CARE (CAse REport) 지침에 따른 2018년 5월∼2023년 12월 대한한방소아과학회지의 증례보고에 대한 질 평가 및 변화 비교

안혜리,이혜림,김지환 대한한방소아과학회 2024 대한한방소아과학회지 Vol.38 No.1

Objectives This study aimed to evaluate the quality of case reports published in the Journal of Pediatrics of Korean Medicine from May 2018 to December 2023 and compare them with case reports from January 2015 to April 2018. Methods Case reports were searched on the Journal of Pediatrics of Korean Medicine website, and the selected reports were evaluated for CARE (CAse REport) guideline. Results There were a total of nine case reports selected for evaluation. The median value evaluated as ‘sufficiently’ increased compared to the case reports from January 2015 to April 2018 (61.5%→70.37%). The ‘Not reported’ rates of item 7 ‘Timeline of case’ and item 10d ‘Adverse and unanticipated events’ decreased the most. However, since the ‘Not reported’ rate still exceeds 50%, continuous improvement is needed. Both item 11a ‘Strengths and limitations of discussion’, item 1 ‘The word “case report" and item 10a ‘Clinician and patient-assessed outcomes’ were reported 100% ‘sufficiently,’ and the quality of reports improved. Conclusions Case reports published in the Journal of Pediatrics of Korean Medicine are generally improving in quality of reporting.

CARE(CAse REport) 지침에 따른 2019-2024년 대한한방부인과학회지 증례보고의 질 평가

권한슬,윤예진,김형준 대한한방부인과학회 2024 大韓韓方婦人科學會誌 Vol.37 No.2

Objectives: The purpose of this study is to evaluate the quality of case reports published in the Journal of Korean Obstetrics and Gynecology from April 2019 to February 2024, compared with January 2015 to March 2019. Methods: Case reports were selected by searching from archive on the website of society of the Journal of Korean Obstetrics and Gynecology. The quality of the case reports were assessed based on CAse REport (CARE) guideline. Results: A total of 30 case reports was finally included for the assessment. Overall quality of reporting for case reports published from April 2019 to February 2024 was improved compared to one of previous study. However, the 4 items of CARE guidelines with an unreported rate of 50% or more - patient’s perspective on interventions (96.67%), diagnostic challenges (93.33%), intervention adherence and tolerability (93.33%), adverse events (56.67%) - are items that require active description in future case reports. In addition, Keyword and timeline have more than 50% reported to be ‘Not-sufficient' in both previous and present studies. So active efforts by researchers are needed to include ‘Case report (or Case study)’ in keywords, and to include intervention by period, symptom changes in a timeline. Conclusions: Despite the overall improvement in the quality of reporting in the Journal of Korean Obstetrics and Gynecology, efforts to improve the quality of case reports should be continued.

한의학증례보고에서 가치 있는 증례는 무엇일까?

한가진,김송이 경락경혈학회 2020 Korean Journal of Acupuncture Vol.37 No.3

Objectives : This study aimed to understand the characteristics of the cases covered in the case studies on traditional Korean medicine (TKM) and furthermore, to provide basic information that can lead the discussion on ‘what cases are worth reporting’ in future case reports. Methods : Case reports on TKM were searched using the OASIS. The searched researches were analyzed according to the type of case, including information on disease/symptoms and intervention. Results : A total of 940 researches were searched. The most frequently reported type of case study was the report on the effectiveness of intervention. Case reports, which were only two cases in the 1970s, increased rapidly in the 2000s, and in particular, 314 cases within the last five years accounted for about 33% of the total literature. As for the number of studies by disease, the cases dealing with musculoskeletal diseases such as spine, shoulder and knee joint disorders were the most prevalent. Besides, there were many case reports related to cardiovascular, gynecological, cancer, psychiatric, and dermatological diseases. In a total of 51.9% of the included case reports, a combination of two or more Korean medical treatments such as acupuncture and herbal medicine was used at once, and western treatment was used with Korean medical treatment in 28.2% of the studies. The types of Korean medical treatments were varied, such as acupuncture, moxibustion, pharmacopuncture, electroacupuncture, Chuna, acupotomy, herbal medicine, external preparation, and psychotherapy. The main purpose of the publication of the included case reports was analyzed as a report of TKM treatment for rare diseases, or the application of TKM treatment to diseases or symptoms that are “uncommon in TKM treatment” even if it is not a rare disease. Conclusions : Case reports have the strength of generating new scientific hypotheses by detecting the basic needs and novelty of medicine. The current case studies of TKM do not seem to be sufficient to highlight these strengths. It is necessary to discuss which cases are reported as cases of patients worth publishing, and based on this, it is necessary to activate case studies of TKM by utilizing diagnostic tools and science technology. .

