Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1456
Title: Communicating risk to patients.
Authors: McKenzie, Dean
Fahey, Michael
Gwini, Stella
Han Lin, Catherine
Thomas, Chris
Hanlon, Gabrielle
Barrett, Jonathan
Other Authors: Meyer, Denny
Keywords: Sensitivity
True Positives
Specificity
True Negatives
Misdiagnosis
Heatlhcare Costs
Positive Predictive Value
Patient Brochures'
Illustrative Published Medical Data
Custom Graphs
Disease Probability
Bayesian Probability Formula
Epworth Research Institute, Epworth HealthCare, Victoria, Australia
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Critical Care Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2018
Conference Name: Epworth HealthCare Research Week 2018
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: Introduction Tests that screen for disease must maximize sensitivity (true positives) and specificity (true negatives), so as not to misdiagnose, potentially miss life-threatening disorders or increase patient distress, as well as health care costs. Sensitivity and specificity alone may, however, be misunderstood by patients, and indeed clinicians themselves, especially when disease prevalence is low in the population. Patients testing positive are usually more interested in the probability that they actually have the disease1; known as the positive predictive value. This probability is obtainable using a ‘simple’ Bayesian probability formula, yet it is rarely presented in brochures and other material provided to and/or readily accessible to patients. Professor Gerd Gigerenzer1 and others have conducted many studies, including randomized trials, on how best to present screening information to facilitate understanding and more informed choices. Aims To present simple and understandable methods of illustrating screening test probabilities, including positive predictive values. Methodology Tables and probability trees, that include frequencies, appear to be very informative. These and similar methods could usefully and readily be employed in patient brochures1 and consultations. Such techniques could also be implemented in relevant new and existing patient databases and registries, to provide local, individual and updated probabilities3. Results Illustrative published medical data and custom graphs will be presented.
URI: http://hdl.handle.net/11434/1456
Type: Conference Poster
Affiliated Organisations: Swinburne University of Technology, Victoria, Australia
Barwon Health
Deakin University, Victoria, Australia
University of Melbourne, Victoria, Australia.
Appears in Collections:Critical Care
Rehabilitation
Research Week

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