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Decision-Making When Diagnostic Testing is Available
Benjamin Djulbegovic1, Iztok Hozo2
1Hematology Stewardship Program, Division of Hematology/Oncology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA. djulbegov@musc.edu.
Decision-makers face dilemmas when diagnostic testing is available. This chapter explores threshold modeling theory to aid decisions on testing and treatment administration.
Area of Science:
- Decision analysis
- Medical diagnostics
- Health economics
Background:
- Decision-makers often face complex choices regarding diagnostic testing and treatment.
- The availability of diagnostic tests introduces a dilemma between testing, treating, or withholding both.
Purpose of the Study:
- To discuss the theoretical framework of threshold modeling in the context of diagnostic testing.
- To illustrate the application of threshold modeling using a practical case vignette.
Main Methods:
- Theoretical discussion of threshold modeling principles.
- Application of threshold modeling to a clinical decision-making scenario.
Main Results:
- The chapter outlines the theoretical underpinnings of threshold modeling for diagnostic decisions.
- A case vignette demonstrates how threshold modeling can guide choices on testing and treatment.
Conclusions:
- Threshold modeling provides a structured approach to decision-making when diagnostic tests are available.
- Understanding these models can optimize the use of diagnostic testing and treatment strategies.
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