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Validation of the tools in different populations
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Described the health condition or problem
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Described the decisions that need to be made
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Stated target audience – whether the tool was designed for patients or providers
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Provided user guidance and incorporated non-medical language
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Provided citations and author credentials
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Missing key parameters such as comorbidities and race
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Advantages and disadvantages of options were not adequately described
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Lack of information on the level of uncertainty around the estimates
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Inadequate data on the ‘Readability’ of the web-tools using standard scales
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Limited clinical trials on user outcomes
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Lack of tools integrating multiple treatment modalities
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No tools for newer breast cancer treatments (e.g., Immunotherapy)
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