The CARE guidelines: Consensus-based clinical case reporting guideline development

Joel J. Gagnier, Gunver Kienle, Douglas G. Altman, David Moher, Harold Sox, David Riley, the CARE Group, Michael Kidd

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    Abstract

    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. Develop, disseminate and implement systematic reporting guidelines for case reports. We used a three-phase consensus process consisting of (1) premeeting literature review and interviews to generate items for the reporting guidelines, (2) a face-to-face consensus meeting to draft the reporting guidelines and (3) postmeeting feedback, review and pilot testing, followed by finalisation of the case report guidelines. 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. 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.

    Original languageEnglish
    JournalBMJ Case Reports
    DOIs
    Publication statusPublished - 23 Oct 2013

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    This is an Open Access article
    distributed in accordance with the Creative Commons
    Attribution Non Commercial Non Derivative (CC BY-NCND 3.0) license

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    Gagnier, J. J., Kienle, G., Altman, D. G., Moher, D., Sox, H., Riley, D., the CARE Group, & Kidd, M. (2013). The CARE guidelines: Consensus-based clinical case reporting guideline development. BMJ Case Reports. https://doi.org/10.1136/bcr-2013-201554