Methodology

Methodology: treatment option reviews

Treatment option reviews evaluate clinical decision frameworks for specific procedures. Each review:

  1. Names the question. A treatment option review is not a procedure explainer. It is a clinical decision: when, why, and instead of what.
  2. Cites peer-reviewed evidence. Every clinical claim resolves to a peer-reviewed source via PubMed or DOI, or to a named clinical guideline from a registered specialist body.
  3. Reports absolute numbers. Relative risk reductions in isolation are misleading and are not published in isolation.
  4. States external validity. Every cited study includes sample size, date, and a note on what populations the result applies to.
  5. Names the financial incentive structure where the recommendation pattern in clinical practice diverges from the evidence.
  6. States falsification conditions. The review specifies what evidence would change the recommendation.
  7. Carries a Last reviewed date and is re-reviewed annually.

A treatment option review is one input a patient can stack against the recommendation they have received from a clinic. It is not a substitute for a domestic specialist second opinion, an audit of the destination clinic’s certification, or a check of the cost-by-country reference. The case for stacking these imperfect remedies, and the named limits of each, is set out in the structural account of why no single remedy closes the trust gap.

How to cite this article

Permalink: https://ritamaloney.com/methodology/treatment-option-reviews/

Maloney R. Methodology: treatment option reviews. The Maloney Review. 4 May 2026. https://ritamaloney.com/methodology/treatment-option-reviews/