Graphical representation of life paths to better convey results of decision models to patients

Stefania Rubrichi, Carla Rognoni, Lucia Sacchi, Enea Parimbelli, Carlo Napolitano, Andrea Mazzanti, Silvana Quaglini

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The inclusion of patients' perspectives in clinical practice has become an important matter for health professionals, in view of the increasing attention to patient-centered care. In this regard, this report illustrates a method for developing a visual aid that supports the physician in the process of informing patients about a critical decisional problem. In particular, we focused on interpretation of the results of decision trees embedding Markov models implemented with the commercial tool TreeAge Pro. Starting from patient-level simulations and exploiting some advanced functionalities of TreeAge Pro, we combined results to produce a novel graphical output that represents the distributions of outcomes over the lifetime for the different decision options, thus becoming a more informative decision support in a context of shared decision making. The training example used to illustrate the method is a decision tree for thromboembolism risk prevention in patients with nonvalvular atrial fibrillation.

Original languageEnglish
Pages (from-to)398-402
Number of pages5
JournalMedical Decision Making
Volume35
Issue number3
DOIs
Publication statusPublished - Apr 20 2015

Fingerprint

Decision Trees
Patient Simulation
Audiovisual Aids
Patient-Centered Care
Thromboembolism
Atrial Fibrillation
Decision Making
Physicians
Health

Keywords

  • Markov models
  • Monte Carlo simulation
  • risk communication
  • shared decision-making
  • time-based reporting

ASJC Scopus subject areas

  • Health Policy
  • Medicine(all)

Cite this

Graphical representation of life paths to better convey results of decision models to patients. / Rubrichi, Stefania; Rognoni, Carla; Sacchi, Lucia; Parimbelli, Enea; Napolitano, Carlo; Mazzanti, Andrea; Quaglini, Silvana.

In: Medical Decision Making, Vol. 35, No. 3, 20.04.2015, p. 398-402.

Research output: Contribution to journalArticle

Rubrichi, Stefania ; Rognoni, Carla ; Sacchi, Lucia ; Parimbelli, Enea ; Napolitano, Carlo ; Mazzanti, Andrea ; Quaglini, Silvana. / Graphical representation of life paths to better convey results of decision models to patients. In: Medical Decision Making. 2015 ; Vol. 35, No. 3. pp. 398-402.
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