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Title: Decision analysis in clinical cardiology: When is coronary angiography required in aortic stenosis

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.
Authors:
; ;  [1]
  1. (Tufts Univ. School of Medicine, Boston, MA (USA))
Publication Date:
OSTI Identifier:
6854826
Resource Type:
Journal Article
Resource Relation:
Journal Name: Journal of the American College of Cardiology; (USA); Journal Volume: 15:4
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CARDIOVASCULAR DISEASES; DIAGNOSIS; HEART; BIOMEDICAL RADIOGRAPHY; AORTA; CORONARIES; COST BENEFIT ANALYSIS; DECISION MAKING; THALLIUM ISOTOPES; VASODILATORS; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR AGENTS; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DISEASES; DRUGS; ISOTOPES; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOLOGY 550601* -- Medicine-- Unsealed Radionuclides in Diagnostics