Рекомендации CARE для описания случаев: разъяснения и уточнения

Обоснование. Доступное и понятное описание клинических случаев помогает выявлять самые ранние данные о возможной пользе, неблагоприятном влиянии и расходовании ресурсов; предоставляет информацию для клинической научной работы и разработки рекомендаций для клинической практики; интегрируется в медицинское образование. Авторы с большей вероятностью подготовят высококачественные описания случаев, если будут следовать определенным правилам написания таких публикаций. В 2011–2012 гг. группа клиницистов, ученых и редакторов журналов разработала рекомендации для точного представления информации при описании случаев, итогом которых стало Положение CARE (CAse REport — описание случаев) с Проверочным перечнем, представленное в 2013 г. на Международном конгрессе по экспертному рецензированию и биомедицинским публикациям, поддержанное многочисленными медицинскими журналами и переведенное на 9 языков.

Цель этого разъясняющего и уточняющего документа — более широко внедрить и распространить использование Проверочного перечня CARE при подготовке и опубликовании описаний случаев.

Схема (дизайн) статьи и контекст. К каждому пункту Проверочного перечня CARE даны пояснения и прилагаются примеры из публикаций. Объяснения и примеры в данном документе помогают авторам подготовить высококачественное описание случая, а редакторам, экспертам-рецензентам и читателям — критически проанализировать его.

Результаты и выводы. Данная статья вместе с Положением и Проверочным перечнем CARE от 2013 г., с которым можно ознакомиться на веб-сайте CARE (www.care-statement.org) и веб-сайте группы EQUATOR (www.equator-network.org), служит способом улучшить полноту и прозрачность описания случаев.

Источник. Данная статья является переводом оригинальной публикации “CARE guidelines for case reports: explanation and elaboration document” в Journal of Clinical Epidemiology (doi: https://doi.org/10.1016/j.jclinepi.2017.04.026), созданным с разрешения правообладателя (Elsevier Inc.) под руководством научного редактора и переводчика профессора, д.м.н. Е.Г. Старостиной (Москва, Россия). Перевод впервые опубликован в Digital Diagnostics. doi: https://doi.org/10.17816/DD105291. Публикуется с незначительными изменениями, связанными с литературным редактированием текста перевода.

1. Vandenbroucke JP. In defense of case reports and case series. Ann Intern Med. 2001;134(4):330–334. doi: https://doi.org/10.7326/0003-4819-134-4-200102200-00017

2. Aronson JK. Anecdotes as evidence. BMJ. 2003;326(2):1346. doi: https://doi.org/10.1111/j.1365-2753.2005.00527.x

3. Sun GH, Aliu O, Hayward RA. Open-access electronic case report journals: the rationale for case report guidelines. J Clin Epidemiol. 2013;66(10):1065–1070. doi: https://doi.org/10.1016/j.jclinepi.2013.04.001

4. Akers KG. New journal for publishing medical case reports. J Med Libr Assoc. 2016;104(2):146–149. doi: https://doi.org/10.3163/1536-5050.104.2.010

5. McBride WG. Thalidomide and congenital abnormalities. Lancet. 1961;278(7216):1358. doi: https://doi.org/10.1016/S0140-6736(61)90927-8

6. CDC. Pneumocystis pneumonia e Los Angeles. Morbidity Mortality Weekly Rep. 1981;30(21):250–252.

7. Rison R, Helfgott M. Acute paradoxical embolic cerebral ischemia secondary to possible May-Thurner syndrome and an atrial septal defect: a case report. J Med Case Rep. 2013;7:172. doi: https://doi.org/10.1186/1752-1947-7-172

8. Driggers RW, Ho CY, Korhonen EM, et al. Zika virus infection with prolonged maternal viremia and fetal brain abnormalities. N Engl J Med. 2016;374(22):2142–2151. doi: https://doi.org/10.1056/NEJMoa1601824

