Choosing the surgical mortality threshold for high risk patients with stage Ia non-small cell lung cancer: insights from decision analysis
| Autor: | Jack Dowie, MJ Wildman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: |
Pulmonary and Respiratory Medicine
Risk analysis medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Decision tree Choice Behavior Decision Support Techniques Pneumonectomy Patient satisfaction Risk Factors Carcinoma Non-Small-Cell Lung medicine Humans Patient participation Lung cancer Intensive care medicine Letter to the Editor Informed Consent business.industry Decision Trees Cancer medicine.disease Survival Analysis Dyspnea Patient Satisfaction Quality of Life Original Article Patient Participation business Decision analysis |
| Popis: | The recent British Thoracic Society guidelines recommend that surgical mortality should not be greater than 8% for pneumonectomy and 4% for lobectomy. These cut offs are advanced as guidelines to inform decision making as to whether or not patients with operable lung cancer should be offered surgery. They have been developed from a notion of what acceptable surgical mortality should be. The planning of care for patients with lung cancer involves making choices between different treatments with different outcomes. While it is accepted that the probability of these outcomes is likely to differ among patients, individual patient preferences for them are also likely to vary. Fixed cut offs for surgical mortality mean ignoring this variation. Decision analysis can be used to assist in the complex task of integrating clinical characteristics and varying patient preferences. By considering high risk patients with potentially curable stage Ia non-small cell lung cancer, it is shown that decision analysis has the potential to illuminate decision making and guideline development within the field of cancer care. |
| Databáze: | OpenAIRE |
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