Freer Rosie, Rowett Alexandra, Camm C Fielder
Pembroke College, University of Oxford, Oxford, UK.
Keble College, University of Oxford, Oxford, UK.
Eur Heart J Case Rep. 2020 Sep 26;4(5):1-5. doi: 10.1093/ehjcr/ytaa251. eCollection 2020 Oct.
Case reports are subject to significant variation in their content, and the absence of pertinent case details can limit their benefit to the medical community. To aid this, a reporting standard (CARE) has been developed. Case reports published in () are subject to specific checks by editors to confirm compliance with the CARE reporting standard. However, a degree to which case reports published by comply with the CARE reporting standards has not been established.
Case reports published in during 2018 were reviewed for compliance with the CARE reporting standards. Two authors assessed each article for compliance with each of the 31 criteria.
In 2018, 130 case reports/series were published by . The median number of CARE criteria achieved by each article was 21 (interquartile range 21-25) out of 31. CARE criteria with the highest adherence were timeline inclusion, a clear and well-referenced discussion, and declaration of competing interests, all present in 100% of articles. In contrast, some aspects were poorly adhered to including patient perspective, and details of funding sources. There was no difference in overall compliance with aspects of the CARE standard between diagnostic and interventional case reports. However, lower compliance was seen for the discussion of diagnostic challenges in interventional studies (19%), when compared to diagnostic studies (44%). The continent of authorship and month submitted did not affect CARE adherence.
There was good compliance with the CARE reporting standards by case reports published in . A number of specific areas for improvement have been identified which will be considered by the editorial board of .
病例报告的内容存在显著差异，缺乏相关病例细节会限制其对医学界的价值。为此，已制定了一项报告标准（CARE）。发表于（）的病例报告需经编辑进行特定检查，以确认是否符合CARE报告标准。然而，尚未确定由（）发表的病例报告符合CARE报告标准的程度。
对2018年发表于（）的病例报告进行审查，以确定其是否符合CARE报告标准。两位作者评估每篇文章是否符合31项标准中的每一项。
2018年，（）发表了130篇病例报告/系列。每篇文章达到的CARE标准中位数为31项中的21项（四分位间距为21 - 25项）。符合度最高的CARE标准是纳入时间线、清晰且参考文献丰富的讨论以及利益冲突声明，所有文章均有100%符合。相比之下，一些方面的符合度较低，包括患者视角和资金来源细节。诊断性和介入性病例报告在CARE标准各方面的总体符合度上没有差异。然而，与诊断性研究（44%）相比，介入性研究中诊断挑战讨论的符合度较低（19%）。作者所在大陆和提交月份并未影响对CARE标准的符合情况。
发表于（）的病例报告对CARE报告标准的符合度良好。已确定了一些需要改进的具体领域，（）编辑委员会将予以考虑。
