Intended for healthcare professionals


Introduction to BMJ Rapid Recommendations

BMJ 2016; 354 doi: (Published 28 September 2016) Cite this as: BMJ 2016;354:i5191
  1. Reed A Siemieniuk, methodologist1 2,
  2. Thomas Agoritsas, assistant professor1 3,
  3. Helen Macdonald, acting head of education section4,
  4. Gordon H Guyatt, distinguished professor1 5,
  5. Linn Brandt, methodologist6,
  6. Per O Vandvik, associate professor6 7
  1. 1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada L8S 4L8
  2. 2Department of Medicine, University of Toronto, Toronto, Ontario, Canada
  3. 3Division of General Internal Medicine, and Division of Clinical Epidemiology, University Hospitals of Geneva, Geneva, Switzerland
  4. 4The BMJ, London WC1H 9JP, UK
  5. 5Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8S 4L8
  6. 6Institute of Health and Society, Faculty of Medicine, University of Oslo, 0318 Oslo, Norway
  7. 7Department of Medicine, Innlandet Hospital Trust-division, Gjøvik, Norway
  1. Correspondence to: P O Vandvik per.vandvik{at}

New BMJ collaboration accelerates evidence into practice to answer the questions that matter quickly and transparently through trustworthy recommendations

Find a committee. Add evidence, opinion, politics, and money in varying measures, and a murky set of recommendations can emerge. To those on the outside, guideline production may seem like a black box, and, unless it is carefully and transparently managed, loss of trust, patient suffering, waste, and over and under treatment can occur. Clinicians and patients who implement recommendations may feel disenfranchised by the pronouncements of researchers, publishers, and guideline writers. In an era when clinicians and patients aim to discuss and select management options that seem right for them, it is clear that we can do better.1 An initiative from the MAGIC non-profit research and innovation programme—representing patients, front-line clinicians, researchers, and guideline experts (—has resulted in a collaboration with The BMJ. We aim to promptly translate emerging research to user friendly and trustworthy recommendations, evidence summaries, and decision aids.

During the hiatus between new evidence and guideline publication, many patients receive outdated care; it can take years for evidence to filter …

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