The technique of decision analysis is often applied to clinical policy and economic issues in surgery.
Because surgeons may be unfamiliar with such work, this article catalogues decision analysis studies in the surgical specialties.
We reviewed the medical literature (1966 to 1994) to identify surgical decision analysis studies and to assess trends over time.
Each article was categorized according to the type of journal (surgical, other clinical, or technical) in which it was published and content, including surgical specialty, clinical topic, article focus (individual patient decision making, clinical policy, or cost-effectiveness), and primary findings.
Publication rates of surgical decision analysis have increased dramatically over time.
Of the 86 total studies only six were published before 1980.
In contrast, 44 studies appeared between 1990 and 1994.
Although 77% were published in nonsurgical journals, decision analyses have begun to appear more regularly in surgical forums.
Studies addressing all of the surgical specialties were found, although more than one half addressed topics in general surgery (34%) or cardiothoracic surgery (22%). The most frequent topics were gallstones (11 articles), head and neck cancer (five articles), coronary artery disease (four articles), and cerebral arteriovenous malformations (four articles).
Articles focusing on clinical policy (i.e. (...)
Mots-clés Pascal : Chirurgie, Analyse décision, Critère décision, Pratique professionnelle, Revue bibliographique, Homme
Mots-clés Pascal anglais : Surgery, Decision analysis, Decision criterion, Professional practice, Bibliographic review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0377813
Code Inist : 002B25N. Création : 10/04/1997.