Decision analysis and Alzheimer disease: Three case studies

被引:7
作者
Holtzman, S
Ozanne, E
Carone, B
Goldstein, MK
Steinke, G
Timbs, J
机构
[1] Entelos Inc, Menlo Park, CA 94025 USA
[2] Stanford Univ, Dept Engn Econ Syst & Operat Res, Stanford, CA 94305 USA
[3] Vet Affairs Palo Alto Hlth Care Syst, Palo Alto, CA 94304 USA
[4] Stanford Univ, Sch Med, Stanford, CA 94305 USA
[5] Santa Clara Valley Med Ctr, Santa Clara, CA 95128 USA
[6] Alzheimers Assoc Greater San Francisco Bay Area, San Francisco, CA 94022 USA
来源
GENETIC TESTING | 1999年 / 3卷 / 01期
关键词
D O I
10.1089/gte.1999.3.71
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Decision analysis may be useful to people facing Alzheimer disease (AD) decisions. The use of decision analysis in three such cases is reported. The first case involved a middle-aged person worried about early-onset AD and deciding whether to seek genetic testing. The analysis let the participant reject testing and consider innovative care options. The second case involved a middle-aged person concerned about later onset AD. The analysis for her was more complex, and led to the assignment of some limited value on genetic testing for her. The third case revolved around a caregiver's treatment decisions for a patient with severe AD. It led her to recognize the importance of factors she had not previously considered. In each of the three cases, the intensive process of decision analysis appears to have improved the subject's decision.
引用
收藏
页码:71 / 83
页数:13
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