9. Kaszkin-Bettag M, Hildebrandt W. Case report on cancer therapies: the urgent need to improve the reporting quality. Glob Adv Health Med. 2012;1(2):8–10. doi: https://doi.org/10.7453/gahmj.2012.1.2.002

10. Richason TP, Paulson SM, Lowenstein SR, Heard KJ. Case reports describing treatments in the emergency medicine literature: missing and misleading information. BMC Emerg Med. 2009;9:10. doi: https://doi.org/10.1186/1471-227X-9-10

11. Moher D, Schulz KF, Simera I, Altman DG. Guidance for developers of health research reporting guidelines. PLoS Med. 2010;7(2): e1000217. doi: https://doi.org/10.1371/journal.pmed.1000217

12. Gagnier JJ, Kienle G, Altman DG, et al. The CARE guidelines: consensus-based clinical case report guideline development. Glob Adv Health Med. 2013;2(5):38–43. doi: https://doi.org/10.7453/gahmj.2013.008

13. Galipeau J, Barbour V, Baskin P, et al. A scoping review of competencies for scientific editors of biomedical journals. BMC Med. 2016;14:16. doi: https://doi.org/10.1186/s12916-016-0561-2

14. Kienle GS, Meusers M, Quecke B, Hilgard D. Patientcentered Diabetes care in children: an integrated, Individualized, Systemsoriented, and multi-Disciplinary Approach. Glob Adv Health Med. 2013;2(2):12–19. doi: https://doi.org/10.7453/gahmj.2013.005

15. Jenicek M. Clinical case reporting in evidence-based medicine. 2nd ed. London/New York: Arnold and Oxford University Press; 2001. 231 р.

16. Wei J, Chang CY, Chuang YC, et al. Successful heart transplantation after 13 hours of donor heart ischemia with the Use of HTK Solution: a case report. Transplant Proc. 2005;37(5):2253– 2254. doi: https://doi.org/10.1016/j.transproceed.2005.03.055

17. Gish DS, Baer JA, Crabtree GS, et al. Impending aortic aneurysm rupture — a case report and review of the warning signs. J Community Hosp Intern Med Perspect. 2016;6(5):32217. doi: https://doi.org/10.3402/jchimp.v6.32217

18. Cooper D. How to write an original research paper (and get it published). J Med Lib Assoc. 2015:103(2):67–68. doi: https://doi.org/10.3163/1536-5050.103.2.001

19. Jha KN. How to write articles that get published. J Clin Diagn Res. 2014;8(9):XG01–XG03. doi: https://doi.org/10.7860/JCDR/2014/8107.4855

20. Cohen H. How to write a patient case report. Am J HealthSyst Pharm. 2006;63(19):1888–1892. doi: https://doi.org/10.2146/ajhp060182

21. Hopewell S, Clarke M, Moher D, et al. CONSORT for reporting randomized controlled trials in journal and Conference abstracts: explanation and elaboration. PLoS Med. 2008;5(1):e20. doi: https://doi.org/10.1371/journal.pmed.0050020

22. Davidson A, Delbridge E. How to write a research paper. Paediatrics Child Health. 2012;22(2):61–65. doi: https://doi.org/10.1016/j.paed.2011.05.009

23. Vandenbroucke J. Case reports in an evidence-based world. JR Soc Med. 1999;92(4):159–162. doi: https://doi.org/10.1177/014107689909200401

24. Barre-Sinoussi F, Chermann JC, Rey F, et al. Isolation of a T-lymphotropic retrovirus from a patient at risk for acquired immune deficiency syndrome (AIDS). Science. 1983;220(4599):868–871. doi: https://doi.org/10.1126/science.6189183

25. Labris G, Katsanos A, Karapetsa M, et al. Association between isotretinoin use and central retinal vein occlusion in an adolescent with minor predisposition for thrombotic incidents: a case report. J Med Case Rep. 2009;3:58. doi: https://doi.org/10.1186/1752-1947-3-58

