TABLE 4

Perspective taken and description of strength and conditionality of recommendations

Strong recommendationConditional recommendation
PatientsMost individuals in this situation would want the recommended course of action and only a small proportion would not
Formal decision aids are not likely to be needed to help individuals make decisions consistent with their values and preferences
The majority of individuals in this situation would want the suggested course of action, but many would not
CliniciansMost individuals should receive the intervention
Adherence to this recommendation according to the guidelines could be used as a quality criterion or performance indicator
Recognise that different choices will be appropriate for individual patients, and that patients must be helped to arrive at a management decision consistent with their values and preferences
Decision aids may be useful in helping individuals to make decisions consistent with their values and preferences
Policy-makersThe recommendation can be adopted as policy in most situationsPolicy-making will require substantial debate and involvement of various stakeholders