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?

W. Scott Richardson; Allan S Detsky; Gordon Guyatt; Deborah Cook; Hertzel Gerstein; Robert Hayward; Anne Holbrook; Roman Jaeschke; Elizabeth Juniper; Mitchell Levine; David Naylor; Andrew Oxman; David Sackett; Sean Tunis; Stephen Walter; John Williams Jr; Mark Wilson

doi:10.1001/jama.1995.03520440064038

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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?

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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?

W. Scott Richardson, Allan S Detsky, Gordon Guyatt, Deborah Cook, Hertzel Gerstein, Robert Hayward, Anne Holbrook, Roman Jaeschke, Elizabeth Juniper, Mitchell Levine, …

JAMA : the journal of the American Medical Association, Vol.273(20), pp.1610-1613

05/24/1995

DOI: 10.1001/jama.1995.03520440064038

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Abstract

YOU RECALL from the first of our two articles concerning clinical decision analysis1 that your patient is a middle-aged man with heart failure from an idiopathic dilated cardiomyopathy. You are trying to decide whether to recommend anticoagulation with warfarin to prevent systemic or pulmonary thromboembolism. Your literature search showed that no randomized clinical trials of warfarin for this use have been published. The search did discover a clinical decision analysis,2 and in the first article, we showed you how to evaluate its validity. In this article, we will show you how to interpret the results and generalizability of a clinical decision analysis (Table).As shown in the Figure, decision trees are displayed graphically, oriented from left to right, with the decision to be analyzed on the left, the compared strategies in the center, and the clinical outcomes on the right. The square box, termed a "decision node," represents

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Title: Subtitle: 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?
Creators: W. Scott Richardson - University of Rochester
Allan S Detsky - University of Toronto
Gordon Guyatt
Deborah Cook
Hertzel Gerstein
Robert Hayward
Anne Holbrook
Roman Jaeschke
Elizabeth Juniper
Mitchell Levine
David Naylor
Andrew Oxman
David Sackett
Sean Tunis
Stephen Walter
John Williams Jr
Mark Wilson
Resource Type: Journal article
Publication Details: JAMA : the journal of the American Medical Association, Vol.273(20), pp.1610-1613
Publisher: American Medical Association
DOI: 10.1001/jama.1995.03520440064038
ISSN: 0098-7484
eISSN: 1538-3598
Language: English
Date published: 05/24/1995
Academic Unit: General Internal Medicine; Internal Medicine; Medicine Administration
Record Identifier: 9984359686002771

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