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Clinical judgment and therapeutic decision making.

Publication ,  Journal Article
Hlatky, MA; Califf, RM; Harrell, FE; Lee, KL; Mark, DB; Muhlbaier, LH; Pryor, DB
Published in: J Am Coll Cardiol
January 1990

Clinical decision making is under increased scrutiny due to concerns about the cost and quality of medical care. Variability in physician decision making is common, in part because of deficiencies in the knowledge base, but also due to the difference in physicians' approaches to clinical problem solving. Evaluation of patient prognosis is a critical factor in the selection of therapy, and careful attention to methodology is essential to provide reliable information. Randomized controlled clinical trials provide the most solid basis for the establishment of broad therapeutic principles. Because randomized studies cannot be performed to address every question, observational studies will continue to play a complementary role in the evaluation of therapy. Randomized studies in progress, meta analyses of existing data, and increased use of administrative and collaborative clinical data bases will improve the knowledge base for decision making in the future.

Duke Scholars

Published In

J Am Coll Cardiol

DOI

ISSN

0735-1097

Publication Date

January 1990

Volume

15

Issue

1

Start / End Page

1 / 14

Location

United States

Related Subject Headings

  • Research Design
  • Randomized Controlled Trials as Topic
  • Proportional Hazards Models
  • Prognosis
  • Meta-Analysis as Topic
  • Information Systems
  • Humans
  • Decision Making
  • Clinical Protocols
  • Cardiovascular System & Hematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hlatky, M. A., Califf, R. M., Harrell, F. E., Lee, K. L., Mark, D. B., Muhlbaier, L. H., & Pryor, D. B. (1990). Clinical judgment and therapeutic decision making. J Am Coll Cardiol, 15(1), 1–14. https://doi.org/10.1016/0735-1097(90)90167-n
Hlatky, M. A., R. M. Califf, F. E. Harrell, K. L. Lee, D. B. Mark, L. H. Muhlbaier, and D. B. Pryor. “Clinical judgment and therapeutic decision making.J Am Coll Cardiol 15, no. 1 (January 1990): 1–14. https://doi.org/10.1016/0735-1097(90)90167-n.
Hlatky MA, Califf RM, Harrell FE, Lee KL, Mark DB, Muhlbaier LH, et al. Clinical judgment and therapeutic decision making. J Am Coll Cardiol. 1990 Jan;15(1):1–14.
Hlatky, M. A., et al. “Clinical judgment and therapeutic decision making.J Am Coll Cardiol, vol. 15, no. 1, Jan. 1990, pp. 1–14. Pubmed, doi:10.1016/0735-1097(90)90167-n.
Hlatky MA, Califf RM, Harrell FE, Lee KL, Mark DB, Muhlbaier LH, Pryor DB. Clinical judgment and therapeutic decision making. J Am Coll Cardiol. 1990 Jan;15(1):1–14.
Journal cover image

Published In

J Am Coll Cardiol

DOI

ISSN

0735-1097

Publication Date

January 1990

Volume

15

Issue

1

Start / End Page

1 / 14

Location

United States

Related Subject Headings

  • Research Design
  • Randomized Controlled Trials as Topic
  • Proportional Hazards Models
  • Prognosis
  • Meta-Analysis as Topic
  • Information Systems
  • Humans
  • Decision Making
  • Clinical Protocols
  • Cardiovascular System & Hematology