A report of a single case of a disease, (or ‘incident’) usually with an unexpected presentation, which typically describes the findings, clinical course, and prognosis of the case, often accompanied by a review of other cases previously reported in the biomedical literature to put the reported case in context.
May be Original ( first ever report of such a case)
Carry a useful clinical message
Must be “good story well told:” same things that make for a good novel or story—plot, surprise, counterintuitive, insights, links, “characterisation,” excitement, sex, violence, evil, mystery, crime, brutal honesty, rarity
May give the patient’s perspective in the patient’s words
The doctor to give his or her “feelings” on the case and describing his or her thought processes while dealing with the case
May Indeed have multiple perspectives—relatives, other health professionals
Longitudinal (case series)
Draw out learning points. perhaps commentaries on the learning points
- nothing more than an accumulation of case reports just as a population is a collection of people. And just as every person is important and different so is every case - even when "it's just another sore throat".
- Clinicians have the privilege of dealing with individual cases in all their complexity and uniqueness
Every patient, every "case" can teach us something.
A collection of case reports may reveal what is not obvious in one case
former Editor, BMJ & Editor-in-Chief, Cases Journal
Step 1: Researchers / Writers (authors) submit their articles to journals (may pay a fee to the journal for the submission)
Step 2: Journals get other researchers to review articles for free as a matter of prestige.
Step 3: When a journal accepts an article for publication it generally claims all future publishing rights on the article.
Step 4: The journal pays for the costs of formatting, print publishing, and so forth – these costs are uniformly decreasing as publishing switches from print to online formats.
Step 5: The journal now accrues all of the profits from these articles via subscriptions or individual article purchases.
Given that both the supplier (author)and the purchaser (subscriber) pay a fee to the journals, and the reviewing work is often done for free, profits are so high.... Contrary to the claim by publishers that they face huge costs!
If you have an apple and I have an apple and if we exchange these apples then you and I will still each have one apple. But if you have an idea and I have an idea and we exchange these ideas, then each of us will have two ideas.
George Bernard Shaw
- online sharing of Case Reports through Open Access means more ideas for everyone -
If you have a Case Report and I have a Case Report, and others have Case Reports and we share them on OPEN ACCESS then millions of health practitioners will have multiples of Case Reports to learn from.
In 2009, 7.7% of all peer-reviewed were gol OA Laakso M, et al. et al. (2011) The Development of Open Access Journal Publishing from 1993 to 2009. PLoS ONE 6(6): e20961. doi:10.1371/journal.pone.0020961
Health care is an accumulation of CASE REPORTs - just as a population is a collection of people.
Open Access has strong drivers—promoting global science and health, justice, economic efficiency AND is moving ahead very fast because of funders and university mandates for all research to be open access and available to ALL
Open Access has an important role to play in the revival and advancement of Case Reports with its many advantages