Journal of Clinical Epidemiology
Volume 62, Issue 12 , Pages 1248-1252 , December 2009

Decision analysis to complete diagnostic research by closing the gap between test characteristics and cost-effectiveness

  • Joanna D. Schaafsma

      Affiliations

    • Department of Neurology, University Medical Center Utrecht, The Netherlands
    • Corresponding Author InformationCorresponding author. Department of Neurology, University Medical Center Utrecht, Heidelberglaan 100, PO Box 85500, 3508 GA Utrecht, The Netherlands. Tel.: +31-88-755-8600; fax: +31-30-254-2100.
  • ,
  • Yolanda van der Graaf

      Affiliations

    • Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
  • ,
  • Gabriel J.E. Rinkel

      Affiliations

    • Department of Neurology, University Medical Center Utrecht, The Netherlands
  • ,
  • Erik Buskens

      Affiliations

    • Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands
    • Department of Epidemiology, University Medical Center Groningen, The Netherlands

,Accepted 16 January 2009.

References 

  1. Feinstein AR. Misguided efforts and future challenges for research on “diagnostic tests”. J Epidemiol Community Health. 2002;56:330–332
  2. Hunink MG, Krestin GP. Study design for concurrent development, assessment, and implementation of new diagnostic imaging technology. Radiology. 2002;222:604–614
  3. Knottnerus JA, van Weel C, Muris JW. Evaluation of diagnostic procedures. BMJ. 2002;324:477–480
  4. Gluud C, Gluud LL. Evidence based diagnostics. BMJ. 2005;330:724–726
  5. Mol BW, Lijmer JG, Evers JL, Bossuyt PM. Characteristics of good diagnostic studies. Semin Reprod Med. 2003;21:17–25
  6. Sackett DL, Haynes RB. The architecture of diagnostic research. BMJ. 2002;324:539–541
  7. Van den Bruel A, Cleemput I, Aertgeerts B, Ramaekers D, Buntinx F. The evaluation of diagnostic tests: evidence on technical and diagnostic accuracy, impact on patient outcome and cost-effectiveness is needed. J Clin Epidemiol. 2007;60:1116–1122
  8. Moons KG, Biesheuvel CJ, Grobbee DE. Test research versus diagnostic research. Clin Chem. 2004;50:473–476
  9. European Carotid Surgery Trialists' Collaborative Group. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. 1998;351:1379–1387
  10. Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1998;339:1415–1425
  11. Nederkoorn PJ, Van Der Graaf Y, Hunink MG. Duplex ultrasound and magnetic resonance angiography compared with digital subtraction angiography in carotid artery stenosis: a systematic review. Stroke. 2003;34:1324–1332
  12. Knottnerus JA, Muris JW. Assessment of the accuracy of diagnostic tests: the cross-sectional study. J Clin Epidemiol. 2003;56:1118–1128
  13. Lijmer JG, Mol BW, Heisterkamp S, Bonsel GJ, Prins MH, van der Meulen JH, et al. Empirical evidence of design-related bias in studies of diagnostic tests. JAMA. 1999;282:1061–1066
  14. Nederkoorn PJ, Mali WP, Eikelboom BC, Elgersma OE, Buskens E, Hunink MG, et al. Preoperative diagnosis of carotid artery stenosis: accuracy of noninvasive testing. Stroke. 2002;33:2003–2008
  15. Gallagher EJ. Clinical utility of likelihood ratios. Ann Emerg Med. 1998;31:391–397
  16. Richardson WS, Wilson MC, Guyatt GH, Cook DJ, Nishikawa J. Users' guides to the medical literature: XV. How to use an article about disease probability for differential diagnosis. Evidence-Based Medicine Working Group. JAMA. 1999;281:1214–1219
  17. Knottnerus JA, Leffers P. The influence of referral patterns on the characteristics of diagnostic tests. J Clin Epidemiol. 1992;45:1143–1154
  18. Brenner H, Sturmer T, Gefeller O. The need for expanding and re-focusing of statistical approaches in diagnostic research. J Epidemiol Community Health. 2002;56:338–339
  19. Knottnerus JA. Application of logistic regression to the analysis of diagnostic data: exact modeling of a probability tree of multiple binary variables. Med Decis Making. 1992;12:93–108
  20. Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. Clin Radiol. 2003;58:575–580
  21. Hunink MG, Glasziou PP, Siegel J, Weeks J, Pliskin J, Elstein A, et al. Recurring events. In:  Hunink MG editors. Decision making in health and medicine—integrating evidence and values. Cambridge: Cambridge University Press; 2001;p. 305–338
  22. Sonnenberg FA, Beck JR. Markov models in medical decision making: a practical guide. Med Decis Making. 1993;13:322–338
  23. Beck JR, Kassirer JP, Pauker SG. A convenient approximation of life expectancy (the “DEALE”). I. Validation of the method. Am J Med. 1982;73:883–888
  24. Hunink MG, Glasziou PP, Siegel J, Weeks J, Pliskin J, Elstein A, et al. Variability and uncertainty. In:  Hunink MG editors. Decision making in health and medicine—integrating evidence and values. Cambridge: Cambridge University Press; 2001;p. 339–363
  25. Claxton K, Cohen JT, Neumann PJ. When is evidence sufficient?. Health Aff (Millwood). 2005;24:93–101
  26. Buskens E, Nederkoorn PJ, Buijs-Van Der Woude T, Mali WP, Kappelle LJ, Eikelboom BC, et al. Imaging of carotid arteries in symptomatic patients: cost-effectiveness of diagnostic strategies. Radiology. 2004;233:101–112
  27. Martin C, Vanderpump M, French J. Description and validation of a Markov model of survival for individuals free of cardiovascular disease that uses Framingham risk factors. BMC Med Inform Decis Mak. 2004;4:6
  28. Nijhuis RL, Stijnen T, Peeters A, Witteman JC, Hofman A, Hunink MG. Apparent and internal validity of a Monte Carlo-Markov model for cardiovascular disease in a cohort follow-up study. Med Decis Making. 2006;26:134–144
  29. Welsing PM, Severens JL, Hartman M, van Gestel AM, van Riel PL, Laan RF. The initial validation of a Markov model for the economic evaluation of (new) treatments for rheumatoid arthritis. Pharmacoeconomics. 2006;24:1011–1020
  30. Krahn MD, Naglie G, Naimark D, Redelmeier DA, Detsky AS. Primer on medical decision analysis: Part 4—analyzing the model and interpreting the results. Med Decis Making. 1997;17:142–151
  31. Richardson WS, Detsky AS. Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence-Based Medicine Working Group. JAMA. 1995;273:1292–1295

PII: S0895-4356(09)00027-4

doi: 10.1016/j.jclinepi.2009.01.008

Journal of Clinical Epidemiology
Volume 62, Issue 12 , Pages 1248-1252 , December 2009