Intended for healthcare professionals

Letters Disease severity

Categorising severity of disease is inevitable and essential in routine medical practice

BMJ 2018; 361 doi: (Published 14 June 2018) Cite this as: BMJ 2018;361:k2556
  1. Santhanam Sundar, consultant oncologist
  1. Nottingham University Hospital NHS Trust, Nottingham, UK
  1. sundar.oncology{at}

I wholeheartedly agree with McHugh that apparently mild symptoms can have a devastating effect on the quality of life.1 Acknowledging and dealing with this fact is critical in any doctor-patient relationship.

Equally, I am uncomfortable …

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