IDEAS home Printed from https://ideas.repec.org/a/inm/ordeca/v2y2005i4p238-244.html
   My bibliography  Save this article

The Influence of Influence Diagrams in Medicine

Author

Listed:
  • Stephen G. Pauker

    (Division of Clinical Decision Making, Informatics and Telemedicine, Department of Medicine, Tufts--New England Medical Center, Tufts University School of Medicine, 750 Washington St., NEMC 302, Boston, Massachusetts 02111)

  • John B. Wong

    (Division of Clinical Decision Making, Informatics and Telemedicine, Department of Medicine, Tufts--New England Medical Center, Tufts University School of Medicine, 750 Washington St., NEMC 302, Boston, Massachusetts 02111)

Abstract

Although influence diagrams have used medical examples almost from their inception, that graphical representation of decision problems has disseminated surprisingly slowly in the medical literature and among clinicians performing decision analyses. Clinicians appear to prefer decision trees as their primary modeling metaphor. This perspective examines the use of influence diagrams in medicine and offers explanations and suggestions for accelerating their dissemination.

Suggested Citation

  • Stephen G. Pauker & John B. Wong, 2005. "The Influence of Influence Diagrams in Medicine," Decision Analysis, INFORMS, vol. 2(4), pages 238-244, December.
    • Handle: RePEc:inm:ordeca:v:2:y:2005:i:4:p:238-244
    DOI: 10.1287/deca.1060.0060
    as

