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. 2021 Dec 6;61:43–57. doi: 10.1016/j.breast.2021.12.003
Item IPDAS dimension Item description
1 Information about options The DST describes the health condition or problem (intervention, procedure, or investigation) for which the index decision is required
2 The DST described the decision that needs to be considered (the index decision)
3 The DST describes the options available for the index decision
4 The DST describes the natural course of the health condition or problem, if no action is taken
5 The DST describes positive features (benefits or advantages) of each option
6 The DST describes negative features (harms, side effects or disadvantages) of each option
7 The DST makes it possible to compare the positive and negative features of the available options
8 The DST shows the negative and positive features of options with equal detail
9 Outcome probabilities The DST provides information about outcome probabilities associated with the options (i.e, the likely consequences of decisions)
10 The DST specifies the defined group (reference class) of patients for which the outcome probabilities apply
11 The DST specifies the event rates for the outcome probabilities
12 The DST specifies the time period over which the outcome probabilities apply
13 The DST allows the user to compare outcome probabilities across options using the same denominator and time period
14 The DST provides information about the levels of uncertainty around event or outcome probabilities
15 The DST provides more than one way of viewing the probabilities
16 The DST provides balanced information about event or outcome probabilities to limit framing bias
17 Clarifying values The DST describes the features of options to help patients imagine what it is like to experience physical effects
18 The DST describes the features of options to help patients imagine what it is like to experience the psychological effects
19 The DST describes the features of options to help patients imagine what it is like to experience social effects
20 The DST asks patients to think about which positive and negative features of the options matters most to them
21 Decision guidance The DST provides a step-by-step way to make a decision
22 The DST includes tools like worksheets or lists of questions to use when discussing options with a practitioner
23 Development process The DST (or associated paper) mentions that the development process included finding out what clients or patients need to prepare them to discuss a decision
24 The DST (or associated paper) mentions that the development process included finding out what health professionals need to prepare them to discuss a specific decision with patients
25 The DST (or associated paper) mentions that the development process included expert review by clients/patients not involved in producing the DST
26 The DST (or associated paper) mentions that the development process included expert review by health professionals not involved in producing the DST
27 The DST (or associated paper) mentions that the DST was field tested with patients who were facing the decision
28 The DST (or associated paper) mentions that the DST was field tested with practitioners who counsel patients who face the decision
29 Using evidence The DST (or associated paper) provides citations to the studies selected
30 The DST (or associated paper) describes how research evidence was selected or synthesized
31 The DST (or associated paper) provides a production or publication rate
32 The DST (or associated paper) provides information about the proposed update policy
33 The DST (or associated paper) describes the quality of the research evidence used
34 Disclosure and transparency The DST (or associated technical documentation) provides information about the funding used for development
35 The DST includes author/developer credentials or qualifications
36 Plain language The DST (or associated paper) reports readability levels (using one or more of the available scales)

Note. DST = Decision support technology.