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Text
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URL Address
<a href="http://doi.org/10.1177/0272989x9901900107" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0272989x9901900107</a>
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Pages
49-57
Issue
1
Volume
19
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Dublin Core
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Title
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Analysis of three decision-making methods: A Breast cancer patient as a model
Publisher
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Medical Decision Making
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
1999-01
Subject
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breast-cancer; Health Care Sciences & Services; clinical-trial; radiation-therapy; Medical Informatics; mastectomy; conservative surgery; stage-i; adjuvant tamoxifen; analytic; analytic hierarchy process; Markov process; network process
Creator
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Carter K J; Ritchey N P; Castro F; Caccamo L P; Kessler E; Erickson B A
Description
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Purpose: To compare three decision making techniques using a common clinical problem. Methods: Two recently developed methods, the analytic hierarchy process (AHP) and the analytic network process (ANP), were compared with a Markov process in the evaluation of the optimal post-lumpectomy treatment strategy for an elderly woman with a mammographically detected, nonpalpable early-stage breast cancer. The following treatment alternatives were considered: observation, radiation, tamoxifen, combination radiation and tamoxifen, and simple mastectomy. All three decision methods incorporated patient preferences. Results: The models agreed on the ranking of the preferred treatment, radiation and tamoxifen, but there were variations in the rankings of the other treatment choices. Individual differences between the three models were uncovered. The Markov process provided estimates of quality-adjusted life expectancy and distribution of health events. Both AHP and ANP required less development time than the Markov process. Conclusion: All three methods may be useful tools to the clinician in analyzing complex medical problems. The Markov is the most labor-intensive method but provides detailed results, whereas the AHP and the ANP give only rank orders of the alternatives. The most important considerations in choosing between these methods are time to project completion and the detail of information sought.
Identifier
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<a href="http://doi.org/10.1177/0272989x9901900107" target="_blank" rel="noreferrer noopener">10.1177/0272989x9901900107</a>
Format
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Journal Article or Conference Abstract Publication
1999
adjuvant tamoxifen
analytic
analytic hierarchy process
breast-cancer
Caccamo L P
Carter K J
Castro F
clinical-trial
conservative surgery
Erickson B A
Health Care Sciences & Services
Journal Article or Conference Abstract Publication
Kessler E
Markov process
Mastectomy
Medical Decision Making
Medical Informatics
network process
radiation-therapy
Ritchey N P
stage-i