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The phrase "a decisive risk factor for" is correct and usable in written English.
It can be used in contexts where you are discussing elements that significantly contribute to a particular outcome or condition, especially in fields like health, finance, or research.
Example: "Smoking is a decisive risk factor for developing lung cancer."
Alternatives: "a critical risk factor for" or "a significant risk factor for".
Exact(3)
The use of a curb bit with a port was found to be a decisive risk factor for lesions in the bar region.
Although the role of intratumoral versus peritumoral lymphangiogenesis is still debated, its role as a decisive risk factor for tumor metastasis is now established.
Clement et al showed that a low activity level before trauma is a decisive risk factor for poor functional outcome after surgery in patients with proximal humeral fractures [ 16].
Similar(57)
"It is a risk factor for a family".
Inflammatory stress is a major risk factor for lung cancer.
"Obesity is a huge risk factor for Alzheimer's.
A genetic risk factor for periodic limb movements in sleep.
Social isolation is a known risk factor for elder fraud.
Uraemia is a well-known risk factor for impaired immune cellular response [ 9, 19], and this fact is decisive for both a lower sensitivity of the TST and a higher risk of progression from LTBI to TB disease [ 12].
Depression is a risk factor for heart disease; open-heart surgery is a risk factor for depression.
Travel is a risk factor for this disease.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com