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Previous Volume 330:1895-1896 June 30, 1994 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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As our medical decisions become more and more standardized and codified, we should take care to ensure that critical therapeutic choices are not based exclusively on formal guidelines. Many decisions need to be individualized, especially when they involve choices between possible outcomes that may be viewed differently by different patients. In such cases we should identify a patient's preferences scrupulously -- a point underscored by O'Meara and colleagues in this issue of the Journal¹. They present a decision analysis of the choice between heparin alone and streptokinase plus heparin in the treatment of deep venous thrombosis. The result helps . . . [Full Text of this Article]

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• Schildmann, J, Grunke, M, Kalden, J R, Vollmann, J (2008). Information and participation in decision-making about treatment: a qualitative study of the perceptions and preferences of patients with rheumatoid arthritis. J. Med. Ethics 34: 775-779 [Abstract] [Full Text]  
• Elwood, P., Morgan, G. (2008). Aspirin for all over 50 revisited. Heart 94: 1364-1365 [Full Text]  
• Mangset, M, Forde, R, Nessa, J, Berge, E, Wyller, T B. (2008). "I don't like that, it's tricking people too much...": acute informed consent to participation in a trial of thrombolysis for stroke. J. Med. Ethics 34: 751-756 [Abstract] [Full Text]  
• Whitney, S. N., Holmes-Rovner, M., Brody, H., Schneider, C., McCullough, L. B., Volk, R. J., McGuire, A. L. (2008). Beyond Shared Decision Making: An Expanded Typology of Medical Decisions. Med Decis Making 28: 699-705 [Abstract]  
• Holmes-Rovner, M., Nelson, W. L., Pignone, M., Elwyn, G., Rovner, D. R., O'Connor, A. M., Coulter, A., Correa-de-Araujo, R. (2007). Are Patient Decision Aids the Best Way to Improve Clinical Decision Making? Report of the IPDAS Symposium. Med Decis Making 27: 599-608 [Abstract]  
• Carroll, J. D. (2006). The Evolving Treatment of Aortic Stenosis: Do New Procedures Provide New Treatment Options for the Highest-Risk Patients?. Circulation 114: 533-535 [Full Text]  
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• Man-Son-Hing, M., Gage, B. F., Montgomery, A. A., Howitt, A., Thomson, R., Devereaux, P. J., Protheroe, J., Fahey, T., Armstrong, D., Laupacis, A. (2005). Preference-Based Antithrombotic Therapy in Atrial Fibrillation: Implications for Clinical Decision Making. Med Decis Making 25: 548-559 [Abstract]  
• Steures, P., Berkhout, J. C., Hompes, P. G.A., van der Steeg, J. W., Bossuyt, P. M.M., van der Veen, F., Habbema, J. D. F., Eijkemans, M. J.C., Mol, B. W.J. (2005). Patients' preferences in deciding between intrauterine insemination and expectant management. Hum Reprod 20: 752-755 [Abstract] [Full Text]  
• Schattner, A. (2004). Simple Is Beautiful: The Neglected Power of Simple Tests. Arch Intern Med 164: 2198-2200 [Full Text]  
• Fraenkel, L, Bogardus, S T, Concato, J, Felson, D T, Wittink, D R (2004). Patient preferences for treatment of rheumatoid arthritis. Ann Rheum Dis 63: 1372-1378 [Abstract] [Full Text]  
• Schattner, A., Fletcher, R.H. (2003). Research evidence and the individual patient. QJM 96: 1-5 [Full Text]  
• Kennedy, A. D. M., Sculpher, M. J., Coulter, A., Dwyer, N., Rees, M., Abrams, K. R., Horsley, S., Cowley, D., Kidson, C., Kirwin, C., Naish, C., Stirrat, G. (2002). Effects of Decision Aids for Menorrhagia on Treatment Choices, Health Outcomes, and Costs: A Randomized Controlled Trial. JAMA 288: 2701-2708 [Abstract] [Full Text]  
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• Fried, T. R., van Doorn, C., O'Leary, J. R., Tinetti, M. E., Drickamer, M. A. (2000). Older Persons' Preferences for Home vs Hospital Care in the Treatment of Acute Illness. Arch Intern Med 160: 1501-1506 [Abstract] [Full Text]  
• Brown, G. C., Sharma, S., Brown, M. M., Kistler, J. (2000). Utility Values and Age-related Macular Degeneration. Arch Ophthalmol 118: 47-51 [Abstract] [Full Text]  
