Decision analysis for the optimal treatment of limb threatening leg injuries
Abstract/Contents
- Abstract
- Limb threatening trauma to the leg may be treated with either limb salvage (retention process) or amputation (prosthetic process). Limb salvage allows the patient to keep his leg and avoid using a prosthetic; however, it typically has higher probabilities than amputation of complications, additional time in the hospital, and chronic pain. The optimal treatment is still under debate and the current methods to make the decision do not explicitly incorporate the patient's preferences or the patient's medical insurance. This dissertation develops a decision analysis model to help a patient think clearly about the retention process vs. the prosthetic process. The model updates conditional probabilities of various outcomes based on the patient's demographics and develops a method to explicitly incorporate the patient's preferences for keeping the leg, avoiding chronic pain, and avoiding time in the hospital. The model also calculates the probabilities of hospital and prosthetic costs for the patient's health insurance and risk attitude. The decision analysis model in this dissertation utilizes preferences from the patient to inform the decision, facilitates effective discussions between the doctor and the patient, and provides a comprehensive recommendation to the patient.
Description
| Type of resource | text |
|---|---|
| Form | electronic; electronic resource; remote |
| Extent | 1 online resource. |
| Publication date | 2013 |
| Issuance | monographic |
| Language | English |
Creators/Contributors
| Associated with | Klak, Lauren Marie |
|---|---|
| Associated with | Stanford University, Department of Management Science and Engineering. |
| Primary advisor | Howard, Ronald A. (Ronald Arthur), 1934- |
| Thesis advisor | Howard, Ronald A. (Ronald Arthur), 1934- |
| Thesis advisor | Bishop, Julius |
| Thesis advisor | Shachter, Ross D |
| Advisor | Bishop, Julius |
| Advisor | Shachter, Ross D |
Subjects
| Genre | Theses |
|---|
Bibliographic information
| Statement of responsibility | Lauren Marie Klak. |
|---|---|
| Note | Submitted to the Department of Management Science and Engineering. |
| Thesis | Thesis (Ph.D.)--Stanford University, 2013. |
| Location | electronic resource |
Access conditions
- Copyright
- © 2013 by Lauren Klak
- License
- This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).
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