health Care Online course from George Mason University providing free lectures and tools for decision analysis modeling in health care settings.
- Society for Medical Decision Making