Table 4.

Impact of patient’s V&P on recommendations

Best strategy for RV rangeBest strategyProbability of VTE recurrence
R1R2R3-R5R6
0.10.010.050.075
Bleeding risk Low risk 0.005 Treat none RV ≥ 19.226 RV ≥ 1.923 RV ≥ 9.613 RV ≥ 14.419 
   Test 11.652 ≤ RV ≤ 19.226 1.165 ≤ RV ≤ 1.923 5.826 ≤ RV ≤ 9.613 8.739 ≤ RV ≤ 14.419 
   Treat all RV ≤ 11.652 RV ≤ 1.165 RV ≤ 5.826 RV ≤ 8.739 
 High risk 0.015 Treat none RV ≥ 6.409 RV ≥ 0.641 RV ≥ 3.204 RV ≥ 4.806 
   Test 3.884 ≤ RV ≤ 6.409 0.388 ≤ RV ≤ 0.641 1.942 ≤ RV ≤ 3.204 2.913 ≤ RV ≤ 4.806 
   Treat all RV ≤ 3.884 RV ≤ 0.388 RV ≤ 1.942 RV ≤ 2.913 
Best strategy for RV rangeBest strategyProbability of VTE recurrence
R1R2R3-R5R6
0.10.010.050.075
Bleeding risk Low risk 0.005 Treat none RV ≥ 19.226 RV ≥ 1.923 RV ≥ 9.613 RV ≥ 14.419 
   Test 11.652 ≤ RV ≤ 19.226 1.165 ≤ RV ≤ 1.923 5.826 ≤ RV ≤ 9.613 8.739 ≤ RV ≤ 14.419 
   Treat all RV ≤ 11.652 RV ≤ 1.165 RV ≤ 5.826 RV ≤ 8.739 
 High risk 0.015 Treat none RV ≥ 6.409 RV ≥ 0.641 RV ≥ 3.204 RV ≥ 4.806 
   Test 3.884 ≤ RV ≤ 6.409 0.388 ≤ RV ≤ 0.641 1.942 ≤ RV ≤ 3.204 2.913 ≤ RV ≤ 4.806 
   Treat all RV ≤ 3.884 RV ≤ 0.388 RV ≤ 1.942 RV ≤ 2.913 

RV (relative values) refers to patients’ V&P; when RV < 1, the patient values avoiding outcomes of disease more than avoiding treatment harms; if RV > 1, the patient places more importance on avoiding the harms of treatment than on the consequences of the disease. When the patient is indifferent between treatment harms and the consequences of the disease outcome, RV is 1. When RV is 1, the thresholds are solely determined by empirical evidence (see Method section for details).

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