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Data Sheet 1

This document is a checklist for writing a case report, detailing essential items to include such as title, key words, introduction, patient information, clinical findings, diagnostic assessment, therapeutic intervention, outcomes, discussion, patient perspective, and informed consent. Each section outlines specific information that should be reported, ensuring comprehensive coverage of the case. The checklist serves as a guide to enhance the quality and clarity of case reports in scientific literature.

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Jay-ar TV
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0% found this document useful (0 votes)
31 views1 page

Data Sheet 1

This document is a checklist for writing a case report, detailing essential items to include such as title, key words, introduction, patient information, clinical findings, diagnostic assessment, therapeutic intervention, outcomes, discussion, patient perspective, and informed consent. Each section outlines specific information that should be reported, ensuring comprehensive coverage of the case. The checklist serves as a guide to enhance the quality and clarity of case reports in scientific literature.

Uploaded by

Jay-ar TV
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

!!!CARE!Checklist!of!information!to!include!when!writing!a!case!report!

Topic Item Checklist item description Reported on Line


Title The dia nosis or inter ention of primary focus fo o ed y the words “case report” . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1
Key Words 2 2 to 5 key words that identify dia noses or inter entions in this case report inc udin case report . . .
ntroduction hat is uni ue a out this case and hat does it add to the scientific iterature . . . . . . . . . . . . . . . .
18 19
Abstract
n e e en e
3a
32 36
3b ain symptoms and or important clinical findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 24
3c The main diagnoses, therapeutic interventions, and outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24 3 2
3d Conclusion—What is the main “take-away” lesson s from this case? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34 36
Introduction 4 One or two paragraphs summarizing why this case is unique may include references . . . . . . . . . . . .
38 55
Patient Information 5a De-identified patient specific information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
57 134
5b rimary concerns and symptoms of the patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
59 65
5c Medical, family, and psycho-social history including relevant genetic information . . . . . . . . . . . . . . . . .
59 65
5d Relevant past interventions ith outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
59 65
Clinical Findings 6 Describe si nificant physical examination (PE) and important clinical findings. . . . . . . . . . . . . . . . . . . . . . .
65 98
Timeline 7 Historica and current information from this episode of care organized as a timeline . . . . . . . . . . . . . . . 65 129
Diagnostic 8a Diagnostic testin (such as PE, laboratory testing, imaging, surveys). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Assessment
8b Diagnostic challenges (such as access to testin , financial, or cultural) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n'ins
8c Diagnosis including other diagnoses considered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
118 129
Therapeutic
8d Prognosis (such as staging in oncology) where applicable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
193 210
Intervention
9a Types of therapeutic intervention (such as pharmacologic, surgical, preventive, self-care) . . . . . . . . . . . . . . . . . . . .
94 116
9b Administration of therapeutic intervention (such as dosage, strength, duration) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Follow-up and
9c
10a
Changes in therapeutic intervention (with rationale) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Clinician and patient-assessed outcomes (if a ai a e) . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tik
131 134
Outcomes
10b Important follow-up diagnostic and other test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NIA
131 134
10c Intervention adherence and tolerability (How was this assessed?) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10d Adverse and unanticipated events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NIA
Discussion 11a A scientific discussion of the strengths limitations associated with this case report . . . . . . . . . . . . . . . . . . . . . . .
138 254
11b Discussion of the relevant medical literature i e e en e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
138 254
11c The scientific rationale for any conclusions (including assessment of possible causes) . . . . . . . . . . . . . . . . . . . . . . . .
138 284
11d The primary “take-away” lessons of this case report ithout references in a one para raph conc usion . . . . . . .
256 259
Patient Perspective 12 The patient should share their perspective in one to t o para raphs on the treatment s they received . . . . . . . .
NIA
Informed Consent 13 Did the patient give informed consent? Please provide if requested . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
y

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