Breast-conserving treatment or mastectomy in early breast cancer: a clinical decision analysis with special reference to the risk of local recurrence

Verhoef, Lia C.G.; Stalpers, Lukas J.A.; Verbeek, AndréL.M.; Wobbes, Theo; Daal, W.A.J. van

doi:10.1016/0277-5379(91)90310-a

Cited by 19 publications

(6 citation statements)

References 27 publications

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“…Therefore, baseline utility estimates that were used in our model were derived from studies of patients' preferences after conservative surgery for early-stage invasive breast carcinoma 13,14 (Table 1). The possibility that utility estimates for women with DCIS may differ compared with those for women with invasive cancer was incorporated into our model by allowing a wide plausible range around each utility estimate that was to be tested by sensitivity analyses.…”

Section: Utility Estimatesmentioning

confidence: 99%

A comparison of four treatment strategies for ductal carcinoma in situ using decision analysis

Bordeleau

Rakovitch

Naimark

et al. 2001

Cancer

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Section: Utility Estimatesmentioning

confidence: 99%

A comparison of four treatment strategies for ductal carcinoma in situ using decision analysis

Bordeleau

Rakovitch

Naimark

et al. 2001

Cancer

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“…In three cases, the findings of DA and matching SR of RCTs were similar after the sensitivity analysis [14,16,27]. …”

Section: Resultsmentioning

confidence: 91%

Concordance between decision analysis and matching systematic review of randomized controlled trials in assessment of treatment comparisons: a systematic review

Mhaskar

Wao

Mahony

et al. 2014

BMC Med Inform Decis Mak

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BackgroundSystematic review (SR) of randomized controlled trials (RCT) is the gold standard for informing treatment choice. Decision analyses (DA) also play an important role in informing health care decisions. It is unknown how often the results of DA and matching SR of RCTs are in concordance. We assessed whether the results of DA are in concordance with SR of RCTs matched on patient population, intervention, control, and outcomes.MethodsWe searched PubMed up to 2008 for DAs comparing at least two interventions followed by matching SRs of RCTs. Data were extracted on patient population, intervention, control, and outcomes from DAs and matching SRs of RCTs. Data extraction from DAs was done by one reviewer and from SR of RCTs by two independent reviewers.ResultsWe identified 28 DAs representing 37 comparisons for which we found matching SR of RCTs. Results of the DAs and SRs of RCTs were in concordance in 73% (27/37) of cases. The sensitivity analyses conducted in either DA or SR of RCTs did not impact the concordance. Use of single (4/37) versus multiple data source (33/37) in design of DA model was statistically significantly associated with concordance between DA and SR of RCTs.ConclusionsOur findings illustrate the high concordance of current DA models compared with SR of RCTs. It is shown previously that there is 50% concordance between DA and matching single RCT. Our study showing the concordance of 73% between DA and matching SR of RCTs underlines the importance of totality of evidence (i.e. SR of RCTs) in the design of DA models and in general medical decision-making.

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“…To our knowledge, despite its importance, there are only three studies published that directly evaluated prognosis after local recurrence with respect to primary surgical treatment (Jacobson et al 1995;van Tienhoven et al 1999;Verhoef et al 1991). This question is not only of critical importance to the individual's prognosis, but also to the physician's decision about further treatment (Haty et al 1996).…”

Section: Discussionmentioning

confidence: 98%

Matched pair analysis of survival after chest-wall recurrence compared to mammary recurrence: a long-term follow-up

Janni¹,

Shabani²,

Dimpfl³

et al. 2001

Journal of Cancer Research and Clinical Oncology

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Breast-conserving treatment or mastectomy in early breast cancer: a clinical decision analysis with special reference to the risk of local recurrence

Cited by 19 publications

References 27 publications

A comparison of four treatment strategies for ductal carcinoma in situ using decision analysis

A comparison of four treatment strategies for ductal carcinoma in situ using decision analysis

Concordance between decision analysis and matching systematic review of randomized controlled trials in assessment of treatment comparisons: a systematic review

Matched pair analysis of survival after chest-wall recurrence compared to mammary recurrence: a long-term follow-up

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