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 language | English (US) |
|---|---|
| Pages (from-to) | 63-68 |
| Number of pages | 6 |
| Journal | Medical Decision Making |
| Volume | 3 |
| Issue number | 1 |
| State | Published - 1983 |
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ASJC Scopus subject areas
- Health Informatics
- Public Health, Environmental and Occupational Health
- Nursing(all)
- Health Information Management
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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 journal › Article
}
TY - JOUR
T1 - Management of suspected temporal arteritis
T2 - A decision analysis
AU - Elliot, Diane
AU - Watts, W. J.
AU - Reuler, J. B.
PY - 1983
Y1 - 1983
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: 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.
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: 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0020965214&partnerID=8YFLogxK
M3 - Article
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 -