26. Green BN, Johnson CD. How to write a case report for publication. J Chiropr Med. 2006;5(2):72–82. doi: https://doi.org/10.1016/S0899-3467(07)60137-2

27. Rison RA. A guide to writing case reports for the journal of medical case reports and BioMed central research notes. J Med Case Rep. 2013;7:239. doi: https://doi.org/10.1186/1752-1947-7-239

28. Turner L, Shamseer L, Altman DG, et al. Does use of the CONSORT Statement impact the completeness of reporting of randomized controlled trials published in medical journals? A Cochrane review. Syst Rev. 2012;1:60. doi: https://doi.org/10.1186/2046-4053-1-60

29. Chang HC, Burbridge H, Wong C. Extensive deep vein thrombosis following prolonged gaming (‘gamer’s thrombosis’): a case report. J Med Case Rep. 2013;7:235. doi: https://doi.org/10.1186/1752-1947-7-235

30. Gottlieb M, Schroff R, Schanker HM, et al. Pneumocystis carinii pneumonia and mucosal candidiasis in previously health homosexual men; evidence of a new acquired cellular immunodeficiency. N Engl J Med. 1981;305(24):1425–1431. doi: https://doi.org/10.1056/NEJM198112103052401

31. Lang TA, Talerico C, Siontis GC. Documenting clinical and laboratory images in publications: the CLIP principles. Chest. 2012;141(16):1626–1632. doi: https://doi.org/10.1378/chest.11-1800

32. Dahlbäck B, Carlsson M, Svensson P. Familial thrombophilia due to a previously unrecognized mechanism characterized by poor anticoagulant response to activated protein C: Prediction of a cofactor to activated protein C. Proc Natl Acad Sci. 1993;90(3):1004. doi: https://doi.org/10.1073/pnas.90.3.1004

33. Namas R., Marquardt A. Case report and literature review: Quinacrine-induced Cholestatic Hepatitis in undifferentiated connective tissue disease. J Rheumatol. 2015;42(7):1354–1355. doi: https://doi.org/10.3899/jrheum.150050

34. Rajakumar D, Rosenberg AM. Mycobacterium tuberculosis monoarthritis in a child. Pediatr Rheumatol Online J. 2008;6:15. doi: https://doi.org/10.1186/1546-0096-6-15

35. Sevinc M, Basturk T, Sahutoglu T, et al. Plasma resistant atypical hemolytic uremic syndrome associated with a CFH mutation treated with eculizumab: a case report. J Med Case Rep. 2015;9:92. doi: https://doi.org/10.1186/s13256-015-0575-y

36. Cella D, Stone A.A. Health-related quality of life measurement in oncology: Advances and opportunities. Am Psychol. 2015;70(2): 175–185. doi: https://doi.org/10.1037/a0037821

37. Hill AB. The Environment and Disease: Association or Causation? Proc R Soc Med. 1965;58(5):295–300.

38. Rison RA. Branch facial nerve trauma after superficial temporal artery biopsy: a case report. J Med Case Rep. 2011;5:34. doi: https://doi.org/10.1186/1752-1947-5-34

39. Mora JR, Rison RA, Beudoun SR. Chiari malformation type I with cervicothoracic syringomyelia masquerading as bibrachial amyotrophy: a case report. J Med Case Rep. 2015;9:11. doi: https://doi.org/10.1186/1752-1947-9-11

40. Gatselis NK, Skendros P, Ritis K, Dalekos GN. Severe liver involvement in two patients with long-term history of fever: remember familial Mediterranean fever. BMJ Case Rep. 2016;2016:bcr2016216941. doi: https://doi.org/10.1136/bcr-2016-216941

41. Liu YJ, Du P, Rao J. Procalcitonin as a diagnostic and prognostic marker for sepsis caused by intestinal infection: a case report. Eur Rev Med Pharmacol Sci. 2013;17(10):1311–1313.

42. Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. doi: https://doi.org/10.1055/s-0037-1600948

43. Morino T, Ogata T, Horiuchi H, et al. Eight years of follow-up after laminectomy of calcium pyrophosphate crystal deposition in the cervical yellow ligament of patient with Coffine – Lowry syndrome: a case report. Medicine (Baltimore). 2016;95(31):e4468. doi: https://doi.org/10.1097/MD.0000000000004468

44. Thomson N, Ulrickson M. Maintenance eculizumab dose adjustment in the treatment of atypical hemolytic uremic syndrome: a case report and review of the literature. Clin Case Rep. 2016;4(8):773–776. doi: https://doi.org/10.1002/ccr3.628

45. Tucker M, Kekulawala S, Kent M, et al. Polysubstanceinduced relapse of schizoaffective disorder refractory to highdose antipsychotic medications: a case report. J Med Case Rep. 2016;10(1):242. doi: https://doi.org/10.1186/s13256-016-1031-3

46. Gupta S, Szerszen A, Nakhl F, et al. Severe refractory autoimmune hemolytic anemia with both warm and cold autoantibodies that responded completely to a single cycle of rituximab: a case report. J Med Case Rep. 2011;5:156. doi: https://doi.org/10.1186/1752-1947-5-156

47. Oberg E, Rempe M, Bradley R. Self-directed mindfulness training and improvement in blood pressure, migraine frequency, and quality of life. Glob Adv Health Med. 2013;2(2):20–25. doi: https://doi.org/10.7453/gahmj.2013.006

48. Waqas M, Hadi YB, Sheikh S, Shamin SM. Acute cerebellitis successful managed with temporary cerebrospinal fluid diversion using a long tunnel external ventricular drain EVD: a long-term radiological follow-up of two cases. BMJ Case Rep. 2016;2016: bcr2016215631. doi: https://doi.org/10.1136/bcr-2016-215631

49. Tamanna S, Ullah MI, Pope CR, et al. Quetiapine-induced sleeprelated eating disorder like behavior: a case series. J Med Case Rep. 2012;6:380. doi: https://doi.org/10.1186/1752-1947-6-380

50. Aronson JK, Grahame-Smith DG. Altered distribution of digoxin in renal failureda case of digoxin toxicity? Br J Clin Pharmac. 1976;3(6):1045–1051. doi: https://doi.org/10.1111/j.1365-2125.1976.tb00356.x

51. Hauben M, Aronson JK. Gold standards in pharmaco-vigilance: the use of definitive anecdotal reports of adverse drug reactions as pure gold and high-grade ore. Drug Saf. 2007;30:645–655. doi: https://doi.org/10.2165/00002018-200730080-00001

52. Wicomb WN, Cooper DK, Novitzky D, Barnard CN. Cardiac transplantation following storage of the donor heart by a portable hypothermic perfusion system. Ann Thorac Surg. 1984;37(8):243. doi: https://doi.org/10.1016/s0003-4975(10)60333-5

53. Morgan JA, John R, Weinberg AD, et al. Prolonged donor ischemic time does not adversely affect long-term survival in adult patients undergoing cardiac transplantation. J Thorac Cardiovasc Surg. 2003;126(5):1624–1633. doi: https://doi.org/10.1016/s0022-5223(03)01026-2

54. Briganti EM, Bergin PJ, Rosenfeldt FL, et al. Successful long-term outcome with prolonged ischemic time cardiac allografts. J Heart Lung Transpl. 1995;14(5):840–845.

