PMID: 2106544Mar 15, 1990Paper

Decision analysis in clinical cardiology: when is coronary angiography required in aortic stenosis?

Journal of the American College of Cardiology
S GeorgesonS G Pauker

Abstract

Decision analysis offers a reproducible, explicit approach to complex clinical decisions. It consists of developing a model, typically a decision tree, that separates choices from chances and that specifies and assigns relative values to outcomes. Sensitivity analysis allows exploration of alternative assumptions. Cost-effectiveness analysis shows the relation between dollars spent and improved health outcomes achieved. In a tutorial format, this approach is applied to the decision whether to perform coronary angiography in a patient who requires aortic valve replacement for critical aortic stenosis.

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Mar 1, 1997·Journal of the American College of Cardiology·B F StewartC M Otto
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