On 2014 Mar 19, Jack Dowie commented:

"...compensatory MCDA methods such as weighted sum models are not suitable for oncology decisionmaking problems. In fact, an MDT would be interested in treatments that are both effective (efficacy criterion) with and acceptable safety profile (safety criterion). A compensatory effect would arise if an alternative that exhibits a very good performance on efficacy and a poor performance on safety is preferred to another that has a good performance on efficacy criterion and a fair performance on safety, on the basis of a weighted sum score." This is simply a value judgement and truly person-centred care must allow patients to trade-off 'safety' with other criteria in MCDA-based decision aids or decisions.

On 2014 Mar 19, Jack Dowie commented:

"...compensatory MCDA methods such as weighted sum models are not suitable for oncology decisionmaking problems. In fact, an MDT would be interested in treatments that are both effective (efficacy criterion) with and acceptable safety profile (safety criterion). A compensatory effect would arise if an alternative that exhibits a very good performance on efficacy and a poor performance on safety is preferred to another that has a good performance on efficacy criterion and a fair performance on safety, on the basis of a weighted sum score." This is simply a value judgement and truly person-centred care must allow patients to trade-off 'safety' with other criteria in MCDA-based decision aids or decisions.