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2015 ; 3
(3
): 98-107
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Analysis of Strengths, Weaknesses, Opportunities, and Threats as a Tool for
Translating Evidence into Individualized Medical Strategies (I-SWOT)
#MMPMID27069939
von Kodolitsch Y
; Bernhardt AM
; Robinson PN
; Kölbel T
; Reichenspurner H
; Debus S
; Detter C
Aorta (Stamford)
2015[Jun]; 3
(3
): 98-107
PMID27069939
show ga
BACKGROUND: It is the physicians' task to translate evidence and guidelines into
medical strategies for individual patients. Until today, however, there is no
formal tool that is instrumental to perform this translation. METHODS: We
introduce the analysis of strengths (S) and weaknesses (W) related to therapy
with opportunities (O) and threats (T) related to individual patients as a tool
to establish an individualized (I) medical strategy (I-SWOT). The I-SWOT matrix
identifies four fundamental types of strategy. These comprise "SO" maximizing
strengths and opportunities, "WT" minimizing weaknesses and threats, "WO"
minimizing weaknesses and maximizing opportunities, and "ST" maximizing strengths
and minimizing threats. Each distinct type of strategy may be considered for
individualized medical strategies. RESULTS: We describe four steps of I-SWOT to
establish an individualized medical strategy to treat aortic disease. In the
first step, we define the goal of therapy and identify all evidence-based
therapeutic options. In a second step, we assess strengths and weaknesses of each
therapeutic option in a SW matrix form. In a third step, we assess opportunities
and threats related to the individual patient, and in a final step, we use the
I-SWOT matrix to establish an individualized medical strategy through matching
"SW" with "OT". As an example we present two 30-year-old patients with Marfan
syndrome with identical medical history and aortic pathology. As a result of
I-SWOT analysis of their individual opportunities and threats, we identified two
distinct medical strategies in these patients. CONCLUSION: I-SWOT is a formal but
easy to use tool to translate medical evidence into individualized medical
strategies.