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Tools for Decision Making Sections
Author Bio
Introduction
Part I
Expected Value Decision Making
Case Study 2: Patient History
Currently selected section: Using a Decision Tree
Assigning Utility
Expected Value and QALYs
Sensitivity Analysis
Conclusions: Case Study 2
Part III

References


Chapter 14: Tools for Decision Making: Using a Decision Tree
        

The first step is to represent the problem by a decision tree. There are three key symbols in a decision tree:

  • A box represents a decision node. Lines from the box denote the decision alternatives (one line per decision alternative). The name of the decision alternative goes above the line.

  • A circle represents a chance node. Lines from the circle denote the events that could occur at the chance node. The name of the chance-driven event goes above the line. The probability of the event goes below the line. Since all probabilities at a chance node must sum to 1.0, one event is labeled simply as #, to denote "1 - the sum of the probabilities of the other events."

  • A horizontal rectangle represents a terminal node. A terminal node represents an outcome state, so there are no events that occur distal to a terminal node. The value of the outcome appears in the rectangle.


A very simple decision tree for medical versus surgical treatment might be that with medication, the probability of life expectancy, (defined as the average length of life remaining to a person) is .05. With surgery, 2 branches are possible - death and OK. The life expectancy for the death arm is 0 and for the OK arm is 10

Question 2.3.1

What is the probability represented for the OK arm?

AThe sum of the life expectancies (LE) of each outcome at the chance node, divided by the number of outcomes at that chance node
B1 plus the sum of the probabilities of the other events at the chance node
C1 minus the sum of the probabilities of the other events at the chance node


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