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Related Experiment Videos

Decision analysis in surgery

J D Birkmeyer1, N O Birkmeyer

  • 1Department of Surgery, Dartmouth Medical School, Hanover, N.H., USA.

Surgery
|July 1, 1996
PubMed
Summary
This summary is machine-generated.

Decision analysis in surgery is increasingly used for clinical policy. Surgeons should critically review these studies as their application grows, impacting surgical decision-making and healthcare economics.

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Area of Science:

  • Decision analysis
  • Surgical specialties
  • Clinical policy

Background:

  • Decision analysis is frequently applied to surgical clinical policy and economic issues.
  • Surgeons may lack familiarity with decision analysis literature.
  • This study catalogs decision analysis research within surgical specialties.

Purpose of the Study:

  • To identify and categorize surgical decision analysis studies.
  • To assess trends in the publication of these studies over time.
  • To inform surgeons about the growing use of decision analysis in their field.

Main Methods:

  • Systematic literature review from 1966 to 1994.
  • Categorization of studies by journal type, surgical specialty, clinical topic, article focus, and findings.

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  • Analysis of publication trends and focus areas.
  • Main Results:

    • Publication rates of surgical decision analysis increased dramatically, with most studies appearing after 1990.
    • While primarily published in non-surgical journals, their presence in surgical forums is growing.
    • General surgery and cardiothoracic surgery were most frequently addressed, with topics including gallstones and cancer. Clinical policy analyses now dominate.

    Conclusions:

    • The application of decision analysis in surgery is experiencing significant growth.
    • Given its influence on clinical policy, surgeons must be aware of and critically evaluate these studies.