A to Z Summary Results - Patient Decision Aids - Ottawa Hospital Research Institute

Decision Aid Summary

Title Testicular Cancer: Which Treatment Should I Have for Stage I Nonseminoma Testicular Cancer After My Surgery?
How to obtain The decision aid is publicly available for free from a number of websites, the URL for a version for professional evaluation is listed. Versions localized for Canada may also be available.
Available here.
Health condition Testicular cancer
Type of decision aid Treatment
Options included Try surveillance. This means following a schedule of regular checkups and tests.
Have chemotherapy. It can kill any stray cancer cells.
Have surgery to remove the lymph nodes in your pelvis and lower back.
Audience Men with stage I nonseminoma testicular cancer deciding on treatment choices after surgical removal of the testicle.
Developer Healthwise
Where was it developed? www.healthwise.org
Year of last update or review 2015
Format Web, paper
Language English
Based on IPDAS criteria (International Patient Decision Aid Standards) this decision aid (and/or supporting materials) meets:
7 out of 7 criteria to be defined as a patient decision aid
6 out of 8 criteria to lower the risk of making a biased decision
Not applicable: other criteria for decision aids about screening or testing


Criteria to be defined as a patient decision aidAnswer
1.The decision aid describes the condition (health or other) related to the decision. Yes
2.The decision aid describes the decision that needs to be considered (the index decision). Yes
3.The decision aid identifies the target audience. Yes
4.The decision aid lists the options (health care or other). Yes
5.The decision aid has information about the positive features of the options (e.g. benefits, advantages). Yes
6.The decision aid has information about negative features of the options (e.g. harms, side effects, disadvantages). Yes
7.The decision aid helps patients clarify their values for outcomes of options by: a) asking people to think about which positive and negative features of the options matter most to them AND/OR b) describing each option to help patients imagine the physical, social, and /or psychological effect. Yes
Criteria to lower the risk of making a biased decisionAnswer
8.The decision aid makes it possible to compare the positive and negative features of the available options. Yes
9.The decision aid shows the negative and positive features of the options with equal detail. Yes
10.The decision aid compares probabilities (e.g. chance of a disease, benefit, harm, or side effect) of options using the same denominator. NA
11.The decision aid (or available technical documents) reports funding sources for development. Unknown
12.The decision aid reports whether authors of the decision aid or their affiliations stand to gain or lose by choices people make after using the decision aid. Yes
13.The decision aid includes authors/developers' credentials or qualifications. Unknown
14.The decision aid reports the date when it was last updated. Yes
15.The decision aid (or available technical document) reports readability levels. Yes
16.The decision aid provides references to scientific evidence used. Yes
Other criteria for decision aids about screening or testingAnswer
17.The decision aid has information about what the test is designed to measure. NA
18.The decision aid describes possible next steps based on the test results. NA
19.The decision aid has information about the chances of disease being found with and without screening. NA
20.The decision aid has information about detection and treatment of disease that would never have caused problems if screening had not been done. NA
Other criteria indicating qualityAnswer
21.The decision aid describes what happens in the natural course of the condition (health or other) if no action is taken. Yes
22.The decision aid has information about the procedures involved (e.g. what is done before, during, and after the health care option). Yes
23.The information about outcomes of options (positive and negative) includes the chances they may happen. No
24.The decision aid presents probabilities using event rates in a defined group of people for a specified time. NA
25.The decision aid compares probabilities of options over the same period of time. NA
26.The decision aid uses the same scales in diagrams comparing options. NA
27.Users (people who previously faced the decision) were asked what they need to prepare them to discuss a specific decision. No
28.The decision aid was reviewed by people who previously faced the decision who were not involved in its development and field testing. Yes
29.People who were facing the decision field tested the decision aid. Yes
30.Field testing showed that the decision aid was acceptable to users (the general public & practitioners). Yes
31.Field testing showed that people who were undecided felt that the information was presented in a balanced way. Yes
32.There is evidence that the decision aid (or one based on the same template) helps people know about the available options and their features. Yes
33.There is evidence that the decision aid (or one based on the same template) improves the match between the features that matter most to the informed person and the option that is chosen. Unknown

Last modified: 2017-03-03.