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Structure of a medical research paper: key content elements, writing tips and examples of reporting guidelines from the EQUATOR website
Section Key content * Reporting guidelines that provide recommendations on reporting information relating to:
Study design / methodology
 Generic framework for reporting key methodology aspects of:
- Main study designs (generic guidelines)
- More specialised designs
- Specific methods, evaluations, analyses
 No details relating to specific to diseases
Specific discipline / clinical area
 Key focus is on discipline / clinical area specific issues
 May or may not address general methodology items
Framework for a complete
research study / research paper
Examples include:
Framework for only a part of the
research study / research paper
Examples include:
Framework for a complete
research study / paper
Examples include:
Framework for only a part of
the research study / paper
Examples include:
Title Indicate the focus of the paper and include important
relevant ‘keywords’ to allow identification of the study
through electronic searches.
Be concise, precise, and informative.
Main study designs (generic
guidelines):
CONSORT: parallel randomised
trials
STROBE: observational studies in
epidemiology
STARD: diagnostic accuracy
studies
COREQ: qualitative research
SQUIRE: quality improvement
studies
COGS: clinical practice guidelines
PRISMA: systematic reviews
MOOSE: systematic reviews of
observational studies in
epidemiology
Case reports
More specialised designs (often
extending the generic guidance):
CONSORT for cluster trials
CONSORT non-inferiority trials
CONSORT for pragmatic trials
TREND: non-randomised
studies of behavioural and
public health interventions
REMARK: tumour marker
prognostic studies
STARE-HI: evaluation studies in
health informatics
Longitudinal studies in
rheumatology
Adverse events reports in
traditional Chinese medicine
Case series of colon tumours
Abstract Most journals require a structured abstract, typically
including key information on the following:
- Objectives
- Methods (setting, participants, intervention, main
outcome measures)
- Results
- Conclusions
CONSORT for abstracts
STROBE for abstracts
STARE-HI for abstracts of
studies in health informatics
Introduction Provide the scientific background and clearly explain what
questions you were trying to answer.
Be brief and relevant to the study: start from a broad context
of what is already known, proceed to the specific unknown
problems, and finish with clearly stated study objectives
Methods Describe in a logical sequence how the study was designed,
carried out, and analysed.
A typical methods section provides key information on the
following:
- Setting, location
- Participants (or objects)
- Study design including planned sample size
- Interventions (or exposures)
- Outcomes (variables)
- All statistical methods
- Ethical issues (e.g. consent)
Information should be clear, accurate, and complete (provide
enough details to repeat, assess, and compare with other
studies)
Content should correspond with the Result section
Statistical guidelines:
Bayesian analysis in clinical trials
Subgroup analyses in trials
Economic evaluations:
Cost-effectiveness analysis
Economic evaluations in trials
Quality of life assessment in trials
STARLITE: literature searches
Intervention:
STRICTA (CONSORT extension
for acupuncture trials)
Cancer pain educational
interventions
Procedures:
Cardiovascular magnetic
resonance examinations
Statistical guidelines:
Multivariate logistic regression
in transplantation research
Economic evaluations:
Economic evaluations in
obstetrics
Quality of life assessment in
cancer trials
2
Section Key content * Reporting guidelines that provide recommendations on reporting information relating to:
Study design / methodology
 Generic framework for reporting key methodology aspects of:
- Main study designs (generic guidelines)
- More specialised designs
- Specific methods, evaluations, analyses
 No details relating to specific to diseases
Specific discipline / clinical area
 Key focus is on discipline / clinical area specific issues
 May or may not address general methodology items
Framework for a complete
research study / research paper
Examples include:
Framework for only a part of the
research study / research paper
Examples include:
Framework for a complete
research study / paper
Examples include:
Framework for only a part of
the research study / paper
Examples include:
Results Report results of the investigations described in the Methods
section (in same order) using text, tables, figures, and
statistics
Be as brief and clear as possible (but don’t leave out
‘disappointing’ results)
A typical structure and chronology includes:
- Description of study participants (if relevant,
separately for important subgroups)
- Presentation of answers to the main questions
(starting with primary outcomes, then secondary
outcomes, and any other analyses)
Report on harms (adverse effects) as well as benefits, if
relevant
Outline any ways in which the study did not follow the
prespecified plan.
