The use of multi-criteria decision making models in evaluating anesthesia method options in circumcision surgery

BMC Medical Informatics and Decision Making

Research Article

Emrah Koksalmis¹  Kadir Oymen Hancerliogullari²  Gulsah Hancerliogullari³ 

[1] Department of Industrial Engineering, Faculty of Management, Istanbul Technical University, Istanbul, Turkey;Department of Pediatric Surgery, Faculty of Medicine, Giresun University, Giresun, Turkey;School of Management, Centre of Operational Research, Management Sciences & Information Systems, University of Southampton, Southampton, UK;Department of Industrial Engineering, Faculty of Management, Istanbul Technical University, Istanbul, Turkey;

关键词: Circumcision surgery procedure;    Anesthesia methods;    Health care;    Multi-criteria;    Fuzzy;    AHP;    TOPSIS;   

DOI  :  10.1186/s12911-017-0409-5

 received in 2016-01-29, accepted in 2017-01-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDetermining the most suitable anesthesia method for circumcision surgery plays a fundamental role in pediatric surgery. This study is aimed to present pediatric surgeons’ perspective on the relative importance of the criteria for selecting anesthesia method for circumcision surgery by utilizing the multi-criteria decision making methods.MethodsFuzzy set theory offers a useful tool for transforming linguistic terms into numerical assessments. Since the evaluation of anesthesia methods requires linguistic terms, we utilize the fuzzy Analytic Hierarchy Process (AHP) and fuzzy Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). Both mathematical decision-making methods are originated from individual judgements for qualitative factors utilizing the pair-wise comparison matrix. Our model uses four main criteria, eight sub-criteria as well as three alternatives. To assess the relative priorities, an online questionnaire was completed by three experts, pediatric surgeons, who had experience with circumcision surgery.ResultsDiscussion of the results with the experts indicates that time-related factors are the most important criteria, followed by psychology, convenience and duration. Moreover, general anesthesia with penile block for circumcision surgery is the preferred choice of anesthesia compared to general anesthesia without penile block, which has a greater priority compared to local anesthesia under the discussed main-criteria and sub-criteria.ConclusionsThe results presented in this study highlight the need to integrate surgeons’ criteria into the decision making process for selecting anesthesia methods. This is the first study in which multi-criteria decision making tools, specifically fuzzy AHP and fuzzy TOPSIS, are used to evaluate anesthesia methods for a pediatric surgical procedure.

【 授权许可】

CC BY   
© The Author(s). 2017

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