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The updated Surgical CAse REport (SCARE) guidelines were developed using a Delphi consensus exercise to improve surgical case report quality. The revised SCARE 2018 checklist enhances reporting transparency and consistency in surgical specialties.

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Area of Science:

  • Medical writing
  • Surgical reporting standards
  • Evidence-based medicine

Background:

  • The SCARE Guidelines (2016) established a framework for surgical case report structure.
  • These guidelines improved reporting transparency across surgical specialties.
  • Continuous updates are necessary to maintain and enhance reporting quality.

Purpose of the Study:

  • To update the SCARE Guidelines through a consensus-driven process.
  • To refine the checklist for improved surgical case report quality.
  • To ensure the SCARE guidelines remain current and effective.

Main Methods:

  • A Delphi consensus exercise was conducted with experts.
  • Participants included members of the previous Delphi group, case report researchers, and journal editors.
  • An online questionnaire assessed agreement with proposed modifications to the 24 guideline items.

Main Results:

  • 56 experts agreed to participate, with 45 (80%) completing the survey.
  • The exercise resulted in modifications to the original SCARE guidelines.
  • High agreement was achieved among the expert participants.

Conclusions:

  • A revised SCARE checklist was developed via Delphi consensus.
  • The updated guidelines, referred to as the SCARE 2018 Statement, aim to improve surgical case report quality.
  • The modifications reflect a consensus on enhancing reporting standards in surgery.