Abendroth T W, Bongiovanni M B, Krieg A F
Arch Pathol Lab Med. 1986 Oct;110(10):952-8.
We developed a microcomputer program that provides a Bayesian model of diagnostic performance and a simple decision tree model of clinical utility. We have used this program to review diagnostic performance and clinical utility for proposed new services at our 360-bed university hospital. We believe that significant benefits can be achieved if medical journals report complete data on test performance. First, this allows physicians to perform their own evaluations of diagnostic performance. Second, this allows physicians to evaluate clinical utility using either standard decision trees or decision trees that reflect specific clinical problems.
我们开发了一个微型计算机程序，该程序提供诊断性能的贝叶斯模型和临床效用的简单决策树模型。我们已使用此程序来评估我们拥有360张床位的大学医院中拟议的新服务的诊断性能和临床效用。我们认为，如果医学期刊报告有关检测性能的完整数据，将可带来显著益处。首先，这能让医生自行评估诊断性能。其次，这能让医生使用标准决策树或反映特定临床问题的决策树来评估临床效用。