CARE 지침에 따른 대한한의학회지의 증례 보고에 대한 질 평가 연구: 2015년~2020년 증례 보고를 중심으로

황지혜(Ji Hye Hwang),구자승(Jaseung Ku),남은영(Eun-Young Nam) 대한한의학회 2020 대한한의학회지 Vol.41 No.2

CARE 지침에 따른 대한한의학회지의 증례보고에 대한 질 평가

최성열(Sung Youl Choi) 대한한의학회 2020 대한한의학회지 Vol.41 No.2

2018~2021년 사상체질의학회지 증례 보고의 질 평가 : CARE지침을 바탕으로

김지환,정아람,이혜림 사상체질의학회 2022 사상체질의학회지 Vol.34 No.1

Objectives The purpose of this study is to reevaluate the quality of reporting on case reports published in Journal of Sasang Constitutional Medicine (SCM) from June 2018 to December 2021, compared with January 2015 to May 2018. Methods Case reports were identified by searching from archive on the website of society of Journal of SCM. We assessed the quality of reporting on them based on CAse REport (CARE) guideline. Results A total of 32 case reports was finally included for the assessment. Overall quality of reporting was improved compared to one of previous study. The median reported rate of ‘sufficiently’ reporting increased by 7.8% from 66.7% to 74.5%, while the one as evaluated ‘not sufficiently’ and ‘not reported’ decreased by 4.1% from 14.8% to 10.7%, and 3.5% from 21.4% to 17.9%, respectively. However, more than 50% of 32 case reports did not still report 5 items about intervention adherence and tolerability(96.9%), diagnostic challenges(93.8%), adverse events(87.5%), timeline(68.8%), and patient’s perspective on interventions(65.6%). Compared to the results of previous study, continuous attention is required for adverse events and changes in intervention in which the unreported rate increased by 18.3% and 6.3%, respectively. In addition, prognostic characteristics, patient’s informed consent, patient’s occupation, and keyword of ‘Case report’ and ‘Sasang (Constitutional) medicine’ should be sufficiently reported in the future. Conclusions Despite the overall improvement in the quality of reporting, efforts to improve the quality of reporting should be continued by referring to well-reported cases reports previously published in Journal of SCM.

CARE (CAse REport) 지침에 의한 한방비만학회지 증례 논문에 대한 보고의 질 평가: 2013년~2018년 증례보고를 중심으로

박경무,최성열,이주아,송윤경 한방비만학회 2018 한방비만학회지 Vol.18 No.2

Objectives: The purpose of this study is to evaluate the quality of case reports of the Journal of Korean Medicine for Obesity Research by the Case Report (CARE) guidelines. Methods: Case reports published in the Journal of Korean Medicine for Obesity Research from January 2013 to July 2018 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE guidelines. Results: A total of 8 case reports were finally included for the assessment. There was a deviation in the sub-item reporting rate by a maximum 75% and a minimum 57.14% in case reports. The 10 sub-items mentioned below, such as 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered', 'Prognostic characteristics', 'Changes in intervention', 'Important follow-up diagnostic evaluations and other test results', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', 'Patient perspective' and 'Informed consent' were reported below 30%. Conclusions: Efforts to diversify the subject of the case study and to apply appropriate reporting guidelines are needed to improve the quality of the case report contributed to the Journal of Korean Medicine for Obesity Research.

