CARE Checklist (2013) of Information To Include When Writing A Case Report

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CARE Checklist (2013) of information to include when writing a case report

Topic Item Checklist item description Reported on page


Title 1 The words “case report” should be in the title along with what is of greatest interest in this case
Key Words 2 The key elements of this case in 2 to 5 key words
Abstract 3a Introduction—What is unique about this case? What does it add to the medical literature?
3b The main symptoms of the patient and the important clinical findings
3c The main diagnoses, therapeutics interventions, and outcomes
3d Conclusion—What are the main “take-away” lessons from this case?
Introduction 4 Brief background summary of this case referencing the relevant medical literature
Patient Information 5a Demographic information (such as age, gender, ethnicity, occupation)
5b Main symptoms of the patient (his or her chief complaints)
5c Medical, family, and psychosocial history including co-morbidities, and relevant genetic information
5d Relevant past interventions and their outcomes
Clinical Findings 6 Describe the relevant physical examination (PE) findings
Timeline 7 Depict important milestones related to your diagnoses and interventions (table or figure)
Diagnostic Assessment 8a Diagnostic methods (such as PE, laboratory testing, imaging, questionnaires)
8b Diagnostic challenges (such as financial, language, or cultural)
8c Diagnostic reasoning including other diagnoses considered
8d Prognostic characteristics (such as staging in oncology) where applicable
Therapeutic Intervention 9a Types of intervention (such as pharmacologic, surgical, preventive, self-care)
9b Administration of intervention (such as dosage, strength, duration)
9c Changes in intervention (with rationale)
Follow-up and Outcomes 10a Clinician-assessed outcomes and when appropriate patient-assessed outcomes
10b Important follow-up test results
10c Intervention adherence and tolerability (How was this assessed?)
10d Adverse and unanticipated events
Discussion 11a Discussion of the strengths and limitations in the management of this case
11b Discussion of the relevant medical literature
11c The rationale for conclusions (including assessment of possible causes)
11d The main “take-away” lessons of this case report
Patient Perspective 12 Did the patient share his or her perspective or experience? (Include when appropriate)
Informed Consent 13 Did the patient give informed consent? Please provide if requested Yes ___ No ___

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