Skip to main content

Decision Analytic Techniques and Other Decision Processes

  • Chapter
  • First Online:
Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

  • 590 Accesses

Abstract

Clinical decision making is complex and guided by a number of factors including medical evidence, personal experience and intuition. “Decision analysis” is a process that provides a framework for examining the clinical scenario, synthesizing the available evidence, and providing a recommendation for action. Decision analysis techniques are increasingly used in clinical medicine to develop health policy, clinical algorithms, and for cost-effectiveness analysis. An overview of the techniques, interpretation, and application of decision analysis is presented here.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Elwyn G, Edwards A, Eccles M, Rovner D. Decision analysis in patient care. Lancet. 2001;358:571–4.

    Article  CAS  Google Scholar 

  2. Richardson WS, Detsky AS. 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. 1995;273:1610–3.

    Article  CAS  Google Scholar 

  3. Ferguson MK. Optimal management when unsuspected N2 nodal disease is identified during thoracotomy for lung cancer: cost-effectiveness analysis. J Thorac Cardiovasc Surg. 2003;126:1935–42.

    Article  Google Scholar 

  4. Ferguson MK, Lehman AG. Sleeve lobectomy or pneumonectomy: optimal management strategy using decision analysis techniques. Ann Thorac Surg. 2003;76:1782–8.

    Article  Google Scholar 

  5. Tsushima Y, Endo K. Analysis models to assess cost effectiveness of the four strategies for the work-up of solitary pulmonary nodules. Med Sci Monit. 2004;10:MT65–72.

    PubMed  Google Scholar 

  6. Puri V, Crabtree TD, Kymes S, et al. A comparison of surgical intervention and stereotactic body radiation therapy for stage I lung cancer in high-risk patients: a decision analysis. J Thorac Cardiovasc Surg. 2012;143:428–36.

    Article  Google Scholar 

  7. Puri V, Pyrdeck TL, Crabtree TD, et al. Treatment of malignant pleural effusion: a cost-effectiveness analysis. Ann Thorac Surg. 2012;94(2):374–80.

    Article  Google Scholar 

  8. Shah A, Hahn SM, Stetson RL, et al. Cost-effectiveness of stereotactic body radiation therapy versus surgical resection for stage I non-small cell lung cancer. Cancer. 2013;119:3123–32.

    Article  Google Scholar 

  9. Meyers BF, Haddad F, Siegel BA, et al. Cost-effectiveness of routine mediastinoscopy in computed tomography- and positron emission tomography-screened patients with stage I lung cancer. J Thorac Cardiovasc Surg. 2006;131:822–9.

    Article  Google Scholar 

  10. Samson P, Patel A, Robinson CG, Morgensztern D, Chang SH, Colditz GA, Waqar S, Crabtree TD, Krupnick AS, Kreisel D, Patterson GA, Meyers BF, Puri V. The role of surgical resection in stage IIIA non-small cell lung cancer: a decision and cost-effectiveness analysis. Ann Thorac Surg. 2015;100(6):2026–32.

    Article  Google Scholar 

  11. Hu Y, Puri V, Shami VM, Stukenborg GJ, Kozower BD. Comparative effectiveness of esophagectomy versus endoscopic treatment for esophageal high-grade dysplasia. Ann Surg. 2016;263(4):719–26.

    Article  Google Scholar 

  12. Semenkovich TR, Panni RZ, Hudson JL, Thomas T, Elmore LC, Chang SH, Meyers BF, Kozower BD, Puri V. Comparative effectiveness of upfront esophagectomy versus induction chemoradiation in clinical stage T2N0 esophageal cancer: a decision analysis. J Thorac Cardiovasc Surg. 2018;155(5):2221–30.e1.

    Article  Google Scholar 

  13. Semenkovich TR, Meyers BF, Kozower BD, Puri V. The role of a decision analysis in treatment of T2N0 esophageal cancer. J Thorac Dis. 2018;10(Suppl 26):S3309–10.

    Article  Google Scholar 

  14. Hunink MGM. Elements of decision making in health care. In: Decision making in health and medicine. 1st ed. Cambridge: Cambridge University Press; 2001. p. 1–33.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Varun Puri .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Puri, V., Meyers, B.F. (2020). Decision Analytic Techniques and Other Decision Processes. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-47404-1_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-47404-1_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47403-4

  • Online ISBN: 978-3-030-47404-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics