Conclusions are so important. However, there seem to be many ways of writing them. How to write well-balanced conclusions? I give a simple made-up example. The example simply says that care was inaccessible for patients and 20-year temporal trends showed marginal improvement.


Describe/assess patients care during 2000-2020 in a country.


  1. 70% of patients received no treatment despite needing it.

  2. During the 20-year period, the probability of receiving treatment increased only by 5 percentage points [95 CI: 2.4; 8.1]; however, only 33% of patients received treatment at the end of the observed period.


A) I can re-describe the findings but this does not seem like a statement. However, it seems a really safe (hard to argue) option.

Most of the patients received no care during 2000-2020. Despite the probability of receiving treatment increased during the observed period, two-thirds of the patients still received no treatment in 2020.

B) I can state something to say was these patients' management good or bad but this says less about the situation.

These patients care conflicted with multiple international guidelines as patients often received no treatment during the 20-year period.

C) I can say what needs to be done but this is more like an implication.

There is a need to review particular healthcare resources to ensure care for this patient population, as they were mostly excluded from recommended care.

D) Your option?

  • I think this is too based on opinion and specific circumstances to be answered generally.
    – Bryan Krause
    Jun 21, 2021 at 18:52
  • 1
    What do other articles in the journals you submit to do? They will provide models for you to modify. Jun 21, 2021 at 19:04


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