    Download full text from publisher

    File URL: http://dx.doi.org/10.1287/deca.1060.0060
    Download Restriction: no
    File URL: https://libkey.io/10.1287/deca.1060.0060?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. William G. Baxt, 1994. "A Neural Network Trained to Identify the Presence of Myocardial Infarction Bases Some Decisions on Clinical Associations That Differ from Accepted Clinical Teaching," Medical Decision Making, , vol. 14(3), pages 217-222, August.
    2. Douglas K. Owens & Ross D. Shachter & Robert F. Nease JR, 1997. "Representation and Analysis of Medical Decision Problems with Influence Diagrams," Medical Decision Making, , vol. 17(3), pages 241-262, July.
    3. Robert F. Nease JR & Douglas K. Owens, 1997. "Use of Influence Diagrams to Structure Medical Decisions," Medical Decision Making, , vol. 17(3), pages 263-275, July.
    4. Silvana Quaglini & Riccardo Bellazzi & Franco Locatelli & Mario Stefanelli & Cristina Salvaneschi, 1994. "An Influence Diagram for Assessing GVHD Prophylaxis after Bone Marrow Transplantation in Children," Medical Decision Making, , vol. 14(3), pages 223-235, August.
    5. Michael P. Wellman & Mark H. Eckman & Craig Fleming & Sharon L. Marshall & Frank A. Sonnenberg & Stephen G. Pauker, 1989. "Automated Critiquing of Medical Decision Trees," Medical Decision Making, , vol. 9(4), pages 272-284, December.
    6. Ross D. Shachter, 1986. "Evaluating Influence Diagrams," Operations Research, INFORMS, vol. 34(6), pages 871-882, December.
    7. Ross D. Shachter, 1988. "Probabilistic Inference and Influence Diagrams," Operations Research, INFORMS, vol. 36(4), pages 589-604, August.
    8. Frank A. Sonnenberg & C. Greg Hagerty & Casimir A. Kulikowski, 1994. "An Architecture for Knowledge-based Construction of Decision Models," Medical Decision Making, , vol. 14(1), pages 27-39, February.
    9. Frank A. Sonnenberg & J. Robert Beck, 1993. "Markov Models in Medical Decision Making," Medical Decision Making, , vol. 13(4), pages 322-338, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. L. Robin Keller & Kelly M. Kophazi, 2011. "From the Editors---Deterrence, Multiattribute Utility, and Probability and Bayes' Updating," Decision Analysis, INFORMS, vol. 8(2), pages 83-87, June.
    2. Xiting Yang & Joseph B. Kadane & Heidi M. Crane & Mari M. Kitahata, 2011. "Whether to Retest the Lipids of HIV-Infected Patients: How Much Does Fasting Bias Matter?," Decision Analysis, INFORMS, vol. 8(2), pages 145-157, June.
    3. L. Robin Keller, 2007. "From the Editor..," Decision Analysis, INFORMS, vol. 4(3), pages 111-113, September.
    4. Jason R. W. Merrick & Fabrizio Ruggeri & Refik Soyer & L. Robin Keller, 2012. "From the Editors---Games and Decisions in Reliability and Risk," Decision Analysis, INFORMS, vol. 9(2), pages 81-85, June.
    5. L. Robin Keller, 2009. "From the Editor..," Decision Analysis, INFORMS, vol. 6(3), pages 121-123, September.
    6. L. Robin Keller & Ali Abbas & Manel Baucells & Vicki M. Bier & David Budescu & John C. Butler & Philippe Delquié & Jason R. W. Merrick & Ahti Salo & George Wu, 2010. "From the Editors..," Decision Analysis, INFORMS, vol. 7(4), pages 327-330, December.
      • L. Robin Keller & Manel Baucells & Kevin F. McCardle & Gregory S. Parnell & Ahti Salo, 2007. "From the Editors..," Decision Analysis, INFORMS, vol. 4(4), pages 173-175, December.
      • L. Robin Keller & Manel Baucells & John C. Butler & Philippe Delquié & Jason R. W. Merrick & Gregory S. Parnell & Ahti Salo, 2008. "From the Editors..," Decision Analysis, INFORMS, vol. 5(4), pages 173-176, December.
      • L. Robin Keller & Manel Baucells & John C. Butler & Philippe Delquié & Jason R. W. Merrick & Gregory S. Parnell & Ahti Salo, 2009. "From the Editors ..," Decision Analysis, INFORMS, vol. 6(4), pages 199-201, December.
    7. Bielza, Concha & Gómez, Manuel & Shenoy, Prakash P., 2011. "A review of representation issues and modeling challenges with influence diagrams," Omega, Elsevier, vol. 39(3), pages 227-241, June.
    8. L. Robin Keller & Ali Abbas & J. Eric Bickel & Vicki M. Bier & David V. Budescu & John C. Butler & Enrico Diecidue & Robin L. Dillon-Merrill & Raimo P. Hämäläinen & Kenneth C. Lichtendahl & Jason R. W, 2012. "From the Editors ---Brainstorming, Multiplicative Utilities, Partial Information on Probabilities or Outcomes, and Regulatory Focus," Decision Analysis, INFORMS, vol. 9(4), pages 297-302, December.
    9. Dick Saarloos & Jae-Eun Kim & Harry Timmermans, 2009. "The Built Environment and Health: Introducing Individual Space-Time Behavior," IJERPH, MDPI, vol. 6(6), pages 1-20, May.
    10. Abdildin, Yerkin G. & Abbas, Ali E., 2016. "Analysis of decision alternatives of the deep borehole filter restoration problem," Energy, Elsevier, vol. 114(C), pages 1306-1321.
    11. Barry R. Cobb, 2007. "Influence Diagrams with Continuous Decision Variables and Non-Gaussian Uncertainties," Decision Analysis, INFORMS, vol. 4(3), pages 136-155, September.
