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The CARE guidelines: consensus-based clinical case reporting guideline development.

Joel J Gagnier1, Gunver Kienle, Douglas G Altman

  • 1Global Advances in Health and Medicine, Portland, OR, USA. driley@gahmllc.com.

Journal of Medical Case Reports
|November 16, 2013
PubMed
Summary
This summary is machine-generated.

The CARE (CAse REport) guidelines offer a 13-item checklist to improve the quality and transparency of medical case reports. Implementing these standards enhances clinical practice and informs future study designs.

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Area of Science:

  • Medical writing and scientific reporting

Background:

  • Case reports are valuable medical narratives but often lack rigor due to inconsistent reporting standards.
  • The absence of standardized guidelines hinders their utility in clinical practice and study design.

Purpose of the Study:

  • To develop, disseminate, and implement systematic reporting guidelines for case reports.
  • Enhance the quality and consistency of medical case report publications.

Main Methods:

  • A three-phase consensus process was employed, including literature review, interviews, a consensus meeting, and pilot testing.
  • The process involved 27 participants to generate and refine the reporting guidelines.

Main Results:

  • A 13-item checklist, the CARE (CAse REport) guidelines, was developed.
  • Key checklist items include title, keywords, abstract, patient information, clinical findings, timeline, diagnostic assessment, therapeutic interventions, follow-up and outcomes, discussion, patient perspective, and informed consent.

Conclusions:

  • Implementation of CARE guidelines by journals will improve case report completeness and transparency.
  • Systematic aggregation of information from case reports can inform clinical study design and improve healthcare delivery.