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How to make a hard health decision: Use IPDAS

Oliver Zolman MD

· Health Decisions

IPDAS is the international patient decision aids checklist - http://ipdas.ohri.ca/IPDAS_checklist.pdf 

Given how great this checklist is, why doesn't every clinician strive to use it in far more clinical scenarios?

I have seen hundreds of cases where patients are not informed about all the test or therapy options in much detail and are just told one option with very little detail in a paternalistic style.

IPDAS can be improved further if it is combined with a tailored patient population specific sysetmatic review of all the evidence to update option choices, as guidelines and older IPDAS decision aids will always be out of date.

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