Managing uncertainty in decision-making of common congenital cardiac defects
| العنوان: | Managing uncertainty in decision-making of common congenital cardiac defects |
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| المؤلفون: | McMahon, Colin J., Sendžikaitė, Skaistė, Jegatheeswaran, Anusha, Cheung, Yiu-Fai, Madjalany, David S., Hjortdal, Vibeke, Redington, Andrew N., Jacobs, Jeffrey P., Asoodar, Maryam, Sibbald, Matthew, Geva, Tal, van Merrienboer, Jeroen J G, Tretter, Justin T., van Merrienboer, Jeroen J. G. |
| المساهمون: | RS: SHE - R1 - Research (OvO), Onderwijsontw & Onderwijsresearch |
| المصدر: | Cardiology in the Young, 32(11), 1705-1717. Cambridge University Press Cardiology in the young, Cambridge : Cambridge University Press, 2022, vol. 32, no. 11, art. no. PII S1047951122003316, p. 1705-1717 McMahon, C J, Sendžikaitė, S, Jegatheeswaran, A, Cheung, Y F, Madjalany, D S, Hjortdal, V, Redington, A N, Jacobs, J P, Asoodar, M, Sibbald, M, Geva, T, van Merrienboer, J J G & Tretter, J T 2022, ' Managing uncertainty in decision-making of common congenital cardiac defects ', Cardiology in the Young, vol. 32, no. 11, pp. 1705-1717 . https://doi.org/10.1017/S1047951122003316Test |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Heart Defects, Congenital, Heart Septal Defects, Ventricular, PULMONARY VENOUS CONNECTION, DISCRETE SUBAORTIC STENOSIS, Aortic Valve Insufficiency, Anomalous coronary artery, aortic regurgitation, decision-making, subaortic stenosis, uncertainty, ventricular septal defect, SURGICAL CLOSURE, Artificial Intelligence, Humans, General Medicine, NATURAL-HISTORY, ANOMALOUS AORTIC ORIGIN, ECHOCARDIOGRAPHIC MODEL, OUTFLOW TRACT, VENTRICULAR SEPTAL-DEFECT, COMPLEXITY SCIENCE, Pediatrics, Perinatology and Child Health, CORONARY CUSP PROLAPSE, Cardiology and Cardiovascular Medicine |
| الوصف: | Decision-making in congenital cardiac care, although sometimes appearing simple, may prove challenging due to lack of data, uncertainty about outcomes, underlying heuristics, and potential biases in how we reach decisions. We report on the decision-making complexities and uncertainty in management of five commonly encountered congenital cardiac problems: indications for and timing of treatment of subaortic stenosis, closure or observation of small ventricular septal defects, management of new-onset aortic regurgitation in ventricular septal defect, management of anomalous aortic origin of a coronary artery in an asymptomatic patient, and indications for operating on a single anomalously draining pulmonary vein. The strategy underpinning each lesion and the indications for and against intervention are outlined. Areas of uncertainty are clearly delineated. Even in the presence of “simple” congenital cardiac lesions, uncertainty exists in decision-making. Awareness and acceptance of uncertainty is first required to facilitate efforts at mitigation. Strategies to circumvent uncertainty in these scenarios include greater availability of evidence-based medicine, larger datasets, standardised clinical assessment and management protocols, and potentially the incorporation of artificial intelligence into the decision-making process. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1047-9511 1467-1107 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ad9f582f5bca7cfe24ed699d2cf0b732Test https://cris.maastrichtuniversity.nl/en/publications/b73d7dfa-b1a1-4c11-99e8-6fe42aadd378Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ad9f582f5bca7cfe24ed699d2cf0b732 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10479511 14671107 |
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