An investigation of dentists' and dental students' estimates of diagnostic probabilities

Journal of the American Dental Association

Volumn 141, Issue 6, 2010, Pages 656-666

  Chambers, David W ^a,b   Mirchel, Ryan ^a   Lundergan, William ^a  

^a UNIVERSITY OF THE PACIFIC   (United States)

^b NONE   (United States)

Author keywords

Bayes theorem; Clinical diagnosis; Evidence based dentistry; Test sensitivity

Indexed keywords

BAYES THEOREM; DECISION MAKING; DENTAL EDUCATION; DENTAL STUDENT; DENTIST; HUMAN; LABORATORY DIAGNOSIS; MOUTH DISEASE; PERIODONTAL DISEASES; PREDICTIVE VALUE; PROBABILITY; SENSITIVITY AND SPECIFICITY; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA;

BAYES THEOREM; DECISION MAKING; DENTISTS; DIAGNOSIS, ORAL; FACULTY, DENTAL; FALSE POSITIVE REACTIONS; HUMANS; LIKELIHOOD FUNCTIONS; PERIODONTAL DISEASES; PREDICTIVE VALUE OF TESTS; PROBABILITY; SENSITIVITY AND SPECIFICITY; STUDENTS, DENTAL;

EID: 77953813906     PISSN: 00028177     EISSN: None     Source Type: Journal    
DOI: 10.14219/jada.archive.2010.0253     Document Type: Article

References (46)

