Management of suspected temporal arteritis

A decision analysis

Diane Elliot, W. J. Watts, J. B. Reuler

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Management strategies for suspected temporal arteritis range from bilateral temporal artery biopsy to empiric corticosteroid therapy. A decision analysis of the clinical situation was constructed, and a sensitivity analysis for varying prevalences of temporal arteritis was used to calculate costs for different management strategies. Conclusions suggested by the analysis include the following: due to the high cost of blindness, suspicion of disease must be low (30%), empiric steroids are the cheapest management; when diagnostic procedures are indicated, bilateral biopsy is the cheapest initial diagnostic procedure; and if unilateral biopsy is negative, a second biopsy is always cost effective.

Original languageEnglish (US)
Pages (from-to)63-68
Number of pages6
JournalMedical Decision Making
Volume3
Issue number1
StatePublished - 1983

Fingerprint

Giant Cell Arteritis
Decision Support Techniques
Biopsy
Costs and Cost Analysis
Temporal Arteries
Blindness
Adrenal Cortex Hormones
Steroids
Therapeutics

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health Information Management

Cite this

Management of suspected temporal arteritis : A decision analysis. / Elliot, Diane; Watts, W. J.; Reuler, J. B.

In: Medical Decision Making, Vol. 3, No. 1, 1983, p. 63-68.

Research output: Contribution to journalArticle

Elliot, Diane ; Watts, W. J. ; Reuler, J. B. / Management of suspected temporal arteritis : A decision analysis. In: Medical Decision Making. 1983 ; Vol. 3, No. 1. pp. 63-68.
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