Evidence map›Paper›PMID 23243483›Full record

ArticleStatistics and its interface2011

Bayesian decision analysis for choosing between diagnostic/prognostic prediction procedures.

John Kornak, Ying Lu

Open access · bronzeAbstract read
In one paragraph

Article in Statistics and its interface, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 89% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. From pre-test and post-test probabilities to medical decision making.BMC medical informatics and decision making · 2024
    Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

John KornakUniversity of California, San Francisco, Department of Radiology and Biomedical Imaging and Department of Epidemiology and Biostatistics, 185 Berry St, Ste. 350, San Francisco, CA 94107, USA.
Ying Lu
University of California, San Francisco · US

Funding

Statistical Methods for Evaluation and Validation of Diagnostic TestsR01EB004079 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LU, YING · 2006 to 2008
$684k
NIBIB NIH HHS R01 EB004079
6 · The paper itself

Abstract

New diagnostic procedures and prognostic markers are continually being developed for a wide range of medical complaints. Medical institutions are therefore regularly faced with the decision as to whether to replace an existing procedure with a new one. The decision to adopt a new method is primarily based on diagnostic/predictive accuracy and cost-effectiveness, but this trade-off is not usually considered in a formal decision-theoretic way. The decision process for diagnostic procedures is complicated by the fact that diagnostic decisions are typically based on thresholding one or more continuous variables. Therefore, a formal decision process should account for uncertainty in the optimal threshold value for each diagnostic procedure. We here propose a Bayesian decision approach based on maximizing expected utility (incorporating accuracy and costs) with respect to diagnostic procedure and threshold level simultaneously. The Bayesian decision approach is illustrated via an application comparing the utility of different bone mineral density (BMD) measurements for determining the need for preventative treatment of osteoporotic hip fracture in elderly patients.

Identifiers

PMID23243483
PMCPMC3520495
OpenAlexW2034125309

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.