CARE guidelines: developing clinical case reporting recommendations – Pubrica

The CARE guidelines: developing clinical case reporting recommendations based on consensus

An Academic presentation by Dr. Nancy Agnes, Head, Technical Operations, Pubrica Group: www.pubrica.com Email: sales@pubrica.com

TODAY'S DISCUSSION Outline In brief Introduction Consensus process Limitations Conclusion About Pubrica References

IN BRIEF A

case

report

is

a

narrative

that

explains

a

medical

condition that one or more patients have experienced for medical, scientific, or educational objectives.

Case Report Writing

Services written without guidance

from reporting standards are insufficiently rigorous to guide clinical practice or inform clinical study design.

Contd...

The case report guidelines were developed using a three-phase

consensus

process

that

included.literature research and interviews before the conference to produce items for the reporting criteria

A

face-to-face

guidelines. testing,

post-meeting

followed

guidelines.

meeting

by

to

draught

feedback,

finalization

of

review, the

reporting and

case

pilot

report

INTRODUCTION Clinical

observations

are

often

gathered

in

healthcare

delivery settings and are presented in case reports.

They

have

effects,

helped

identify

recognizing

new

customary conditions, and

negative diseases,

and odd

positive versions

side of

offering rare disorders.

Case studies, for example, helped us comprehend the link between thalidomide and congenital malformations and the

use

of

propranolol

for

the

treatment

of

infant

hemangiomas.

Contd...

Case reports can help clinicians develop ideas for future clinical

investigations,

systems-oriented

assess

methods,

global and

convergences personalize

of and

linical practice.

individualize therapies in c

In

addition,

based

case

learning

in

reports

provide

healthcare

a

structure

education

and

for

case-

may

make

cross-cultural comparisons of healthcare education and Medical Case Study Report Writing.

Randomized controlled trials (Consolidated Standards of Reporting Trials, or CONSORT).

Observational

studies

(Strengthening

the

Reporting

of

Epidemiology, or STROBE), and systematic reviews and

Observational

meta-analyses

Studies

in

also have

reporting criteria.

(Preferred Reporting Items for Systematic Reviews and Meta-Analyses, or PRISMA).

According

to

empirical

data,

the

adoption

of

the

CONSORT

declaration

as

a

guidance to writers by a journal has been linked to an increase in the completeness of published randomized trials.

Although rules for writing adverse-event Case Study Reports have been published, there are no universal reporting requirements for case reports. Our main goal was to use a consensusbased method to set reporting requirements for case reports.

CONSENSUS PROCESS PHASE 1: The

authors

and

the

steering

committee

examined

the

literature for articles about the role of case reports, publication recommendations, and surveys on reporting quality.

Participants were asked what information was necessary to be included in

case-reporting criteria.

Why

they

supported

made their

their

proposals,

argument

and

during

for

references the

conversation.

The

suggestions

based

on

the

literature

that

telephone

review

and

interviews and their reasoning, references, and operational definitions are organized by theme.

PHASE 2: Clarifications, definitions,

views,

and

reasons,

new

ideas

were

operational all

given

throughout the open debate of each prospective item.

The committee had decided on a set of preliminary Case

Report

Writing

Help

second day's conclusion.

suggestions

at

the

PHASE 3: The steering committee modified the original checklist before

sending

it

to

the

entire

group

for

two

assessment rounds (Phase 1 and 2 participants).

The

comments

from

the

whole

CARE

group

was

integrated into the approved reporting requirements.

It

is

the

responsibility

of

the

reporting

standards

creators to establish a distribution and implementation strategy that encourages the use of the guidelines.

There are numerous components to our efforts.

The CARE standards will be presented at conferences and

seminars worldwide,

including the Peer Review and Biomedical Publication Congress in Chicago.

The CARE guidelines are presently being pilot tested, and preliminary findings show

that

they

are

effective

as

designed.

Extensions

to

the

guidelines

be

available

for

specializations are in the mechanisms.

The

CARE

guidelines

and

accompanying

languages on a dedicated website.

materials

will

in

several

LIMITATIONS Medical journals

frequently

require

authors

to

address three problems, which are not included in our guidelines.

(a) potential competing interests, (b) de-identification of patient-related data, and (c) ethics committee or Institutional Review Board (IRB) permission.

CONCLUSION Clinical

Case

especially

with

Study the

Report rising

Writing

emphasis

has on

relevance, customized

care, as seen by the increase of case reports in an era where clinical trials and systematic reviews dominate the tables of content of medical journals.

Unlike randomized controlled trials, case reports are individual accounts about the care of specific patients with a sample size of one.

They may be examined after being consistently gathered and integrated into more enormous

databases, allowing for the early detection of efficacy and hazards.

ABOUT PUBRICA Pubrica

has worked as a medical writer for several

years. Clinical Research, Pharmacology, Public Health, Regulatory

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REFERENCES Riley

D:

Global

Case Adv

reports Health

in

the

Med.

era

of

2013,

clinical 2

(2):

trials.

10-11.

10.7453/gahmj.2013.012.

Gagnier, J.J., Kienle, G., Altman, D.G. et al. The CARE guidelines:

consensus-based

clinical

case

reporting

guideline development. J Med Case Reports 7, 223 (2013). https://doi.org/10.1186/1752-1947-7-223.

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