TY - JOUR
T1 - Management of Suspected Temporal Arteritis
T2 - A Decision Analysis
AU - Elliot, Diane L.
AU - Watts, William J.
AU - Reuler, James B.
PY - 1983/2
Y1 - 1983/2
N2 - 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: (1) due to the high cost of blindness, suspicion of disease must be low (< 1.4070) not to biopsy; (2) at high suspicion of disease (> 30Vo), empiric steroids are the cheapest management; (3) when diagnostic procedures are indicated, bilateral biopsy is the cheapest initial diagnostic procedure; and (4) if unilateral biopsy is negative, a second biopsy is always cost effective. (Med Decis Making 3:63-68, 1983).
AB - 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: (1) due to the high cost of blindness, suspicion of disease must be low (< 1.4070) not to biopsy; (2) at high suspicion of disease (> 30Vo), empiric steroids are the cheapest management; (3) when diagnostic procedures are indicated, bilateral biopsy is the cheapest initial diagnostic procedure; and (4) if unilateral biopsy is negative, a second biopsy is always cost effective. (Med Decis Making 3:63-68, 1983).
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U2 - 10.1177/0272989X8300300112
DO - 10.1177/0272989X8300300112
M3 - Article
C2 - 6412028
AN - SCOPUS:0020965214
VL - 3
SP - 63
EP - 68
JO - Medical decision making : an international journal of the Society for Medical Decision Making
JF - Medical decision making : an international journal of the Society for Medical Decision Making
SN - 0272-989X
IS - 1
ER -