Treating complications from mesh used for stress urinary incontinence

Healthcare Improvement Scotland has assessed this shared decision aid against the following quality criteria. The quality criteria are based on national and international standards for shared decision aids.

Criterion	Assessment	More information
Process
1. Has information available about the updating policy.	Met	see methodology document section 9
2. Provides an indication that the shared decision aid is underpinned by evidence.	Met	The evidence about how well each type of surgery works is limited and it will also depend on each woman’s unique situation
3. Provides information about the levels of uncertainty around event or outcome probabilities, e.g. by giving a range or by using phases such as ‘our best estimate is.	Met	The options can all help some women. But it is not possible to say for sure what will happen to any individual woman.
4. An equality impact assessment has been carried out to identify impact on inequalities groups.	Met	developed in line with NICE equality scheme'
Content
1. Provides a production or publication date.	Met	Mar-21
2. Provides information about country of publication.	Met	UK
3. Describes the health condition or issue for which the decision is required.	Met	How might mesh have caused complications?
4. States the decision that needs to be considered.	Met	Sets out the nonsurgical and the three surgical options
5. Provides clear information about the potential consequences, benefits and harms of each option.	Met	Large table
6. Displays and frames options in a consistent, balanced and impartial way - for example, using the same sized font and neutral language.	Met	Same tabular format for each operation type
7. Uses everyday language that is widely understood, or simpler language where necessary.	Not met (reading age over 11 for direct patient use)	Your direct input has an average reading ease of about 55.9 of 100. It should be easily understood by 17 to 18 year olds.
8. Shows that effort has been made to present quantitative information about risks, benefits, chance and uncertainty in a way that is understandable to people with low levels of numeracy.	N/A
9. Is presented in a digital format that complies with accessibility standards.	Met	Complies with W3C AAA standard.