Author + information
- Steven Georgeson, MD,
- Klemens B. Meyer, MD and
- Stephen G. Pauker, MD, FACC, FACP∗
- ↵∗Address for reprints: Stephen G. Pauker, MD, 750 Washington Street, Boston, Massachusetts 02111.
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.
Suzanne B. Knoebel, MD, FACC, Guest Editor
☆ This work was supported in part by Grants 5 RO1 LM04493-05 and 5 T15 LM07044-06 from the National Library of Medicine, Bethesda, Maryland, and Grant 87269-3H from the John A. Hartford Foundation, New York, New York.
☆☆ This article is part of a series of articles celebrating the 40th anniversary of the American College of Cardiology. The series attempts to set the stage for the future by describing current state of the art management of selected major cardiovascular problems and the basic knowledge that will provide directions for advances in diagnosis and therapy.
- Received December 4, 1989.
- Accepted December 20, 1989.