The CARE Guidelines: Consensus-based Clinical Case Report Guideline Development
The CARE Guidelines: Consensus-based Clinical Case Report Guideline Development
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DOI：
10.3109/19390211.2013.830679
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发表时间：
2013-12-01
影响因子：
2.5
通讯作者：
Riley, David
中科院分区：
文献类型：
--
作者：
Gagnier, Joel J.;Kienle, Gunver;Riley, David
工作背景：病例报告是出于医学、科学或教育目的描述一名或多名患者经历的医疗问题的叙述。在没有报告标准指导的情况下撰写的病例报告不足以指导临床实践或告知临床研究设计。主要目标：制定、传播和实施病例报告的系统报告指南。研究方法：我们使用了一个三阶段共识过程，包括（a）会前文献综述和访谈，以生成报告指南的项目;（B）面对面的共识会议，以起草报告指南;（c）会后反馈、审查和试点测试，然后完成病例报告指南。结果：这一共识过程涉及27名参与者，并产生了一个13项检查表-病例报告的报告指南。检查表的主要项目包括标题、关键词、摘要、简介、患者信息、临床发现、时间轴、诊断评估、治疗干预、随访和结局、讨论、患者观点和知情同意。结论：我们相信，通过医学期刊实施CARE（病例报告）指南将提高已发表病例报告的完整性和透明度，并且来自病例报告的信息的系统汇总将为临床研究设计提供信息，提供有效性和危害的早期信号，并改善医疗保健服务。
Background: A case report is a narrative that describes, for medical, scientific, or educational purposes, a medical problem experienced by one or more patients. Case reports written without guidance from reporting standards are insufficiently rigorous to guide clinical practice or to inform clinical study design. Primary Objective: Develop, disseminate, and implement systematic reporting guidelines for case reports. Methods: We used a three-phase consensus process consisting of (a) pre-meeting literature review and interviews to generate items for the reporting guidelines; (b) a face-to-face consensus meeting to draft the reporting guidelines; and (c) post-meeting feedback, review, and pilot testing, followed by finalization of the case report guidelines. Results: This consensus process involved 27 participants and resulted in a 13-item checklist-a reporting guideline for case reports. The primary items of the checklist are title, key words, abstract, introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent. Conclusions: We believe the implementation of the CARE (CAse REport) guidelines by medical journals will improve the completeness and transparency of published case reports and that the systematic aggregation of information from case reports will inform clinical study design, provide early signals of effectiveness and harms, and improve healthcare delivery.