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病例分析

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病例分析

How to Write a Medical Case Study Report

2020.09.23 0+

1.Choose a title. 

The title is important because many readers will be searching for papers of interest in online databases. Readers often decide whether or not to read a paper based on the title. This means that the title must clearly summarize the contents.

  • The title should contain a phrase like case study or case report, so that readers understand what type of study it is.

  • An effective title might also say what condition the patient had, how it was treated, and whether the outcome was successful.

  • Most titles are less than 10 words long.

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2. Identify the authors on the title page. 

The authors and their professional contact information, including their institution, should be listed. The first author, generally the person who did most of the writing, will be the corresponding author to whom questions can be addressed. In order to be included as an author an individual should:

  • Have made a significant intellectual contribution in carrying out and writing up the study or have been involved with the medical care of the patient reported

  • Be able to explain and defend the data presented in the article

  • Have approved the final manuscript before it is submitted for publication


3. List key words. 

The key words are very important for making sure that your article is discoverable. People will search databases of studies using key words.

  • Choose words that you would use to search for your article. Possibilities include the name of the condition or special treatments that you used.

  • Usually around 4 to 8 key words or phrases are permitted. Check the guidelines of the journal to which you plan to submit your study.


4. Write an abstract. 

The abstract summarizes the contents of the study in about 150-250 words.[6] This is a very important part of the article because most people will read only the abstract. And anyone considering reading the whole paper will first read the abstract to decide if they want to read the whole paper. So the article should provide the most important information from the major sections of the paper. Usually abstracts of the article are fully available to anyone online, whereas the entire article usually costs a fee or you have to be associated with an institute that pays an institutional fee for access to that journal. There are two formats for abstracts:

  • A narrative abstract. This type of abstract is written as a single paragraph without headings. The paragraph should logically summarize the study and its results.

  • A structured abstract contains headings which usually correspond to the major sections of the paper, such as background, methods, and discussion. Check with the journal where you want to submit your manuscript to see what format they prefer.


5. Write the paper’s introduction. 

The introduction is often the most difficult part of a paper to write because it must clearly convey why the topic and the study is important. It sets up the rest of the paper. Exactly what information you put in will vary based on the study and what you wish to emphasize. An effective introduction might cover:

  • An understanding and review of recent other papers that have come out on the same topics

  • Why understanding this case study is important

  • The historical or social context of the condition

  • If there are particular challenges in diagnosing or treating this condition

  • If new methods or techniques were developed

  • What is already known about similar cases

  • What is already known about the disease, including treatment and diagnosis

  • How the current study adds to that knowledge


6. Present the case.

 In the section “Case Presentation,” the author presents the data about the patient. It is written in narrative form, not as an outline or bullet points. Information in this section may include:

  • A description of why the patient sought medical help. This may even include the patient’s own words.

  • The results of the medical exam. This includes a description of any specialized tests that were performed and their results. Some results, such as x-rays, can be presented as figures with figure legends explaining them.

7. Blind the study. 

It is important for the patient's privacy that the patient is not identifiable. This means that no details can be included that identify the patient, such as the name. Talk to your colleagues to see how they recommend accomplishing this. Possibilities include:

  • Identifying the patient with a number.

  • Giving the patient a false name.

8. Document the management and outcome of the case.

 In the section called “Management and Outcome” you explain the plan of care that was created for the patient, what care was given, and what the outcome was. Details to provide include:

  • How long the patient received care

  • How many times the patient was treated

  • Exactly what treatments were performed and how

  • How the patient’s improvement was measured

  • How and why the treatment ended


9. Discuss the case.

 The discussion section summarizes the lessons that are learned from the case and why it is significant for future treatments of similar cases.

  • This section should also outline open questions that remain. If possible the authors should provide suggestions for how to address them in future studies.

  • Discuss your case study in relation to the current literature on other similar cases.


10. Acknowledge people who provided assistance. 

The Acknowledgements section is where people who provided technical assistance should be thanked. This may also include anyone else who assisted with the study or writing, but is not included as an author.

  • If financial support was provided by grants or medical foundations, they should be listed.

  • It is common to thank the patient, but, regardless of whether or not you do that, you also should indicate that you obtained the patient’s consent to anonymously publish the information.

11. Cite your references. 

This is where you provide the full bibliographic information of the sources which you used to support the statements you made. Most of your sources will probably be other medical studies. Check with the journal where you plan to submit the paper to determine how the bibliography should be formatted. Most formats require the following information for each reference:

  • Authors of the study

  • Title of the study

  • Journal it was published in

  • Volume of the journal

  • Page numbers of the paper

  • Year

  • from: https://www.wikihow.com/Write-a-Medical-Case-Study-Report