Decision analysis and its application in clinical medicine

被引：9

作者：

Sarasin, FP ^{[1
]}

机构：

[1] Hop Cantonal Geneva, Dept Internal Med, CH-1211 Geneva 14, Switzerland

来源：

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2001年 / 94卷 / 02期

关键词：

decision analysis; decision tree; life expectancy; quality-adjusted life expectancy; cost-effectiveness analysis;

D O I：

10.1016/S0301-2115(00)00299-2

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Decision analysis is increasingly used to address difficult medical problems. Case-by-case models designed for individual patients facing complex trade-offs in their medical care often help individual clinical decision making, but are expensive and time consuming. On the other hand, generic models addressing broad clinical questions that can be adapted from one patient to another, can often make valid projections about specific outcomes, such as life expectancy. quality-adjusted life expectancy, and cost-effectiveness issues, and represent a useful approach to clinical decision making. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：172 / 179

页数：8

共 56 条

[1] MEDICAL-PRACTICE GUIDELINES - CURRENT ACTIVITIES AND FUTURE-DIRECTIONS [J].

AUDET, AM ;

GREENFIELD, S ;

FIELD, M .

ANNALS OF INTERNAL MEDICINE, 1990, 113 (09) :709-714

[2] A CONVENIENT APPROXIMATION OF LIFE EXPECTANCY (THE DEALE) .2. USE IN MEDICAL DECISION-MAKING [J].

BECK, JR ;

PAUKER, SG ;

GOTTLIEB, JE ;

KLEIN, K ;

KASSIRER, JP .

AMERICAN JOURNAL OF MEDICINE, 1982, 73 (06) :889-897

[3] Estimates of the cost-effectiveness of a single course of interferon-alpha 2b in patients with histologically mild chronic hepatitis C [J].

Bennett, WG ;

Inoue, Y ;

Beck, JR ;

Wong, JB ;

Pauker, SG ;

Davis, GL .

ANNALS OF INTERNAL MEDICINE, 1997, 127 (10) :855-+

[4] Prospective evaluation of an index for predicting the risk of major bleeding in outpatients treated with warfarin [J].

Beyth, RJ ;

Quinn, LM ;

Landefeld, CS .

AMERICAN JOURNAL OF MEDICINE, 1998, 105 (02) :91-99

[5] WHOSE UTILITIES FOR DECISION-ANALYSIS [J].

BOYD, NF ;

SUTHERLAND, HJ ;

HEASMAN, KZ ;

TRITCHLER, DL ;

CUMMINGS, BJ .

MEDICAL DECISION MAKING, 1990, 10 (01) :58-67

[6] Patient-specific decisions about hormone replacement therapy in postmenopausal women [J].

Col, NF ;

Eckman, MH ;

Karas, RH ;

Pauker, SG ;

Goldberg, RJ ;

Ross, EM ;

Orr, RK ;

Wong, JB .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (14) :1140-1147

[7] CLINICAL VERSUS ACTUARIAL JUDGMENT [J].

DAWES, RM ;

FAUST, D ;

MEEHL, PE .

SCIENCE, 1989, 243 (4899) :1668-1674

[8] Primer on medical decision analysis .2. Building a tree [J].

Detsky, AS ;

Naglie, G ;

Krahn, MD ;

Redelmeier, DA ;

Naimark, D .

MEDICAL DECISION MAKING, 1997, 17 (02) :126-135

[9] A CLINICIAN GUIDE TO COST-EFFECTIVENESS ANALYSIS [J].

DETSKY, AS ;

NAGLIE, IG .

ANNALS OF INTERNAL MEDICINE, 1990, 113 (02) :147-154

[10] Primer on medical decision analysis .1. Getting started [J].

Detsky, AS ;

Naglie, G ;

Krahn, MD ;

Naimark, D ;

Redelmeier, DA .

MEDICAL DECISION MAKING, 1997, 17 (02) :123-125

← 1 2 3 4 5 6 →