Decision analysis: Difference between revisions

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{{ dambigbox| Decision analysis | Analysis }}
{{Image|Decision analysis example.gif|right|350px|An example of a decision tree for a decision analysis.}}
'''Decision analysis''' is a formal method for modeling complex decisions in order to quantitatively compare choices.<ref name="pmid1530694">{{cite journal |author=Thornton JG, Lilford RJ, Johnson N |title=Decision analysis in medicine |journal=BMJ (Clinical research ed.) |volume=304 |issue=6834 |pages=1099–103 |year=1992 |month=April |pmid=1530694 |pmc=1881931 |doi= |url= |issn=}} [http://www.pubmedcentral.nih.gov/pagerender.fcgi?artid=1881931 PubMed Central]</ref><ref name="pmid3541727">{{cite journal |author=Kassirer JP, Moskowitz AJ, Lau J, Pauker SG |title=Decision analysis: a progress report |journal=Annals of Internal Medicine |volume=106 |issue=2 |pages=275–91 |year=1987 |month=February |pmid=3541727 |doi= |url= |issn=}}</ref><ref name="pmid3796704">{{cite journal |author=Sox HC |title=Decision analysis: a basic clinical skill? |journal=The New England Journal of Medicine |volume=316 |issue=5 |pages=271–2 |year=1987 |month=January |pmid=3796704 |doi= |url= |issn=}}</ref><ref name="pmid3540670">{{cite journal |author=Pauker SG, Kassirer JP |title=Decision analysis |journal=The New England Journal of Medicine |volume=316 |issue=5 |pages=250–8 |year=1987 |month=January |pmid=3540670 |doi= |url= |issn=}}</ref><ref name="isbn0-7216-9166-8">{{cite book |author=Fineberg, Harvey V.; Weinstein, Milton C. |authorlink= |editor= |others= |title=Clinical decision analysis |edition= |language= |publisher=Saunders |location=Philadelphia |year=1980 |origyear= |pages= |quote= |isbn=0-7216-9166-8 |oclc= |doi= |url= |accessdate=}}</ref>
'''Decision analysis''' is a formal method for modeling complex decisions in order to quantitatively compare choices.<ref name="pmid1530694">{{cite journal |author=Thornton JG, Lilford RJ, Johnson N |title=Decision analysis in medicine |journal=BMJ (Clinical research ed.) |volume=304 |issue=6834 |pages=1099–103 |year=1992 |month=April |pmid=1530694 |pmc=1881931 |doi= |url= |issn=}} [http://www.pubmedcentral.nih.gov/pagerender.fcgi?artid=1881931 PubMed Central]</ref><ref name="pmid3541727">{{cite journal |author=Kassirer JP, Moskowitz AJ, Lau J, Pauker SG |title=Decision analysis: a progress report |journal=Annals of Internal Medicine |volume=106 |issue=2 |pages=275–91 |year=1987 |month=February |pmid=3541727 |doi= |url= |issn=}}</ref><ref name="pmid3796704">{{cite journal |author=Sox HC |title=Decision analysis: a basic clinical skill? |journal=The New England Journal of Medicine |volume=316 |issue=5 |pages=271–2 |year=1987 |month=January |pmid=3796704 |doi= |url= |issn=}}</ref><ref name="pmid3540670">{{cite journal |author=Pauker SG, Kassirer JP |title=Decision analysis |journal=The New England Journal of Medicine |volume=316 |issue=5 |pages=250–8 |year=1987 |month=January |pmid=3540670 |doi= |url= |issn=}}</ref><ref name="isbn0-7216-9166-8">{{cite book |author=Fineberg, Harvey V.; Weinstein, Milton C. |authorlink= |editor= |others= |title=Clinical decision analysis |edition= |language= |publisher=Saunders |location=Philadelphia |year=1980 |origyear= |pages= |quote= |isbn=0-7216-9166-8 |oclc= |doi= |url= |accessdate=}}</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>
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>


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= |url= |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= |url= |issn=}}</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>


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>
Decision analyses may be able to predict the results of subsequent [[randomized controlled trial]]s.<ref name="pmid17466659">{{cite journal| author=Bress JN, Hulgan T, Lyon JA, Johnston CP, Lehmann H, Sterling TR| title=Agreement of decision analyses and subsequent clinical studies in infectious diseases. | journal=Am J Med | year= 2007 | volume= 120 | issue= 5 | pages= 461.e1-9 | pmid=17466659
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=17466659 | doi=10.1016/j.amjmed.2006.08.032 | pmc=PMC1909755 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></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=badgett@uthscdsa.edu&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>


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>
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* [http://cisnet.cancer.gov/ Cancer Intervention and Surveillance Modeling Network (CISNET)]
* [http://cisnet.cancer.gov/ Cancer Intervention and Surveillance Modeling Network (CISNET)]
* [http://gunston.gmu.edu/healthscience/730/default.asp Decision Analysis in Health Care] Online course from George Mason University providing free lectures and tools for decision analysis modeling in health care settings.
* [http://gunston.gmu.edu/healthscience/730/default.asp Decision Analysis in Health Care] Online course from George Mason University providing free lectures and tools for decision analysis modeling in health care settings.
* [http://www.smdm.org/ Society for Medical Decision Making]
* [http://www.smdm.org/ Society for Medical Decision Making][[Category:Suggestion Bot Tag]]

Latest revision as of 11:01, 5 August 2024

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This article is about Decision analysis. For other uses of the term Analysis , please see Analysis (disambiguation).
An example of a decision tree for a decision analysis.

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]

Decision analyses may be able to predict the results of subsequent randomized controlled trials.[8]

The use of decision analysis may improve the validity of clinical practice guidelines.[9]

Interpretation

Guidelines on interpreting a decision analysis in health care are available.[10][11]

Methods for teaching understanding of decision analysis have been developed.[12]

References

  1. ↑ 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
  2. ↑ 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]
  3. ↑ Sox HC (January 1987). "Decision analysis: a basic clinical skill?". The New England Journal of Medicine 316 (5): 271–2. PMID 3796704. [e]
  4. ↑ Pauker SG, Kassirer JP (January 1987). "Decision analysis". The New England Journal of Medicine 316 (5): 250–8. PMID 3540670. [e]
  5. ↑ Fineberg, Harvey V.; Weinstein, Milton C. (1980). Clinical decision analysis. Philadelphia: Saunders. ISBN 0-7216-9166-8. 
  6. ↑ Anonymous (2024), Decision tree (English). Medical Subject Headings. U.S. National Library of Medicine.
  7. ↑ 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]
  8. ↑ Bress JN, Hulgan T, Lyon JA, Johnston CP, Lehmann H, Sterling TR (2007). "Agreement of decision analyses and subsequent clinical studies in infectious diseases.". Am J Med 120 (5): 461.e1-9. DOI:10.1016/j.amjmed.2006.08.032. PMID 17466659. PMC PMC1909755. Research Blogging.
  9. ↑ 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.
  10. ↑ 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.
  11. ↑ 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.
  12. ↑ 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.

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