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Use of Decision Analysis in Planning a Management Strategy for the Stage NO Neck

Archives of Otolaryngology - Head and Neck Surgery · 1994 · Vol. 120(7) · pp. 699–702
Michael H. WeissL.B. HarrisonRico Isaacs

Abstract

A patient with primary squamous cell carcinoma of the head and neck and stage N0 neck status should be observed if the probability of occult cervical metastasis is less than 20%. If the probability is greater than 20%, treatment of the neck is warranted. The treatment plan should ideally involve a single modality of therapy; both neck dissection and radiation therapy are quite efficacious in the clinical context, and the decision of which one to employ should be driven by the treatment of the primary lesion. Decision analysis is useful in complex clinical situations.

Quality and Safety in HealthcareRisk and Safety AnalysisStage (stratigraphy)Computer scienceOperations managementProcess managementBusinessEngineeringBiology

MeSH terms

Carcinoma, Squamous CellCombined Modality TherapyComputer SimulationDecision Support TechniquesFollow-Up StudiesHead and Neck NeoplasmsHumansLife ExpectancyNeoplasm Recurrence, LocalNeoplasm StagingPatient Care PlanningQuality of LifeRisk FactorsSensitivity and SpecificityLikelihood Functions
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