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June 30, 1988New England Journal of Medicine1,713 citations

An Assessment of Clinically Useful Measures of the Consequences of Treatment

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ALAndreas LaupacisDSDavid L. SackettRRRobin S. Roberts

Key Points

  • To evaluate and identify clinically useful measures that help healthcare providers prioritize preventive, diagnostic, and therapeutic interventions within limited clinical time and resources.
  • Reviewed clinical decision-making challenges regarding the allocation of limited time during patient consultations.
  • Evaluated frameworks and comparative metrics used by task forces and review bodies to assess the clinical consequences of diverse medical interventions.
  • Identified critical criteria needed to define actionable, standardized measures of clinical benefit across competing interventions.
  • Demonstrated that systematic quantitative measures of treatment consequences provide clearer guidance for time-constrained clinical encounters than unstructured expert recommendations.

Abstract

WITH neither the time nor the resources available to prevent, detect, or treat every disorder in every patient, which preventive, diagnostic, or therapeutic interventions should take priority? When a physician has a few spare minutes to spend with a patient, should that time be devoted to a blood pressure check, a counseling session about dietary fat, an inquiry about possible symptoms of transient cerebral ischemia, or a demonstration of how to use nicotine chewing gum?Plenty of experts are quick to tell us how we should spend this valuable time; there are now even task forces and professional review bodies . . .

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Cite This Study

Laupacis et al. (1988) studied this question.

synapsesocial.com/papers/69d8cbaa270e68ba94bed8e5https://doi.org/10.1056/nejm198806303182605
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