55. Del Rizzo DF, Menkis AH, Pflugfelder PW, et al. The role of donor age and ischemic time on survival following orthotopic heart transplantation. J Heart Lung Transpl. 1999;18(4):310–319. doi: https://doi.org/10.1016/s1053-2498(98)00059-x

56. Canter C, Naftel D, Caldwell R, et al. Survival and risk factors for death after cardiac transplantation in infants: a multi-institutional study. Circ J. 1997;96(1):227. doi: https://doi.org/10.1161/01.cir.96.1.227

57. Keogh MJ, Findlay JM, Leach S, Bowen J. Statin-associated weakness in myasthenia gravis: a case report. J Med Case Rep. 2010;4:61. doi: https://doi.org/10.1186/1752-1947-4-61

58. Dickman H, Fletke K, Redfern RE. Prolonged unassisted survival in an infant with anencephaly. BMJ Case Rep. 2016;2016:bcr2016215986. doi: https://doi.org/10.1136/bcr-2016-215986

59. Lundberg G.D. Sciatica: a love story. Medscape; 2016.

60. Kogan M, Castillo CC, Barber MS. Chronic Rhinosinusitis and Irritable Bowel syndrome: a case report. Integr Med (Encinitas). 2016;15(3):44–48.

61. BMJ Case Reports. Available online: http://casereports.bmj.com/site/about/guidelines.xhtml#patientconsent. Accessed on October 22, 2016.

62. Sackett DL, Rosenberg WM, Gray JA, et al. Evidence based medicine: what it is and what it isn’t. BMJ. 1996;312(7023):71. doi: https://doi.org/10.1136/bmj.312.7023.71

63. Califf RM, Robb MA, Bindman AB, et al. Transforming generation to support health and health care decisions. N Engl J Med. 2016;375(24):2395–2440. doi: https://doi.org/10.1056/NEJMsb1610128

64. Wacholder S, Chanock S, Garcia-Closas ME, et al. Assessing the probability that a positive report is false: an Approach for molecular Epidemiology studies. J Natl Cancer Inst. 2004;96(6):434–442. doi: https://doi.org/10.1093/jnci/djh075

65. Ioannidis JP. Why most clinical research is not useful. PLoS Med. 2016;13(6):e1002049. doi: https://doi.org/10.1371/journal.pmed.1002049

66. Buonfrate D, Requena-Mendez A, Angheben A, et al. Severe strongyloidiasis: a systematic review of case reports. BMC Infect Dis. 2013;13:78. doi: https://doi.org/10.1186/1471-2334-13-78

67. IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC: The National Academies Press; 2011.

68. Barrows HS. A taxonomy of problem-based learning methods. Med Education. 1986;20(6):481–486. doi: https://doi.org/10.1111/j.1365-2923.1986.tb01386.x

69. Irby DM. Three Exemplary model of case-based teaching. Acad Med. 1994;69(12):947–953. doi: https://doi.org/10.1097/00001888-199412000-00003

70. Kiene H, Hamre H, Kienle GS. In support of clinical case reports: a system of causality assessment. Glob Adv Health Med. 2013;2(2):64–75. doi: https://doi.org/10.7453/gahmj.2012.061

71. Hay JE, Wiesner RH, Shorter RG, et al. Primary sclerosing cholangitis and celiac disease. A novel association. Ann Intern Med. 1988;109(9):713–717. doi: https://doi.org/10.7326/0003-4819-109-9-713

72. Shamseer L, Sampson M, Bukutu C, et al. CONSORT extension for reporting N-of-1 trials (CENT) 2015: explanation and elaboration. J Clin Epidemiol. 2016;76:18–46. doi: https://doi.org/10.1016/j.jclinepi.2015.05.018

73. Badalov N., Baradarian R., Iswara K., et al. Drug-induced acute pancreatitis: an evidence-based review. Clin Gastroenterol Hepatol. 2007;5(6):548–561. doi: https://doi.org/10.1016/j.cgh.2006.11.023

74. Patsopoulos NA, Analatos AA, Ioannidis JP. Relative citation impact of various study design in the health sciences. JAMA. 2005;293(19):2362–2366.

75. Barber M.S., Aronson J.K., von Schoen-Angerer T. и др. Рекомендации CARE для описания случаев: разъяснения и уточнения // Digital Diagnostics. — 2022. — Т. 3. — № 1. — C. 16–42. doi: https://doi.org/10.17816/DD105291