Interactive microcomputer-based graphical tools for physician decision support. Aids to test selection and interpretation and use of Bayes' theorem.

Abstract

Three microcomputer programs have been developed to give the practicing physician graphic aid in assessing the usefulness of obtaining a diagnostic test, to assist in interpreting the result after a test has been obtained, and to facilitate exploration of, and familiarity with, the use of Bayes' theorem in clinical practice. Each program uses a different representation for depicting the transformation of pretest to post-test probability produced by the various results of the test. Choice of representation depends on whether multiple tests or results are evaluated concurrently, on the probability range of interest, and on which model the user finds most intuitively appealing. A library of data on sensitivities and specificities of various tests and procedures can be used to select tests of interest from a menu, or data may be entered by the user.