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Women need to be informed about interventions to retain fertility before chemotherapy so as to make good quality decisions.
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Data from retrospective and simulated studies seem to indicate that shared decision-making, and the use of good quality decision support interventions, could offer some level of medico-legal protection.
Supporting women by allowing them to explain their viewpoints, giving them accurate information and explicitly obtaining their consent were also seen as contributing to good quality decision-making in these situations.
Pareto fronts contain a wealth of information, providing a set of solutions of good quality for the decision makers to choose according to their preferences.
The current work provides an empirical demonstration of the strong link between good quality evidence and decision-making.
The Evaluation function seeks to strategically contribute to UNICEF's performance by providing good quality evidence for decision-making and policy advocacy, as well as accountability purposes.
A case of study, considering a bi-layer scenario, is presented in order to validate the proposal, which showed to be able to provide good quality solutions for supporting decision making.
As a medium of mere information, however, the leaflet – in spite of its good quality – cannot substitute a genuine decision aid, because decision aids have to include several aspects such as opportunities of value clarifications not included in common patient information.
Only one leaflet is of good quality, but cannot substitute a decision aid.
Currently there is much variation in the use of surgery and a lack of good quality evidence to inform this decision.
Since there is no current gold standard for a clinical decision, CEDAR will contribute to an outcome-oriented conceptualisation of CDM quality: Clinical decisions of a "good quality" are those with a strong association with good clinical outcome.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com