Multicriteria decision analysis in oncology

Georges Adunlin; Vakaramoko Diaby; Alberto J. Montero; Hong Xiao

doi:10.1111/hex.12178

journal article Mar 17, 2014

Multicriteria decision analysis in oncology

Georges Adunlin Vakaramoko Diaby Alberto J. Montero

Hong Xiao

Health Expectations Vol. 18 No. 6 pp. 1812-1826 · Wiley

View at Publisher Save 10.1111/hex.12178

Abstract

AbstractBackgroundThere has been a growing interest in the development and application of alternative decision‐making frameworks within health care, including multicriteria decision analysis (MCDA). Even though the literature includes several reviews on MCDA methods, applications of MCDA in oncology are lacking.AimThe aim of this paper is to discuss a rationale for the use of MCDA in oncology. In this context, the following research question emerged: How can MCDA be used to develop a clinical decision support tool in oncology?MethodsIn this paper, a brief background on decision making is presented, followed by an overview of MCDA methods and process. The paper discusses some applications of MCDA, proposes research opportunities in the context of oncology and presents an illustrative example of how MCDA can be applied to oncology.FindingsDecisions in oncology involve trade‐offs between possible benefits and harms. MCDA can help analyse trade‐off preferences. A wide range of MCDA methods exist. Each method has its strengths and weaknesses. Choosing the appropriate method varies depending on the source and nature of information used to inform decision making. The literature review identified eight studies. The analytical hierarchy process (AHP) was the most often used method in the identified studies.ConclusionOverall, MCDA appears to be a promising tool that can be used to assist clinical decision making in oncology. Nonetheless, field testing is desirable before MCDA becomes an established decision‐making tool in this field.

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Details

Published: Mar 17, 2014
Vol/Issue: 18(6)
Pages: 1812-1826
License: View

Authors

G

Georges Adunlin

Division of Economic, Social and Administrative Pharmacy College of Pharmacy and Pharmaceutical Sciences Florida A&M University Tallahassee FL USA

V

Vakaramoko Diaby

Division of Economic, Social and Administrative Pharmacy College of Pharmacy and Pharmaceutical Sciences Florida A&M University Tallahassee FL USA

A

Alberto J. Montero

Cleveland Clinic Taussig Cancer Institute Cleveland OH USA

H

Hong Xiao

Division of Economic, Social and Administrative Pharmacy College of Pharmacy and Pharmaceutical Sciences Florida A&M University Tallahassee FL USA

Cite This Article

Georges Adunlin, Vakaramoko Diaby, Alberto J. Montero, et al. (2014). Multicriteria decision analysis in oncology. Health Expectations, 18(6), 1812-1826. https://doi.org/10.1111/hex.12178

Multicriteria decision analysis in oncology

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