Chai Yu Ting, An Analytic Hierarchy Process-Based Clinical Decision-Making for Dry Eye Disease Diagnostic Test Selection

An Analytic Hierarchy Process-Based Clinical Decision-Making for Dry Eye Disease Diagnostic Test Selection Yu Ting Chai1 , Pui Juan Woi1* , Jecksin Ooi2 , Narayanasamy Sumithira 1 1Center for Community Health Studies (ReaCH), Optometry and Vision Science Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia 2School of Engineering and Physical Sciences, Heriot-Watt University Malaysia,Precinct 5, 62200 Putrajaya, Malaysia 11 UKM PPI/111/8/JEP -2023-292 Ø Schirmer test is the most preferred DED diagnostic test as it measures tear production directly and is readily available. Ø AHP approach can address the uncertainty of practitioners’ clinical decision-making in selecting DED diagnostic tests. Six optometry experts were recruited to rank 4 criteria in deciding DED diagnostic tests and 7 DED diagnostic tests according to their preferences. Pairwise comparison of multiple criteria and alternatives were performed based on AHP Approach. Saaty’s nine-point scale was used to evaluate the relative importance of criteria and alternatives.The geometric average of experts’ response was obtained AND The weight were calculated. DRY EYE DISEASE There are a lot of diagnostic tests used to diagnose DED.To date, there is no single gold standard clinical sign that correlates perfectly with DED1 . In this study, a systematic framework using analytic hierarchy process (AHP), a decision-making technique developed for the multicriteria evaluation of alternatives for DED diagnostic test selection. 0.06 0.09 0.23 0.62 COSTS TIME NEEDED RELIABILITY ACCURACY 0.07 0.13 0.14 0.14 0.15 0.18 0.20 QUSTIONNAIRE MEIBOMIAN GLAND DYSFUNCTION OSMOLARITY TEST NIBUT CORNEAL AND CONJUNCTIVAL STAINING TBUT SCHIRMER TEST Overall, Schirmer test has the highest weightage because: Accuracy = 1 st Reliability = 1 st Cost = 5 th Time needed = 6 th ACKNOWLEDGEMENT The authors are grateful to the experts for their commitment and cooperation. REFERENCES 1.Savini, G., Prabhawasat, P., Kojima, T., Grueterich, M., Espana, E. & Goto, E. 2008. The Challenge of Dry Eye Diagnosis. Clinical ophthalmology 2(1): 31-55. 2.Saaty, T. L. 2004. Decision Making—the Analytic Hierarchy and Network Processes (Ahp/Anp). Journal of systems science and systems engineering 13(1): 1-35. Figure 1: Structure of AHP Goal Criteria Alternatives