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This information is essential for clinicians, patients and policy makers regarding counselling, decision making and the allocation of healthcare resources.
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Molecular and genetic analysis of biopsy specimens can provide additional information to support patient counselling and treatment decision making.
An advantage to using LR2 is it provides clinicians with absolute risks of a patient having ovarian cancer, which may contribute to patient counselling and shared decision making.
Consequently, treatment decision making counselling may have had, a-priori, met shared decision making criteria.
As was done in our study, it is recommended that counselling is based on shared decision making to enlarge participant empowerment [ 30].
These models can therefore be used in counselling of patients to improve informed decision making [ 18– 20].
In this study, however, unblinding of conditions may have resulted in some reactivity of physicians with taking more emphasis on counselling patients in terms of shared decision making in the control group.
The modules are structured to assist physicians in counselling their patients according to the philosophy of shared decision making [ 22, 23].
In the intervention group physicians were specially trained to use our shared decision making tool so that their patients were counselled with arriba™.
The results even suggest that the objective risk information provided in the counselling may be a relatively small event in this process of decision making.
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