Management of Suspected Temporal Arteritis

Diane L. Elliot, William J. Watts and James B. Reuler

Medical Decision Making, 1983, vol. 3, issue 1, 63-68

Abstract: Management strategies for suspected temporal arteritis range from bilateral temporal artery biopsy to empiric corticosteroid therapy. A decision analysis of the clinical situation was constructed, and a sensitivity analysis for varying prevalences of temporal arteritis was used to calculate costs for different management strategies. Conclusions suggested by the analysis include the following: (1) due to the high cost of blindness, suspicion of disease must be low ( 30Vo), empiric steroids are the cheapest management; (3) when diagnostic procedures are indicated, bilateral biopsy is the cheapest initial diagnostic procedure; and (4) if unilateral biopsy is negative, a second biopsy is always cost effective. (Med Decis Making 3:63-68, 1983).

Date: 1983
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:3:y:1983:i:1:p:63-68

DOI: 10.1177/0272989X8300300112

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