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Wri$ng	the	Discussion	
Lars	Åke	Persson	MD	PhD	
lars.persson@lshtm.ac.uk	
Dagu	Scien$fic	Wri$ng	Workshop,	
Gondar,	Ethiopia,	July	10-14,	2017
Discussion	sec*on	of	a	
manuscript:	func*on	
•  To	interpret	findings	in	
light	of	what	was	already	
known	about	the	subject	
•  Explain	our	new	
understanding	aOer	your	
results	
•  Will	connect	to	
introduc$on,	the	literature	
cited,	the	objec$ves	
phrased:	how	did	the	
results	change	the	
situa$on?
Discussion	sec*on	of	a	
manuscript:	Organiza*on	
•  KEY	RESULTS	Summarize	key	results	
with	reference	to	study	objec$ves	
•  LIMITATIONS	Discuss	limita$ons	of	the	
study,	taking	into	account	sources	of	
poten$al	bias	or	imprecision.	Discuss	
both	direc$on	and	magnitude	of	any	
poten$al	bias	
•  INTERPRETATION	Give	a	cau$ous	
overall	interpreta$on	of	results	
considering	objec$ves,	limita$ons,	
mul$plicity	of	analysis,	results	from	
similar	studies,	and	other	relevant	
evidence	
•  GENERALISABILITY	(may	be	part	of	
limita$ons	paragraph)	Discuss	the	
generalisability,	i.e.	external	validity,	of	
the	study	results	
•  CONCLUSION	Concluding	the	discussion,	
maybe	policy	implica$ons,	maybe	need	
of	further	research
Discussion	sec*on	of	a	
manuscript:	basic	ques*ons	
and	principles	(1)	
•  Do	the	results	provide	answers	
to	your	research	ques$ons/
address	your	objec$ves?	
•  Do	the	findings	agree	with	what	
others	have	found,	to	theory	(if	
appropriate)?	
•  If	not:	Alterna$ve	explana$ons?	
Weakness	in	your	design,	in	
others’	studies?	
•  Given	your	conclusions,	what	is	
our	new	understanding	of	the	
subject	area?	
•  If	warranted,	what	is	the	next	
step	in	prac$ce	and	in	research?
Discussion	sec*on	of	a	
manuscript:	basic	ques*ons	
and	principles	(2)	
•  Use	the	same	key	terms	and	the	same	
verb	tense	(present	tense)	as	in	aims/
objec$ves	
•  Discuss	all	key	findings	(also	“no	
difference”,	“not	significant”,	“not	
expected”	etc.)	
•  Discuss	and	evaluate	conflic$ng	
explana$ons	of	results	(good	papers	do	
that)	
•  Please	remember	that	sta$s$cal	
significance	is	not	a	measure	of	“effect”.	
Evaluate	the	public	health	importance	
of	your	findings	
•  Be	brief	and	concise!	Avoid	general	and	
vague	words	and	phrases	that	may	be	
misunderstood!	Avoid	empty	words	and	
phrases!	
hhps://owl.english.purdue.edu/owl/
sec$on/1/2/

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