Evidence map›Paper›PMID 35027349›Full record

ArticleAJNR. American journal of neuroradiology2022

Optimizing Small, Low-Risk, Unruptured Intracranial Aneurysm Treatment Using Game Theory.

A T Boltyenkov, J J Wang, A Malhotra, J M Katz, A R Dehdashti, T G White, G Martinez, A Pandya, P C Sanelli

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

9 authors.

A T BoltyenkovFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York artem.boltyenkov@siemens-healthineers.com.ORCID 0000-0002-1143-5750
J J WangFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York.ORCID 0000-0002-6211-2572
A MalhotraDepartment of Radiology and Biomedical Imaging (A.M.), Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0001-9223-6640
J M KatzDepartments of Radiology (J.M.K., P.C.S.).ORCID 0000-0002-8193-3683
A R DehdashtiNeurology (A.R.D., T.G.W.), Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.ORCID 0000-0002-9320-3098
T G WhiteNeurology (A.R.D., T.G.W.), Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.ORCID 0000-0002-3604-4334
G MartinezFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York.ORCID 0000-0003-4919-0733
A PandyaDepartment of Health Policy and Management (A.P.), Harvard T.H. Chan School of Public Health, Boston, Massachusetts.ORCID 0000-0002-6130-2286
P C SanelliFrom the Imaging Clinical Effectiveness and Outcomes Research (A.T.B., J.J.W., G.M., P.C.S.), Center for Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, Manhasset, New York.ORCID 0000-0002-9633-3699

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidental diagnosis of unruptured intracranial aneurysms has been increasing in the past several decades. A significant proportion represent small, low-risk, unruptured intracranial aneurysms for which there is equipoise on whether to offer treatment or conservative management. Given this uncertainty, patients may not always be comfortable with their physicians' recommendations. Herein, we use game theory to study the interactions between physicians and patients to determine how conflict and cooperation affect the management of small, low-risk, unruptured intracranial aneurysms. We constructed a game theory model of the interaction between physicians and patients with respect to decision-making for a small, low-risk, unruptured intracranial aneurysm in an asymptomatic patient when there is perceived equipoise between whether to treat or manage conservatively. Assuming that both the physician and patient are rational and eliciting individual patient preferences is not practical, the physician should play the game based on an

Indexed as

Aneurysm, RupturedEndovascular ProceduresIntracranial AneurysmPhysiciansConservative TreatmentGame TheoryHumans

Identifiers

PMID35027349
PMCPMC8985687

What OpenQuestion holds

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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.