    12. L. Robin Keller, 2012. "From the Editor---Decisions over Time (Exploding Offers or Purchase Regret), in Game Settings (Embedded Nash Bargaining or Adversarial Games), and in Influence Diagrams," Decision Analysis, INFORMS, vol. 9(1), pages 1-5, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bielza, Concha & Gómez, Manuel & Shenoy, Prakash P., 2011. "A review of representation issues and modeling challenges with influence diagrams," Omega, Elsevier, vol. 39(3), pages 227-241, June.
    2. Douglas K. Owens, 2002. "Analytic Tools for Public Health Decision Making," Medical Decision Making, , vol. 22(1_suppl), pages 3-10, September.
    3. Borgonovo, Emanuele & Tonoli, Fabio, 2014. "Decision-network polynomials and the sensitivity of decision-support models," European Journal of Operational Research, Elsevier, vol. 239(2), pages 490-503.
    4. Concha Bielza & Prakash P. Shenoy, 1999. "A Comparison of Graphical Techniques for Asymmetric Decision Problems," Management Science, INFORMS, vol. 45(11), pages 1552-1569, November.
    5. Özgür-Ünlüakın, Demet & Bilgiç, Taner, 2017. "Performance analysis of an aggregation and disaggregation solution procedure to obtain a maintenance plan for a partially observable multi-component system," Reliability Engineering and System Safety, Elsevier, vol. 167(C), pages 652-662.
    6. M Berkan Sesen & Ann E Nicholson & Rene Banares-Alcantara & Timor Kadir & Michael Brady, 2013. "Bayesian Networks for Clinical Decision Support in Lung Cancer Care," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.
    7. Concha Bielza & Peter Müller & David Ríos Insua, 1999. "Decision Analysis by Augmented Probability Simulation," Management Science, INFORMS, vol. 45(7), pages 995-1007, July.
    8. Salo, Ahti & Andelmin, Juho & Oliveira, Fabricio, 2022. "Decision programming for mixed-integer multi-stage optimization under uncertainty," European Journal of Operational Research, Elsevier, vol. 299(2), pages 550-565.
    9. Logan, Douglas M., 1990. "5.4. Decision analysis in engineering-economic modeling," Energy, Elsevier, vol. 15(7), pages 677-696.
    10. Regan, Peter J. & Holtzman, Samuel, 1995. "R&D Decision Advisor: An interactive approach to normative decision system model construction," European Journal of Operational Research, Elsevier, vol. 84(1), pages 116-133, July.
    11. Pontus Johnson & Robert Lagerström & Per Närman & Mårten Simonsson, 2007. "Enterprise architecture analysis with extended influence diagrams," Information Systems Frontiers, Springer, vol. 9(2), pages 163-180, July.
    12. Douglas K. Owens & Ross D. Shachter & Robert F. Nease JR, 1997. "Representation and Analysis of Medical Decision Problems with Influence Diagrams," Medical Decision Making, , vol. 17(3), pages 241-262, July.
    13. Apiruk Detwarasiti & Ross D. Shachter, 2005. "Influence Diagrams for Team Decision Analysis," Decision Analysis, INFORMS, vol. 2(4), pages 207-228, December.
    14. Jesus Rios & David Rios Insua, 2009. "Supporting Negotiations over Influence Diagrams," Decision Analysis, INFORMS, vol. 6(3), pages 153-171, September.
    15. Dennis M. Buede, 2005. "Influence Diagrams: A Practitioner's Perspective," Decision Analysis, INFORMS, vol. 2(4), pages 235-237, December.
    16. repec:cup:judgdm:v:1:y:2006:i::p:162-173 is not listed on IDEAS
    17. Heß, Michael (Ed.) & Schlieter, Hannes (Ed.), 2014. "Modellierung im Gesundheitswesen: Tagungsband des Workshops im Rahmen der Modellierung 2014," ICB Research Reports 57, University Duisburg-Essen, Institute for Computer Science and Business Information Systems (ICB).
    18. Zixian, Liu & Xin, Ni & Yiliu, Liu & Qinglu, Song & Yukun, Wang, 2011. "Gastric esophageal surgery risk analysis with a fault tree and Markov integrated model," Reliability Engineering and System Safety, Elsevier, vol. 96(12), pages 1591-1600.
    19. Fernandez del Pozo, J. A. & Bielza, C. & Gomez, M., 2005. "A list-based compact representation for large decision tables management," European Journal of Operational Research, Elsevier, vol. 160(3), pages 638-662, February.
    20. Els Hannes & Diana Kusumastuti & Maikel Espinosa & Davy Janssens & Koen Vanhoof & Geert Wets, 2012. "Mental maps and travel behaviour: meanings and models," Journal of Geographical Systems, Springer, vol. 14(2), pages 143-165, April.
    21. Pedram Sendi & Huldrych F Günthard & Mathew Simcock & Bruno Ledergerber & Jörg Schüpbach & Manuel Battegay & for the Swiss HIV Cohort Study, 2007. "Cost-Effectiveness of Genotypic Antiretroviral Resistance Testing in HIV-Infected Patients with Treatment Failure," PLOS ONE, Public Library of Science, vol. 2(1), pages 1-8, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:inm:ordeca:v:2:y:2005:i:4:p:238-244. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Asher (email available below). General contact details of provider: https://edirc.repec.org/data/inforea.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.