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Case Reports: How to Write a Case Report

Discover where to publish case reports and tools to help you write them.

Consensus-Based Clinical Case Reporting Guidelines

 

This checklist was developed by CARE to correspond with key components of a case report and capture useful clinical information (including 'meaningful use' information mandated by some insurance plans).

The narrative: A case report tells a story in a narrative format that includes the presenting concerns, clinical findings, diagnoses, interventions, outcomes (including adverse events), and follow-up. The narrative should include a discussion of the rationale for any conclusions and any take-away messages.

Topic Item Checklist Item Description
Title 1 The words "case report: should be in the title, along with area of focus
Keywords 2 Four to seven keywords - include "case report" as one of the keywords
Abstract 3a Background: What does this case report add to the medical literature?
3b Case summary: chief complaint, diagnoses, interventions, and outcomes
3c Conclusion: What is the main "take-away" lesson from this case?
Introduction 4 The current standard of care and contributions of this case - with references (1-2 paragraphs)​
Timeline 5 Information from this case report organized into a timelines (table or figure)
Patient Information 6a De-identified demographic and other patient or client specific information
6b Chief complaint - what prompted the visit?
6c Relevant history including past interventions and outcomes
Physical Exam 7 Relevant physical examination findings
Diagnostic Assessment 8a Evaluations such as surveys, laboratory testing, imaging, etc.
8b Diagnostic reasoning including other diagnoses considered and challenges
8c Consider tables or figures linking assessment, diagnoses, and interventions
8d Prognostic characteristics where applicable
Interventions 9a Types such as lifestyle recommendations, treatments, medications, surgery
9b Intervention administration such as dosage, frequency, and duration
9c Note changes in intervention with explanation
9d Other concurrent interventions
Follow-up and Outcomes 10a Clinician assessment (and patient or client assessed outcomes when appropriate)
10b Important follow-up diagnostic evaluations
10c Assessment of intervention adherence and tolerability, including adverse events
Discussion 11a Strengths and limitations in your approach to the case
11b Specify how this case report informs practice or Clinical Practice Guidelines (CPG)
11c How does this case report suggest a testable hypothesis?
11d Conclusions and rationale
Patient Perspective 12 When appropriate, include the assessment of the patient or client on this episode of care
Informed Consent 13 Informed consent from the person who is the subject of this case report, required by most journals
Additional Information 14 Acknowledgement section; Competing Interests; IRB approval when required

Gagnier JJ, Riley D, Altman DG, Moher D, Sox H, Kienle GS, for the CARE group: The CARE guidelines: Consensus-based clinical case reporting guideline development. Dtsch Arztebl Int 2013; 110(37): 603-8.

Select Journals Accepting Case Reports

The following journals are indexed in Medline and currently accepting case reports (as of 12/2/2016) either regularly or under specific circumstances. Click on the links below to view the author instructions for each journal and determine if your case meets the journal's criteria.
Acta Diabetologica Journal of Artifical Organs
American Journal of Hypertension Journal of Bone and Mineral Metabolism
American Journal of Kidney Diseases Journal of Clinical Densitometry
Annals of Internal Medicine Journal of Clinical Hypertension
Blood Pressure Journal of Electrocardiology
Bone Journal of Gastroenterology and Hepatology
Breast Journal Journal of Human Hypertension
Canadian Family Physician Journal of Immunotherapy
Canadian Journal of Diabetes Journal of Neurovirology
Circulation: Cardiovascular Interventions Journal of American Society of Nephrology
Clinical and Experimental Rheumatology Menopause
Clinical Endocrinology Military Medicine
Complementary Therapies in Medicine Modern Rheumatology
Diabetes and Metabolism Netherlands Journal of Medicine
Diabetes Therapy Obesity Research and Clinical Practice
Diabetes, Obesity, and Metabolism Pain Medicine
Endocrine Reviews Palliative Medicine
European Journal of Emergency Medicine Pancreas
European Journal of Heart Failure Panminerva Medicine
European Journal of Medical Research Postgraduate Medical Journal
Gastroenterology QJM: An International Journal of Medicine
Gastrointestinal Endoscopy Review of Diabetic Studies
Hormone Metabolic Research The American Journal of Medicine
Infection The American Journal of Medical Science
Internal and Emergency Medicine The Journal of Headache Pain
International Journal of Laboratory Hematology Thrombosis and Haemostasis
JAMA Internal Medicine Wounds: A Compendium of Clinical Research

Case Report Templates

The CAse REporting (CARE) team created templates in nine languages to assist clinicians, researchers, and educators with the ultimate goal of improving the completeness, transparency, and usefulness of case reports.  

English, Spanish, German, Chinese, Dutch, French, Japanese, Korean, Portuguese

 

Case Report Journals

A list of case report journals can be found in the pdf below. It provides information on the year launched, open-access status, reported questionable publishing practices, and whether the journal is indexed in Medline. The majority of these journals are open-access and will require a submission fee.

BMJ Case Reports

The Library has an institutional fellowship with BMJ Case Reports which allows faculty, staff, and students at Weill Cornell Medicine to submit case reports without paying an individual fellowship fee. Use our fellowship code when you are ready to publish. 

Please note: BMJ Case Reports, like most journals, requires a signed consent form in order for a case report to be considered for publication.