Intended for healthcare professionals

Letters Treatment burden of clinical guidelines

Including practical issues and patient perspectives in Rapid Recommendations

BMJ 2018; 363 doi: (Published 20 November 2018) Cite this as: BMJ 2018;363:k4871
  1. Anja Fog Heen, physician1,
  2. Per Olav Vandvik, physician and methodologist2,
  3. Thomas Agoritsas, physician and methodologist3
  4. On behalf of the MAGIC research and innovation programme
  1. 1Department of Medicine, Innlandet Hospital Trust-division, Kyrre Grepps gate 11, 2819 Gjøvik, Norway
  2. 2Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
  3. 3University Hospitals of Geneva, Geneva, Switzerland
  1. anjaheen{at}

Treatment burden is an often ignored but crucial element in guidelines and clinical decision making.1 We would like to point out some recent advances.

Treatment burden could be appraised in a broader framework of “practical issues” related to how a treatment or test will affect a patient’s daily life. These include issues related to drug routine, the need for subsequent tests, …

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