阐述临床病例报告讨论的方法学建议

Rafael Pichardo Rodriguez, Marcos Saavedra Velazco, Juan Jesús Bracamonte Hernández, Willy Peña Oscuvilca, O. R. Ruiz Franco
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引用次数: 0

摘要

病例报告是一种生物医学出版物,它使我们能够在临床实践中分享发生在一个或多个患者身上的轶事事件的病因、诊断、治疗和预后方面的经验。目的:为临床病例报告的详细讨论提供方法学建议。方法:对国际指南和现有证据进行叙述性回顾。结果:共找到411,227篇文章,最终选择10篇叙事综述文章。讨论:讨论是病例报告中最相关的部分,尽管一些期刊将其视为可选的贡献。我们建议对讨论进行详细阐述,遵循以下四个步骤:a)发现并与现有证据进行比较,b)证明结果的因果关系,c)暴露病例管理的局限性和优势,d)临床意义和未来前景。结论:建议按照四个步骤进行论述,并评估其对本科生和研究生科学生产的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methodological recommendations for the elaboration of the discussion of the clinical case report
Introduction: Case reports are a type of biomedical publication that allow us to share experiences regarding the etiology, diagnosis, therapeutics, and prognosis of anecdotal events that occur both in one and in several patients during clinical practice. Objective: to elaborate methodological recommendations for the elaboration of the discussion of a clinical case report. Methods: A narrative review of international guidelines and available evidence was carried out. Results: A total of 411,227 articles were located, finally selecting 10 narrative review articles. Discussion: The discussion is the most relevant section of the case report despite being considered by some journals as an optional contribution. We recommend for the elaboration of the discussion, to follow the following four steps: a) finding and comparison with the current evidence, b) justification of the causality of the findings, c) limitations and strengths in the management of the exposed case and d) clinical implications and prospects for the future. Conclusion: It is recommended to follow the four sequential steps for the elaboration of the discussion and to evaluate its impact on the scientific production in undergraduate and postgraduate students.
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