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Insular decision criteria in clinical practice: Analysis of decision-making in oncology
Journal
Oncology
ISSN
0030-2414
Type
journal article
Date Issued
2020
Author(s)
Iseli, Thomas
Fischer, Galina Farina
Panje, Cédric Michael
Glatzer, Markus
Hundsberger, Thomas
Rothermundt, Christian
Plasswilm, Ludwig
Putora, Paul Martin
Abstract (De)
Background:
Medical decision-making is complex and involves a variety of decision criteria, many of which are universally recognised. However, decision-making analyses have demonstrated that certain decision criteria are not used uniformly among clinicians.
Aim:
We describe decision criteria, which for various contexts are only used by a minority of decision makers. For these, we introduce and define the term “insular criteria”.
Methods:
19 studies analysing clinical decision-making based on decision trees were included in our study. All studies were screened for decision-making criteria that were mentioned by less than three local decision makers in studies involving 8–26 participants.
Results:
14 out of the 19 included studies reported insular criteria. We identified 42 individual insular criteria. They could be intuitively allocated to seven major groups, these were: comorbidities, treatment, patients’ characteristics …
Medical decision-making is complex and involves a variety of decision criteria, many of which are universally recognised. However, decision-making analyses have demonstrated that certain decision criteria are not used uniformly among clinicians.
Aim:
We describe decision criteria, which for various contexts are only used by a minority of decision makers. For these, we introduce and define the term “insular criteria”.
Methods:
19 studies analysing clinical decision-making based on decision trees were included in our study. All studies were screened for decision-making criteria that were mentioned by less than three local decision makers in studies involving 8–26 participants.
Results:
14 out of the 19 included studies reported insular criteria. We identified 42 individual insular criteria. They could be intuitively allocated to seven major groups, these were: comorbidities, treatment, patients’ characteristics …
Language
English
Refereed
Yes
Publisher
S. Karger AG, Basel
Volume
98
Number
6
Start page
437
End page
444
Pages
8
Subject(s)
Eprints ID
261397