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Ann Thorac Surg 1998;66:1884-1885
© 1998 The Society of Thoracic Surgeons

Invited Commentary

Gerard A. Silvestri, MDa

a Division of Pulmonary and Critical Care, Medical University of South Carolina, Room #812-CSB, 171 Ashley Ave, Charleston, SC 29425, USA

Invited commentary

The use of decision analysis is increasing in the surgical literature [1]. Because this method of research may be unfamiliar to clinicians, it is worthwhile to review the technique of decision analysis before commenting on this study. Decision analysis is useful when it is desirable to quantitatively compare alternative treatment strategies. As pointed out by Berkmeyer and Welch in their article, "A Reader’s Guide to Surgical Decision Analysis" [2], there are four basic components to a decision analysis. The first is the decision model, which specifies the alternative strategies and the outcomes associated with each strategy. Second, probabilities for each of these outcomes are estimated from the best available literature and assigned to each decision point in the model. Third, a value such as cost, patient preference, life expectancy, or quality adjusted life expectancy is . . . [Full Text of this Article]


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Ann. Thorac. Surg. 1998 66: 1876-1883. [Abstract] [Full Text] [PDF]





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