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AMIA Annu Symp Proc ; 2019: 699-706, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-32308865

RESUMO

When deciding about surgical treatment options, an important aspect of the decision-making process is the potential risk of complications. A risk assessment performed by a spinal surgeon is based on their knowledge of the best available evidence and on their own clinical experience. The objective of this work is to demonstrate the differences in the way spine surgeons perceive the importance of attributes used to calculate risk of post-operative and quantify the differences by building individual formal models of risk perceptions. We employ a preference-learning method - ROR-UTADIS - to build surgeon-specific additive value functions for risk of complications. Comparing these functions enables the identification and discussion of differences among personal perceptions of risk factors. Our results show there exist differences in surgeons' perceived factors including primary diagnosis, type of surgery, patient's age, body mass index, or presence of comorbidities.


Assuntos
Tomada de Decisões , Procedimentos Ortopédicos/efeitos adversos , Cirurgiões Ortopédicos , Complicações Pós-Operatórias , Medição de Risco/métodos , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Fatores de Risco , Coluna Vertebral/cirurgia
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