1. Hunink M. Decision Making in Health and Medicine: Integrating Evidence and Values. New York City: Cambridge University Press; 2001.
2. Sox HC. Medical Decision Making. Boston: Butterworths; 1988.
3. Weinstein MC, Fineberg HV. The use of diagnostic information to revise probabilities. In: Weinstein MC, ed. Clinical Decision Analysis. Philadelphia: Saunders; 1980: 75-130.
4. Noguchi Y, Matsui K, Imura H, Kiyota M, Fukui T. Quantitative evaluation of the diagnostic thinking process in medical students. J Gen Intern Med 2002;17(11): 839-844.
5. Kahneman D, Slovic P, Tversky A, eds. Judgment Under Uncertainty: Heuristics and Biases. Cambridge, United Kingdom: Cambridge University Press; 1982.
6. Gilovich T, Griffin D, Kahneman D, eds. Heuristics and Biases: The Psychology of Intuitive Judgment. Cambridge, United Kingdom: Cambridge University Press; 2002.
7. Gladwell M. Blink: The Power of Thinking Without Thinking. New York City: Little, Brown; 2005.
8. Taleb NN. Fooled by Randomness: The Hidden Role of Chance in Life and in the Markets. 2nd ed. New York City: Thomson/Texere; 2004.
9. Ariely D. Predictably Irrational: The Hidden Forces That Shape Our Decisions. New York City: Harper; 2009.
10. Bader JD, Shugars DA. Variation, treatment outcomes, and practice guidelines in dental practice. J Dent Educ 1995;59(1):61-95.
11. Eddy DM. Probabilistic reasoning in clinical medicine: problems and opportunities. In: Hahnemann D, Slovic P, Tversky A, eds. Judgment Under Uncertainty: Heuristics and Biases. Cambridge, United Kingdom: Cambridge University Press; 1982: 249-267.
12. Lyman GH, Balducci L. Overestimation of test effects in clinical judgment. J Cancer Educ 1993;8(4):297-307. (Pubitemid 24073257)
13. Lyman GH, Balducci L. The effect of changing disease risk on clinical reasoning. J Gen Intern Med 1994;9(9):488-495. (Pubitemid 24286800)
14. Morise AP. Are the American College of Cardiology/American Heart Association guidelines for exercise testing for suspected coronary artery disease correct? Chest 2000;118(2):535-541.
15. Puhan MA, Steurer J, Bachmann LM, Riet G. A randomized trial of ways to describe test accuracy: the effect on physicians' post-test probability estimates. Ann Intern Med 2005;143(3):184-189. (Pubitemid 41076751)
16. Steurer J, Fischer JE, Bachmann LM, Koller M, Riet G. Communicating accuracy of tests to general practitioners: a controlled study (published correction appears in BMJ 2002;324[7350]:1391). BMJ 2002; 324(7341):824-826.
17. Ebell MH, Bergus GR, Warbasse L, Bloomer R. The inability of physicians to predict the outcome of in-hospital resuscitation. J Gen Intern Med 1996;11(1):16-22. (Pubitemid 26049756)
18. Sox CM, Doctor JN, Koepsell TD, Christakis DA. The influence of types of decision support on physicians' decision making. Arch Dis Child 2009;94(3):185-190.
19. Redelmeier DA, Shafir E. Medical decision making in situations that offer multiple alternatives. JAMA 1995;273(4): 302-305.
20. Phelps MA, Levitt MA. Pretest probability estimates: a pitfall to the clinical utility of evidence-based medicine? Acad Emerg Med 2004; 11(6):692-694.
21. Attia JR, Nair BR, Sibbritt DW, et al. Generating pre-test probabilities: a neglected area in clinical decision making. Med J Austral 2004;180(9):449-454.
22. Grether DM. Bayes' rule as a descriptive model: the representativeness heuristic. Q J Econ 1980;95:537-557.
23. Arocha JF, Patel VL, Patel YC. Hypothesis generation and the coordination of theory and evidence in novice diagnostic reasoning. Med Deris Making 1993;13(3):198-211.
24. Randolph AG, Zoilo MB, Egger MJ, Guyatt GH, Nelson RM, Stidham GL. Variability in physician opinion on limited pediatric life support. Pediatrics 1999;103(4):e46.
25. Winkenwerder W, Levy BD, Eisenberg JM, Williams SV, Young MJ, Herahey JC. Variation in physicians' decision-making thresholds in management of a sexually transmitted disease. J Gen Intern Med 1993;8(7):367-373. (Pubitemid 23214012)
26. Cahan A, Gilon D, Manor O, Paltiel O. Clinical experience did not reduce the variance in physicians' estimates of pretest probability in a cross-sectional survey. J Clin Epidemiol 2005;58(11):1211-1216. (Pubitemid 41441711)
27. American College of Dentists. Dental leadership version 1.1. "www.dentalleadership.org/index.shtml". Accessed April 16, 2010.
28. Aberegg SK, Haponik EF, Terry PB. Omission bias and decision making in pulmonary and critical care medicine. Chest 2005;128(3): 1497-1505. (Pubitemid 41324438)
29. Peterson CR, Beach LR. Man as an intuitive statistician. Psychol Bull 1967;68(1):29-46.
30. Alloy LB, Tabachnik N. Assessment of covariation by humans and animals: the joint influence of prior expectations and current situational information. Psych Rev 1984;91(1):112-149.
31. Cosmides L, Tooby J. Are humans good intuitive statisticians after all? Rethinking some conclusions from the literature on judgment under uncertainty. Cognition 1996;58(1):1-73. (Pubitemid 126355083)
32. Crocker J. Judgments of covariation by social perceivers. Psychol Bull 1981;90(2):272-292.
33. Colombotos JL. Responses of the health professions to information: dilemmas and contradictions. J Am Coll Dent 1989;56(3):50-54.
34. Man-Son-Hing M, O'Connor AM, Drake E, Biggs J, Hum V, Laupacis A. The effect of qualitative vs. quantitative presentation of probability estimates on patient decision-making: a randomized trial. Health Expect 2002;5(3): 246-255. (Pubitemid 34988190)
35. Berner ES, Maisiak RS. Influence of case and physician characteristics on perceptions of decision support systems. J Am Med Inform Assoc 1999;6(5):428-434. (Pubitemid 29426723)
36. Pearson SD, Goldman L, Orav EJ, et al. Triage decisions for emergency department patients with chest pain: do physicians' risk attitudes make the difference? J Gen Intern Med 1995;10(10): 557-564.
37. Shen J, Andersen R, Brook R, Kominski G, Albert PS, Wenger N. The effects of payment methods on clinical decision-making: physician responses to clinical scenarios. Med Care 2004;42(3):297-302.
38. Alvarez SA, Parker SC. Emerging firms and the allocation of control rights: a Bayesian approach. Acad Mgmt Rev 2009;34(2):209-227.
39. Cyert RM, DeGroot MH. Bayesian Analysis and Uncertainty in Economic Theory. Lanham, Md.: Rowman and Littlefield; 1987.
40. Foss NJ. Firms, incomplete contracts, and organizational learning. Hum Sys Mgmt 1996;15(1):17-26.
41. Leroy S, Singell L. Knight on risk and uncertainty. J Poli Econ 1987;95(2):394-406.
42. Roswarski TE, Murray MD. Supervision of students may protect academic physicians from cognitive bias: a study of decision making and multiple treatment alternatives in medicine. Med Deris Making 2006;26(2):154-161. (Pubitemid 43750925)
43. ADA Center for Evidence-Based Dentistry. About EBD. "http://ebd.ada. org/about.aspx". Accessed May 2, 2010.
44. Tracy CS, Dantas GC, Moineddin R, Upshur RE. Contextual factors in clinical decision making: national survey of Canadian family physicians. Can Fam Physician 2005;51: 1106-1107.
45. Webster BS, Courtney TK, Huang YH, Matz S, Christiani DC. Physicians' initial management of acute low back pain versus evidencebased guidelines. J Gen Intern Med 2005;20(12): 1132-1135.
46. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282(15):1458-1465.