Medical Toxicology vs. Emergency Medicine and Internal Medicine - Are We Really Full of Case Reports?

IF 2.5 4区医学 Q3 TOXICOLOGY

Journal of Medical Toxicology Pub Date : 2024-10-01 Epub Date: 2024-09-20 DOI:10.1007/s13181-024-01031-y

Jason B Hack, Kevin F O'Brien

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引用次数: 0

Abstract

Introduction: Case reports are perceived as having diminished value relative to other study designs. It has been said that medical toxicology (MT) is based largely upon case report literature and thought to be unique in this regard. We sought to quantify recent MT publication of case reports compared with top periodicals from emergency medicine (EM) and internal medicine (IM) journals.

Methods: A retrospective review examined 5 years of articles in 6 U.S.-based medical journals-MT (Journal of Medical Toxicology, Clinical Toxicology), EM (Annals of Emergency Medicine, Journal of Emergency Medicine), and IM (JAMA Internal Medicine, New England Journal of Medicine) was performed using on-line resources. Every article in each issue was categorized into Case report vs. Research and Analysis articles vs. Excluded. "Case report" was defined as one (or ≤ 5) individual patients, one patient's data, etc. Total articles per issue were reported after removing Excluded items.

Results: Between 2018 and 2022, these 6 periodicals published 522 issues; with 2644 case reports; and 8246 total included articles. Comparison of MT case reports vs. EM revealed a significant difference and odds (Odds Ratio = 1.7, (95% CI: [1.49, 2.03], p < 0.001); MT compared with IM was not significantly different (Odds Ratio = 1.1, (95% CI: [0.96, 1.30], p = 0.150). The percent of case reports increased in the IM and EM journals compared with a relative decrease in the MT journals. Cumulative case report precents were consistently greater in EM and IM than in MT.

Conclusion: In the past 5 years, MT journals published fewer and had a declining trend of case reports compared with leading EM and IM journals. Future research is needed to determine the effect on MT practice resulting from the diminished body of case report literature.

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医学毒理学与急诊医学和内科学--我们真的满脑子都是病例报告吗？

导言：与其他研究设计相比，病例报告的价值被认为有所降低。有人说，医学毒理学（MT）在很大程度上是以病例报告文献为基础的，并认为它在这方面是独一无二的。我们试图将近期发表的MT病例报告与急诊医学（EM）和内科医学（IM）期刊的顶级期刊进行量化比较：我们利用在线资源对 6 种美国医学期刊--《医学毒理学杂志》（Journal of Medical Toxicology）、《临床毒理学》（Clinical Toxicology）、《急诊医学年鉴》（Annals of Emergency Medicine）、《急诊医学杂志》（Journal of Emergency Medicine）和《内科学杂志》（JAMA Internal Medicine）、《新英格兰医学杂志》（New England Journal of Medicine）--5 年来的文章进行了回顾性研究。每期的每篇文章都被分为病例报告与研究和分析文章与排除文章。"病例报告 "是指一名（或少于 5 名）患者、一名患者的数据等。剔除排除项后报告每期文章总数：2018年至2022年期间，这6种期刊共出版522期；病例报告2644篇；收录文章总数8246篇。比较MT病例报告与EM病例报告发现，MT病例报告与EM病例报告存在显著差异和几率（Odds Ratio = 1.7，（95% CI：[1.49，2.03]，P Conclusion：与主要的 EM 和 IM 期刊相比，MT 期刊在过去 5 年中发表的病例报告较少，且呈下降趋势。未来的研究需要确定病例报告文献的减少对 MT 实践的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Toxicology TOXICOLOGY-

CiteScore

5.40

自引率

10.30%

发文量

期刊介绍： Journal of Medical Toxicology (JMT) is a peer-reviewed medical journal dedicated to advances in clinical toxicology, focusing on the diagnosis, management, and prevention of poisoning and other adverse health effects resulting from medications, chemicals, occupational and environmental substances, and biological hazards. As the official journal of the American College of Medical Toxicology (ACMT), JMT is managed by an editorial board of clinicians as well as scientists and thus publishes research that is relevant to medical toxicologists, emergency physicians, critical care specialists, pediatricians, pre-hospital providers, occupational physicians, substance abuse experts, veterinary toxicologists, and policy makers. JMT articles generate considerable interest in the lay media, with 2016 JMT articles cited by various social media sites, the Boston Globe, and the Washington Post among others. For questions or comments about the journal, please contact jmtinfo@acmt.net. For questions or comments about the journal, please contact jmtinfo@acmt.net.