Pay special attention to presentation of data and results in
tables and figures
Statistical guidelines:
Heterogeneity in trial treatment
effects
Missing data
Figures, graphs
Statistical results in case-
control designs in
neuropsychology
Discussion Discuss what your findings mean and where they stand in the
context of other studies
A typical discussion section structure and chronology
includes:
- Brief presentation of the main findings
- Assessment of study strengths and weaknesses
- Comparison of findings with previous studies
- Consideration of clinical and scientific implications
- If relevant, suggestions for future research
Structured discussion
Research recommendations
Conclusions This section is not always presented separately in a research
article
Any conclusions must be fully supported by the study findings
Acknowledge
ments
State source of funding and any relevant conflict of interest
Acknowledge any person who contributed to the study but
who does not qualify as an author
Conflict of Interest: ICMJE,
WAME guidelines
* Key content column lists basic general content of a primary research paper

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Handout-Structure-of-med-res-paper-RG-checklists_FINAL.pdf

  • 1. 1 Structure of a medical research paper: key content elements, writing tips and examples of reporting guidelines from the EQUATOR website Section Key content * Reporting guidelines that provide recommendations on reporting information relating to: Study design / methodology  Generic framework for reporting key methodology aspects of: - Main study designs (generic guidelines) - More specialised designs - Specific methods, evaluations, analyses  No details relating to specific to diseases Specific discipline / clinical area  Key focus is on discipline / clinical area specific issues  May or may not address general methodology items Framework for a complete research study / research paper Examples include: Framework for only a part of the research study / research paper Examples include: Framework for a complete research study / paper Examples include: Framework for only a part of the research study / paper Examples include: Title Indicate the focus of the paper and include important relevant ‘keywords’ to allow identification of the study through electronic searches. Be concise, precise, and informative. Main study designs (generic guidelines): CONSORT: parallel randomised trials STROBE: observational studies in epidemiology STARD: diagnostic accuracy studies COREQ: qualitative research SQUIRE: quality improvement studies COGS: clinical practice guidelines PRISMA: systematic reviews MOOSE: systematic reviews of observational studies in epidemiology Case reports More specialised designs (often extending the generic guidance): CONSORT for cluster trials CONSORT non-inferiority trials CONSORT for pragmatic trials TREND: non-randomised studies of behavioural and public health interventions REMARK: tumour marker prognostic studies STARE-HI: evaluation studies in health informatics Longitudinal studies in rheumatology Adverse events reports in traditional Chinese medicine Case series of colon tumours Abstract Most journals require a structured abstract, typically including key information on the following: - Objectives - Methods (setting, participants, intervention, main outcome measures) - Results - Conclusions CONSORT for abstracts STROBE for abstracts STARE-HI for abstracts of studies in health informatics Introduction Provide the scientific background and clearly explain what questions you were trying to answer. Be brief and relevant to the study: start from a broad context of what is already known, proceed to the specific unknown problems, and finish with clearly stated study objectives Methods Describe in a logical sequence how the study was designed, carried out, and analysed. A typical methods section provides key information on the following: - Setting, location - Participants (or objects) - Study design including planned sample size - Interventions (or exposures) - Outcomes (variables) - All statistical methods - Ethical issues (e.g. consent) Information should be clear, accurate, and complete (provide enough details to repeat, assess, and compare with other studies) Content should correspond with the Result section Statistical guidelines: Bayesian analysis in clinical trials Subgroup analyses in trials Economic evaluations: Cost-effectiveness analysis Economic evaluations in trials Quality of life assessment in trials STARLITE: literature searches Intervention: STRICTA (CONSORT extension for acupuncture trials) Cancer pain educational interventions Procedures: Cardiovascular magnetic resonance examinations Statistical guidelines: Multivariate logistic regression in transplantation research Economic evaluations: Economic evaluations in obstetrics Quality of life assessment in cancer trials
  • 2. 2 Section Key content * Reporting guidelines that provide recommendations on reporting information relating to: Study design / methodology  Generic framework for reporting key methodology aspects of: - Main study designs (generic guidelines) - More specialised designs - Specific methods, evaluations, analyses  No details relating to specific to diseases Specific discipline / clinical area  Key focus is on discipline / clinical area specific issues  May or may not address general methodology items Framework for a complete research study / research paper Examples include: Framework for only a part of the research study / research paper Examples include: Framework for a complete research study / paper Examples include: Framework for only a part of the research study / paper Examples include: Results Report results of the investigations described in the Methods section (in same order) using text, tables, figures, and statistics Be as brief and clear as possible (but don’t leave out ‘disappointing’ results) A typical structure and chronology includes: - Description of study participants (if relevant, separately for important subgroups) - Presentation of answers to the main questions (starting with primary outcomes, then secondary outcomes, and any other analyses) Report on harms (adverse effects) as well as benefits, if relevant Outline any ways in which the study did not follow the prespecified plan. Pay special attention to presentation of data and results in tables and figures Statistical guidelines: Heterogeneity in trial treatment effects Missing data Figures, graphs Statistical results in case- control designs in neuropsychology Discussion Discuss what your findings mean and where they stand in the context of other studies A typical discussion section structure and chronology includes: - Brief presentation of the main findings - Assessment of study strengths and weaknesses - Comparison of findings with previous studies - Consideration of clinical and scientific implications - If relevant, suggestions for future research Structured discussion Research recommendations Conclusions This section is not always presented separately in a research article Any conclusions must be fully supported by the study findings Acknowledge ments State source of funding and any relevant conflict of interest Acknowledge any person who contributed to the study but who does not qualify as an author Conflict of Interest: ICMJE, WAME guidelines * Key content column lists basic general content of a primary research paper