The document outlines the development of CARE (Case Report) guidelines for writing clinical case reports. It describes a three-phase consensus process used to develop reporting recommendations based on literature reviews, interviews, and feedback from medical experts. The guidelines provide a standardized structure for case reports to improve their clinical usefulness and ensure rigorous reporting.

1. 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

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

3. Contd...
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.

4. 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 meeting to draught reporting
guidelines. post-meeting feedback, review, and pilot
testing, followed by finalization of the case report
guidelines.

6. INTRODUCTION
Contd...
Clinical observations are often gathered in healthcare
delivery settings and are presented in case reports.
They have helped identify negative and positive side
effects, recognizing new diseases, odd versions of
customary conditions, and 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.

7. Case reports can help clinicians develop ideas for future
clinical investigations, assess global convergences of
systems-oriented methods, and personalize and
individualize therapies in clinical practice.
In addition, case reports provide a structure for case-
based learning in healthcare education and may make
cross-cultural comparisons of healthcare education and
Medical Case Study Report Writing.
Randomized controlled trials (Consolidated Standards of
Reporting Trials, or CONSORT).

8. Observational studies (Strengthening the Reporting of Observational Studies in
Epidemiology, or STROBE), and systematic reviews and meta-analyses 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.

9. 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 consensus-
based method to set reporting requirements for case reports.

10. 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.

11. Why they made their proposals, and for references that
supported their argument during the telephone
conversation.
The suggestions based on the literature review and
interviews and their reasoning, references, and operational
definitions are organized by theme.

12. PHASE 2:
Clarifications, views, reasons, operational
definitions, and new ideas were all given
throughout the open debate of each prospective
item.
The committee had decided on a set of preliminary
Case Report Writing Help suggestions at the
second day's conclusion.

13. 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.

14. 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 for
specializations are in the mechanisms.
The CARE guidelines and accompanying materials will be available in several
languages on a dedicated website.

15. 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.

16. CONCLUSION
Clinical Case Study Report Writing has relevance,
especially with the rising emphasis on 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.

17. They may be examined after being consistently gathered and integrated into more enormous
databases, allowing for the early detection of efficacy and hazards.

18. ABOUT PUBRICA
Pubrica has worked as a medical writer for several
years. Clinical Research, Pharmacology, Public Health,
Regulatory Writing, Clinical Report Forms (Crf),
Biostatistics, Psychology, Life Science, Dentistry,
Radiology, Dermatology, Diabetology, Gynecology,
Cardiology.
Biochemistry, Forensics, Surgery, Neurology, Psychiatry,
Genomics, Medical Device, Pharmaceutical,
Nutraceutical, Fmcg Companies, Hospitals,
Universities, Pubrica's team of medical professionals
provides unique medical writing.

19. REFERENCES
Riley D: Case reports in the era of clinical trials.
Global Adv Health Med. 2013, 2 (2): 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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