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Additional Patient Outcomes and Pathways in Evaluations of Testing

Author

Listed:
  • Patrick M. M. Bossuyt

    (Department of Clinical Epidemiology & Biostatistics, Academic Medical Center, University of Amsterdam, the Netherlands, p.m.bossuyt@amc.uva.nl)

  • Kirsten McCaffery

    (Screening and Test Evaluation Program, School of Public Health, University of Sydney, Australia)

Abstract

Before medical tests are introduced into practice, they should be properly evaluated. Randomized trials and other comprehensive evaluations of tests and test strategies can best be designed based on an understanding of how tests can benefit or harm patients. Tests primarily affect patients’ health by guiding clinical decision making and downstream management, such as the decision to order more tests or to start, stop, or modify treatment. In this article, the authors demonstrate that tests can have additional effects on patient outcome, which may be cognitive, emotional, social, or behavioral. They present a framework to help researchers and policy makers consider the cognitive, emotional, social, and behavioral effects of testing. These additional effects may be important themselves and may also influence the clinical outcomes of testing through different pathways. The authors provide examples from test evaluations in the literature to illustrate how these additional effects can be important in the evaluation of testing or indeed any health intervention.

Suggested Citation

  • Patrick M. M. Bossuyt & Kirsten McCaffery, 2009. "Additional Patient Outcomes and Pathways in Evaluations of Testing," Medical Decision Making, , vol. 29(5), pages 30-38, September.
    • Handle: RePEc:sae:medema:v:29:y:2009:i:5:p:e30-e38
    DOI: 10.1177/0272989X09347013
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    References listed on IDEAS

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    1. Shaw, Chris & Abrams, Keith & Marteau, Theresa M., 1999. "Psychological impact of predicting individuals' risks of illness: a systematic review," Social Science & Medicine, Elsevier, vol. 49(12), pages 1571-1598, December.
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    Cited by:

    1. Mark Helfand, 2009. "Web Exclusive White Paper Series on Diagnostic Test Evaluation," Medical Decision Making, , vol. 29(5), pages 634-635, September.
    2. Rachel Farber & Nehmat Houssami & Isabelle Barnes & Kevin McGeechan & Alexandra Barratt & Katy J. L. Bell, 2022. "Considerations for Evaluating the Introduction of New Cancer Screening Technology: Use of Interval Cancers to Assess Potential Benefits and Harms," IJERPH, MDPI, vol. 19(22), pages 1-17, November.
    3. Michelle M.A. Kip & Maarten J. IJzerman & Martin Henriksson & Tracy Merlin & Milton C. Weinstein & Charles E. Phelps & Ron Kusters & Hendrik Koffijberg, 2018. "Toward Alignment in the Reporting of Economic Evaluations of Diagnostic Tests and Biomarkers: The AGREEDT Checklist," Medical Decision Making, , vol. 38(7), pages 778-788, October.

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