Mirjam Garvelink 's article in Medical Decision Making, Decisional Conflict Scale Use over 20 Years: The Anniversary Review, examines the use of the Decisional Conflict Scale (DCS) over its initial 20 years (1995 to 2015) in a scoping review. They conclude that the use of the DCS as an outcome measure for health decision interventions has increased over its 20-year existence, demonstrating its relevance as a decision-making evaluation measure. However, most studies failed to report when decisional conflict was measured during the decision-making process, making scores difficult to interpret. Findings from this study will be used to update the DCS user manual.