Clinical decision analysis by personal computer.
Clinical decision analysis by personal computer.
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通过个人计算机进行临床决策分析。
DOI：
10.1001/archinte.141.13.1831
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发表时间：
1981
影响因子：
--
通讯作者：
J. Kassirer
中科院分区：
文献类型：
--
作者：
S. Pauker;J. Kassirer
决策分析是一种有用的临床工具，但医生的计算负担是其应用的主要障碍。我们已经开发了一个计算机程序，在个人电脑上实现，指导医生在构建和分析决策树，并简化了敏感性分析的性能，评估的过程中使用的概率和效用数据的分析。高级医师，专科研究员，内务部工作人员和学生使用这个程序来分析复杂的病人治疗问题。由于计算负担从医生转移到计算机，一个临床变量（例如，给定疾病存在的机会）和另一个（例如，治疗的风险）之间的权衡可以快速方便地评估。这种能力提供了通过先前可用的方法很难获得的临床见解。
Decision analysis is a useful clinical tool, but the calculational burden placed on the physician is a major impediment to its application. We have developed a computer program, implemented on a personal computer, that guides the physician in constructing and analyzing decision trees and simplifies the performance of sensitivity analysis, the process that assesses the probability and utility data used in an analysis. Senior physicians, subspecialty fellows, house staff, and students have used this program to analyze complex patient treatment problems. Because the calculational burden is shifted from physician to computer, trade-offs between one clinical variable (eg, the chance that a given disease is present) and another (eg, the risk of treatment) can be rapidly conveniently assessed. This capability provides clinical insights that can be obtained only with great difficulty by previously available methods.