Department of Anaesthesia, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Lancaster Medical School, Lancaster University, Lancaster, UK.
Anaesthesia. 2021 Aug;76(8):1077-1081. doi: 10.1111/anae.15391. Epub 2021 Jan 13.
Case reports have fulfilled an important role in the development of anaesthesia and continue to be highly relevant to modern practice. Despite this, they are sometimes criticised for being insufficiently rigorous to meaningfully inform clinical practice or research design. Reporting checklists are a useful tool to improve rigour in research and, although case report checklists have previously been developed, no existing checklist focuses on the peri-operative setting. In order to address the need for a case reports checklist that better accommodates peri-operative care, we used an established tool as the basis for developing the 12-item Anaesthesia Case Report checklist. This was refined using an iterative approach through feedback from journal editors with experience of handling case reports, patient and public involvement, and trialling its use on Anaesthesia Reports submissions. The Anaesthesia Case Report checklist differs from existing checklists by aligning with peri-operative practice; it places less emphasis on making diagnoses and focuses on the way in which clinical challenges, for example, related to the patient's comorbidities or operative interventions, are addressed. Adopting a standardised approach to the content of case reports presents clear benefits to authors, editors and peer reviewers through streamlining the processes involved in writing and publication. The Anaesthesia Case Report checklist provides a pragmatic framework for comprehensive and transparent reporting. We hope it will facilitate the authorship of high-quality case reports with the potential to further improve the quality and safety of peri-operative care.
病例报告在麻醉学的发展中发挥了重要作用,并且仍然与现代实践高度相关。尽管如此,它们有时还是因为不够严谨而无法为临床实践或研究设计提供有意义的信息而受到批评。报告清单是提高研究严谨性的有用工具,尽管之前已经开发出了病例报告清单,但没有现有的清单专门针对围手术期环境。为了满足更好地适应围手术期护理的病例报告清单的需求,我们使用了一种既定的工具作为基础来开发 12 项《麻醉病例报告清单》。通过有处理病例报告经验的期刊编辑、患者和公众参与的反馈以及在《麻醉报告》提交中试用该清单,对其进行了迭代改进。与现有的清单相比,《麻醉病例报告清单》的不同之处在于它与围手术期实践保持一致;它不太强调做出诊断,而是侧重于解决临床挑战的方式,例如与患者合并症或手术干预相关的挑战。通过采用标准化的病例报告内容方法,作者、编辑和同行评审员在写作和出版过程中都可以简化相关流程,从而获得明显的益处。《麻醉病例报告清单》为全面透明的报告提供了一个实用的框架。我们希望它将有助于高质量病例报告的撰写,并有可能进一步提高围手术期护理的质量和安全性。