Clinical decision analysis as a means of technology assessment. The effectiveness of intraoperative cholangiography.
Three strategies for timely detection of common duct stones are examined by decision analysis: the use of intraoperative cholangiography (IOC) in ALL, NONE, or in SOME of the cases that are selected by the estimated probability of a common duct stone. Selective use of IOC is the most cost-effective option and offers a slightly lower mortality risk.
Scott
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Uniformed Services University of the Health Sciences.
Jacoby
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D002758:Cholangiography / Q000191:economics; D002763:Cholecystectomy; D003362:Cost-Benefit Analysis; D003661:Decision Support Techniques; D003663:Decision Trees; D042882:Gallstones / Q000000981:diagnostic imaging* / Q000191:economics; D006801:Humans; D007432:Intraoperative Period; D013673:Technology Assessment, Biomedical / Q000379:methods*