I’ve used “case-based” as justification for anecdotal evidence for years without researching what exactly goes INTO a case report. So I found a nice standard, “CARE-Reports” and here it is: a rubric for a case report. Hoping to further generalize it but it’s a solid start as it’s in-use. [covers Principles *and* Applied, now I need to make Philosophy-of]
The title for your case report should be short and provide a description of the focus of your case report followed by the words “a case report.” The title you choose may be edited at any time. Make sure you to de-identify all patient information and have informed patient consent on file.
Enter five keywords for your case report to aid readers conducting a digital search. The keyword “case report” will be added automatically.
The abstract (best written last), is short, and may be structured or unstructured. The abstract is written without references and should be in the English language. A structured abstract should include three sections: (1) Background, (2) Case Information, and (3) Conclusion.
The introduction (1–2 paragraphs) provides a brief overview of the case and may include an important scientific references. It should also include a 1–2 sentence overview of the patient followed by your key “take-away” message(s) for the reader. Please end the introduction with “This case report follows the CARE Guidelines” (Citation: Riley DS, Barber MS, Kienle GS, et al. CARE Explanation and Elaborations: Reporting Guidelines for Case Reports. J Clin Epi 2017 Sep;89:218-235. doi: 10.1016/jclinepi.2017.04.026).
The narrative (3–5 paragraphs) provides a description of WHAT happened and should be consistent with the timeline automatically created by CARE-writer from the visit summaries. It usually includes demographic information, history, clinical findings, diagnostic assessments, therapeutic interventions, and final outcome. Make sure you de-identify all patient information.
The patient’s perspective is a brief description of the care received from the patient’s perspective. It may describe their motivations for seeking care or report changes that occurred. (You may wish to obtain informed consent at the same you ask the patient for their perspective.)
The discussion is a description of WHY the results reported in this case might have happened. The discussion section should include relevant scientific references. A discussion of potential limitations is also important. Case reports may discuss outcomes from a patient receiving more than one therapeutic intervention, often making it challenging to determine which intervention caused which outcome.
The conclusion is usually a one-paragraph summary (without references) stating the primary “take-away” message(s) for the reader.
The acknowledgements section should mention the credentials and affiliations for each author and any potential conflicts of interest including funding.