Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cost-effective diagnostic test sequencing.

B Eiseman, R Jones, M McClatchey

    World Journal of Surgery
    |May 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Extracorporeal Assist - Liver, Spleen, and Lung.

    Scandinavian journal of gastroenterology·2016
    Same author

    Rapid decompression: a protective substance.

    Project report. USAF School of Aviation Medicine·2014
    Same author

    Combat casualty management for tomorrow's battlefield: urban terrorism.

    The Journal of trauma·2001
    Same author

    Lay therapy intervention with families at risk for parenting difficulties: The Kempe Community Caring Program.

    Child abuse & neglect·2001
    Same author

    Fifty years at the Forum.

    Bulletin of the American College of Surgeons·2001
    Same author

    Feasibility of damage control surgery in the management of military combat casualties.

    Archives of surgery (Chicago, Ill. : 1960)·2000
    Same journal

    The Safety of In-Hospital Delay and the Utility of dNLR in Elderly Patients With Acute Appendicitis.

    World journal of surgery·2026
    Same journal

    Feasibility of Post-Operative Telehealth for Pediatric Surgical Patients in Malawi-A Mixed Methods Analysis.

    World journal of surgery·2026
    Same journal

    Surgical Infrastructure and Workforce Readiness in Rwanda's District and Level 2 Teaching Hospitals: A Nationwide Facility-Based Survey.

    World journal of surgery·2026
    Same journal

    From General Preparedness to Injury-Pattern-Specific Trauma Resource Planning.

    World journal of surgery·2026
    Same journal

    Prevalence and Outcomes of Thrombocytopenia at ICU Admission Among Critically Ill Patients in a Resource-Limited Setting.

    World journal of surgery·2026
    Same journal

    Transition of Care From Pediatric to Adult Services for Patients With Anorectal Malformations: A Qualitative Study.

    World journal of surgery·2026
    See all related articles

    Strategic diagnostic test sequencing minimizes healthcare costs without sacrificing patient care. Clinical suspicion and test expenses guide whether to perform tests in series or parallel for optimal, cost-effective outcomes.

    Area of Science:

    • Medical Decision Making
    • Health Economics
    • Diagnostic Accuracy

    Background:

    • Selecting appropriate diagnostic tests and sequencing them logically is crucial for cost-effective healthcare.
    • Current strategies often lack a systematic approach to optimize test ordering, potentially leading to increased costs and suboptimal patient care.

    Purpose of the Study:

    • To analyze the logic for sequencing diagnostic tests either in series or in parallel to minimize costs while maintaining high standards of care.
    • To develop a model for cost-effective diagnostic test sequencing based on various clinical and economic factors.

    Main Methods:

    • A decision analysis model was created using two diagnostic tests for two diseases, assuming perfect test performance.
    • Key factors analyzed included test costs, performance characteristics, daily hospitalization charges, and the clinician's prior probability of diagnosis.

    Related Experiment Videos

  • The study evaluated strategies for sequencing tests in series versus parallel based on these parameters.

    • Main Results:

    • Cost-effective test sequencing depends on test expenses, performance, hospitalization costs, and the prior probability of diagnosis.
    • Inexpensive tests can be used in parallel even with low diagnostic probabilities.
    • Expensive tests are generally best used in series only when the prior probability of diagnosis is high.

    Conclusions:

    • Clinical acumen and prior probability of diagnosis are primary drivers for cost-effective diagnostic test sequencing.
    • High daily hospitalization costs favor parallel testing strategies.
    • Decision analysis provides a framework for optimizing diagnostic test sequencing to reduce costs and improve patient care.