ArticleBMC medical informatics and decision making2017
The use of multi-criteria decision making models in evaluating anesthesia method options in circumcision surgery.
Article in BMC medical informatics and decision making, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps.BMC medical informatics and decision making · 2018Pooled it
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- Operations research in perioperative clinical decision-making.BJA education · 2025Review
- Optimizing treatment strategies for pediatric phimosis and redundant prepuce: a comparative study of traditional circumcision and disposable circumcision stapler.Frontiers in pediatrics · 2024Article
- Review
- Particulate air pollution and metabolic risk factors: Which are more prone to cardiac mortality.Frontiers in public health · 2022Article
- Machine Learning, Deep Learning, and Closed Loop Devices-Anesthesia Delivery.Anesthesiology clinics · 2021Review
- The Utilization of an Opioid-Free Anesthetic for Pediatric Circumcision in an Ambulatory Surgery Center.Children (Basel, Switzerland) · 2021Article
- Pain Treatment Evaluation in COVID-19 Patients with Hesitant Fuzzy Linguistic Multicriteria Decision-Making.Journal of healthcare engineering · 2021Article
- Artificial Intelligence in Anesthesiology: Current Techniques, Clinical Applications, and Limitations.Anesthesiology · 2020Review
- Evaluating treatment modalities in chronic pain treatment by the multi-criteria decision making procedure.BMC medical informatics and decision making · 2019Article
- Construction and application of service quality evaluation system in the preclinical research on cardiovascular implant devices.BMC medical informatics and decision making · 2019Article
- Screening indices for cadmium-contaminated soil using earthworm as bioindicator.Environmental science and pollution research international · 2018Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDetermining the most suitable anesthesia method for circumcision surgery plays a fundamental role in pediatric surgery. This study is aimed to present pediatric surgeons' perspective on the relative importance of the criteria for selecting anesthesia method for circumcision surgery by utilizing the multi-criteria decision making methods.
methodsFuzzy set theory offers a useful tool for transforming linguistic terms into numerical assessments. Since the evaluation of anesthesia methods requires linguistic terms, we utilize the fuzzy Analytic Hierarchy Process (AHP) and fuzzy Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). Both mathematical decision-making methods are originated from individual judgements for qualitative factors utilizing the pair-wise comparison matrix. Our model uses four main criteria, eight sub-criteria as well as three alternatives. To assess the relative priorities, an online questionnaire was completed by three experts, pediatric surgeons, who had experience with circumcision surgery.
resultsDiscussion of the results with the experts indicates that time-related factors are the most important criteria, followed by psychology, convenience and duration. Moreover, general anesthesia with penile block for circumcision surgery is the preferred choice of anesthesia compared to general anesthesia without penile block, which has a greater priority compared to local anesthesia under the discussed main-criteria and sub-criteria.
conclusionsThe results presented in this study highlight the need to integrate surgeons' criteria into the decision making process for selecting anesthesia methods. This is the first study in which multi-criteria decision making tools, specifically fuzzy AHP and fuzzy TOPSIS, are used to evaluate anesthesia methods for a pediatric surgical procedure.
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