Decision analysis in endocrinology and metabolism

N. R. Powe, M. D. Danese, Paul W Ladenson

Research output: Contribution to journalArticle

Abstract

Decision analysis is a powerful tool for synthesizing and analyzing clinical decisions in the practice of endocrinology and metabolism. The technique involves defining strategies for comparison, choosing a time horizon, constructing a decision tree and model, selecting outcomes and assigning probabilities, taking into account the value of time, calculating the net clinical and cost outcomes, and performing sensitivity analysis. This technique and its utility for different populations and changing health care settings are illustrated for the decision of screening for mild thyroid failure with a thyroid-stimulating hormone assay at the periodic health examination. The strengths and limitations of decision analysis and future applications in endocrinology and metabolism are explored.

Original languageEnglish (US)
Pages (from-to)89-111
Number of pages23
JournalEndocrinology and Metabolism Clinics of North America
Volume26
Issue number1
DOIs
StatePublished - 1997

Fingerprint

Endocrinology
Decision Support Techniques
Decision theory
Metabolism
Decision Trees
Thyrotropin
Decision trees
Health care
Sensitivity analysis
Assays
Screening
Thyroid Gland
Health
Delivery of Health Care
Costs and Cost Analysis
Population
Costs

ASJC Scopus subject areas

  • Endocrinology
  • Biochemistry

Cite this

Decision analysis in endocrinology and metabolism. / Powe, N. R.; Danese, M. D.; Ladenson, Paul W.

In: Endocrinology and Metabolism Clinics of North America, Vol. 26, No. 1, 1997, p. 89-111.

Research output: Contribution to journalArticle

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