운동처방 및 스포츠재활 사례연구 작성을 위한 지침

김용권 ( Yong Kweon Kim ) 한국운동생리학회 2015 운동과학 Vol.24 No.4

PURPOSE: The purpose of this review was to suggest considerations and general guidelines for writing a case report in the field of exercise prescription and sports rehabilitation. METHODS: A total of 46 case reports published in Korean journals were reviewed. Thirty three of them were published in the Journal in Korean Society of Sports Medicine, all of which were on surgical techniques or sports injuries unique to athletes. The remaining 13 reports were found in the Korean Society of Exercise Physiology and the Official Journal of the Korean Academy of Kinesiology, dealing with specific exercise programs on various cases. RESULTS: All of case reports were divided by 9 categories: 1) choice of a good case; the case must be a human subject with an unique disease and physical condition and/or who provides a message in controlling exercise, 2) title of a case report; it should provide new information and specific exercise programs, 3) introduction of a case; it should be concise and specific to the case, 4) presentation of a case; case presentation should be clearly described and disclose a written informed consent, 5) method of and response to an exercise program; in this section, it should clearly describe a reaction and response to an exercise program or specific movement, 6) results; the results should report tables or figures of key measurements before and after exercise program, 7) discussion about a case; it should not just be an interesting description of the case, but address important clinical issues, and authors should always attempt to maintain reasonable balance between new information and review of existing literature, 9) conclusion; it should summarize take-home messages, interesting results, exercise teaching points, and new knowledge. CONCLUSIONS: It is concluded that case reports can help reviewers and exercise specialists improve quality of their works. A case report should address uniqueness of a case, objectivities, interpretations, and educational values. Therefore, this paper may be helpful to clinicians and researchers writing a case report in the field of exercise prescription and sports rehabilitation.

CARES 지침에 따른 동의신경정신과학회지의 증례보고에 대한 질 평가 연구

이환성,이준엽,한지한,채한 대한한방신경정신과학회 2019 동의신경정신과학회지 Vol.30 No.2

Objectives: Case report is a description of medical experience that contains a patient’s information and treatments. It has been used to determine the effectiveness and side effect of the treatments. Case re-port can be used for medical, scientific, or educational purposes. The objective of this study was to eval-uate the quality of case reports published in Journal of Oriental Neuropsychiatry from 2013 to 2017 using CARE and CARES guideline.Methods: Case reports were selected from Journal of Oriental Neuropsychiatry and their quality as-sessed using CARE guideline and CARES guideline. The items of CARE and CARES guideline were as-sessed as ‘Sufficient’, ‘Not sufficient’, ‘Not reported’, ‘Not applicable’. The outcome was analyzed us-ing case reports and items.Results: 26 case reports were selected. For CARE guideline, ‘Sufficient’ percentage was min at 22.2%, max at 46.4% with a median of 39.3%. Sum of ‘Sufficient’, ‘Not sufficient’ percentage was min at 59.3%, max at 85.7% with a median of 75.0%. Items ‘Timeline’, ‘Diagnostic assessment’, ‘Follow up and outcomes’, ‘Informed consent’ were not reported in more than 50% of all case reports. Items ‘Keywords’, ‘Abstract’, ‘Introduction’, ‘patient information’, ‘Diagnostic assessment’, ‘Therapeutic interventions’, ‘Follow up and outcomes’ were not sufficiently reported in more than 50% of all case reports. For CARES guideline, ‘Sufficient’ percentage was min at 0%, max at 50% with a median of 0%. Sum of ‘Sufficient’, ‘Not sufficient’ percentage was min at 33.3%, max at 100% with a median of 92.9%. Items of herbal prescription ‘herb’, ‘decoction’, ‘use’, items of acupuncture treatment ‘materials’, ‘techniques’, items of moxibustion treatment ‘materials’, ‘techniques’ were not suffi-ciently reported in more than 50% of all case reports.Conclusions: The reporting rate of items was good. But the quality of reporting was low. Also, partic-ular items were not reported frequently. Therefore, there is a need to improve the quality of case re-ports in Journal of Oriental Neuropsychiatry.

How to write case reports in medicine

임성일 고신대학교(의대) 고신대학교 의과대학 학술지 2022 고신대학교 의과대학 학술지 Vol.37 No.2

Medical research has become an important part of providing care to patients. Case reports published in medical journals can communicate information to the medical community about rare or unreported features, conditions, complications, or interventions. Case reports are generally short, focusing on key components such as a summary and introduction, case presentation, and discussion. Authors now have access to free, continuously updated case reports of different types from multiple journals. This review introduces the process and mechanisms for how and when to prepare a case report. We briefly review the editorial process of each of these complementary journals, along with author anecdotes, hoping to inspire authors to write and continue writing case reports; and discusses the essentials of a case report, aiming to provide guidelines for improving medical writing skills.