• Pandolfini, C., Impicciatore, P., Bonati, M. (2000). Parents on the Web: Risks for Quality Management of Cough in Children. Pediatrics 105: e1-e1 [Abstract] [Full Text]  
• Sarasin, F.P. (1999). Decision analysis and the implementation of evidence-based medicine. QJM 92: 669-671 [Abstract] [Full Text]  
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• Ruland, C. M. (1999). Decision Support for Patient Preference-based Care Planning: Effects on Nursing Care and Patient Outcomes. J. Am. Med. Inform. Assoc. 6: 304-312 [Abstract] [Full Text]  
• Volk, R. J., Cass, A. R., Spann, S. J. (1999). A Randomized Controlled Trial of Shared Decision Making for Prostate Cancer Screening. Arch Fam Med 8: 333-340 [Abstract] [Full Text]  
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• Featherstone, K., Donovan, J. L (1998). Random allocation or allocation at random? Patients' perspectives of participation in a randomised controlled trial. BMJ 317: 1177-1180 [Abstract] [Full Text]  
• Cowen, M. E., Miles, B. J., Cahill, D. F., Giesler, R. B., Beck, J. R., Kattan, M. W. (1998). The Danger of Applying Group-level Utilities in Decision Analyses of the Treatment of Localized Prostate Cancer in Individual Patients. Med Decis Making 18: 376-380 [Abstract]  
• Silvestri, G., Pritchard, R., Welch, H G. (1998). Preferences for chemotherapy in patients with advanced non-small cell lung cancer: descriptive study based on scripted interviews. BMJ 317: 771-775 [Abstract] [Full Text]  
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• O'Connor, A. M., Tugwell, P., Wells, G. A., Elmslie, T., Jolly, E., Hollingworth, G., Mcpherson, R., Drake, E., Hopman, W., Mackenzie, T. (1998). Randomized Trial of a Portable, Self-administered Decision Aid for Postmenopausal Women Considering Long-term Preventive Hormone Therapy. Med Decis Making 18: 295-303 [Abstract]  
• Gage, B. F., Cardinalli, A. B., Owens, D. K. (1998). Cost-Effectiveness of Preference-Based Antithrombotic Therapy for Patients With Nonvalvular Atrial Fibrillation. Stroke 29: 1083-1091 [Abstract] [Full Text]  
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• Tsevat, J., Dawson, N. V., Wu, A. W., Lynn, J., Soukup, J. R., Cook, E. F., Vidaillet, H., Phillips, R. S., for the HELP Investigators, (1998). Health Values of Hospitalized Patients 80 Years or Older. JAMA 279: 371-375 [Abstract] [Full Text]  
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• BERNSTEIN, J. (1997). Current Concepts Review - Decision Analysis. JBJS 79: 1404-14 [Full Text]  
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• Volk, R. J., Cantor, S. B., Spann, S. J., Cass, A. R., Cardenas, M. P., Warren, M. M. (1997). Preferences of Husbands and Wives for Prostate Cancer Screening. Arch Fam Med 6: 72-76 [Abstract]  
• Wyatt, J. C (1996). Commentary: Telemedicine trials--clinical pull or technology push?. BMJ 313: 1380-1381 [Full Text]  
• Greenhalgh, T. (1996). "Is my practice evidence-based?". BMJ 313: 957-958 [Full Text]  
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• Fletcher, J, Hicks, N R, Kay, J D S, Boyd, P A (1995). Using decision analysis to compare policies for antenatal screening for Down's syndrome. BMJ 311: 351-356 [Abstract] [Full Text]  
• Orvell, B., Rockefeller, R. G., Price, R. B., Reynolds, J. T., Kassirer, J. P. (1995). The Next Transformation in the Delivery of Health Care. NEJM 332: 1099-1100 [Full Text]  
• McKee, M., Clarke, A. (1995). Guidelines, enthusiasms, uncertainty, and the limits to purchasing. BMJ 310: 101-104 [Full Text]  
• Kassirer, J. P. (1995). The Next Transformation in the Delivery of Health Care. NEJM 332: 52-54 [Full Text]  
• Susman, J. L. (1994). Assessing Consumer Expectations and Patient Satisfaction: Passing Fad, Mission Impossible, or 'Just What the Doctor Ordered'?. Arch Fam Med 3: 945-946 [Abstract]  
• Miyaji, N. T., Espinosa, E., Zamora, P., Baron, M. G., Ferris, T., Holcombe, R. F., Price, F. V., Kelley, J. L., Edwards, R. P., Annas, G. J. (1994). Informed Consent, Cancer, and Truth in Prognosis. NEJM 331: 810-812 [Full Text]