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The Importance of Case Report Writing in Evidence-Based Practice

Dr. Nancy Agnes, Head,

Technical Operations, Pubrica

sales@pubrica.com

In-Brief

Medical case study report writing should

encompass the following five sections: an

abstract, an introduction with a literature

review, a description of the case report, a

discussion that includes a detailed

explanation of the literature review, and

a summary of the case and a conclusion.

All biomedical research offers some sort of

data that can be used to guide patient care.

The gathered data or research evidence's

strength and quality are mainly based on

the clinical research design type.

Keywords: clinical cases in medicine,

medical case study report writing, writing a

medical case report, clinical case report

Writing Services, clinical observation case

report, medical case report writing service,

Case report writing services.

I. INTRODUCTION

Randomized clinical trials act as a

cornerstone in advancing medical literature.

They are labour intensive, expensive, and

need significant resource utilization. In

addition to that, they are often challenging to

execute. Deals with unusual diseases, which

are caused due to a lack of significant study,

i.e. group sizes. The major benefit in the

publication of case reports is its essential

role in medical education. Regardless of

experience, whether they are a first-year

medical student or an expert physician, case

reports have a significant role in advancing

clinical knowledge. It acts as a versatile

teaching tool.

II. GENERAL PRINCIPLES OF CASE

REPORT

Medical case study report writing is a

research design that describes unexpected or

novel clinical course occurrence, report of

findings and prognosis of an individual

patient, which might be or but not

compulsory, accompanied by a review of the

literature of other reported cases. Though

they are considered the bottommost in the

hierarchy of evidence-based practice in the

medical literature, it offers necessary data

for shared individual experiences and

unfamiliar events to improve understanding

and optimise patient care. This method

might produce an idea or hypothesis. It will

not be confirmed unless conducting

additional observational study designs or

confirmatory quantitative experimental such

as clinical trials or cohort studies. Apart

from that, a case report offers the medical

community evidence that any other designs

cannot pick up. The clinical observation

case report might be in the tail of the

hierarchy of evidence-based medicine. Still,

if properly selected and appropriately

reported, it might stand a better chance of

publication in high impact journals than

even a clinical trial.

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III. CLINICAL STUDY DESIGN AND

THE VALUE OF CASE REPORTS AND

STUDIES IN EVIDENCE-BASED

PRACTICE

All biomedical research offers some sort of

data that can be used to guide patient care.

The gathered data or research evidence's

strength and quality are mainly based on the

research design type. Clinical research

design comprises the following 3 types of

studies such as,

Case reports and studies,

Observational clinical research, and

Experimental clinical research

In that observational research, the

methodology comprises the case-control

study, the cohort study, and the cross-

sectional study.

Experimental clinical research design

includes a Randomized Controlled Trial

(RCT), which is also called a double-blind,

randomized controlled trial when carried out

in a double-blind manner. Case reports can

be informative at times, but it has some

restrictions due to the low strength of

evidence that they provide. The low strength

of evidence which is offered by case reports

and readings got from multiple intrinsic

characteristics of such studies contains

Absence of appropriate controls;

Restricted sample size (one to a few

individuals); and

Lack of blinding. All these

fundamental characteristics bring

about important bias and random

errors.

Because of the above restrictions, analysis

of the results of case reports studies and

examination of their consequences must be

done with great caution. In contrast, in the

hierarchy of evidence offered by the above

three groups of clinical research design, the

double-blind, randomized, placebo-

controlled trial produce the strongest

evidence for the efficiency and safety of a

therapeutic modality or preventive. The

strength of evidence is further improved by

systematic review and meta-analysis of

multiple randomized controlled trials. Case

report writing services provides a clear view

of clinical research and clinical studies.

IV. MEDICAL EDUCATION

The major benefit in the publication of case

reports is its essential role in medical

education. Regardless of experience,

whether they are a first-year medical student

or an expert physician, case reports have a

significant role in advancing clinical

knowledge. It acts as a versatile teaching

tool. It helps in stating two interrelated

perspectives, both for patient and physician.

It helps present a coherent story, reflecting

the patient’s experience of illness and the

physician’s diagnostic or therapeutic

reasoning. A huge portion of knowing

clinical medicine mainly depends on

understanding a given sickness and its

complexity of presentations. During their

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medical education, students have flooded

with problem-based learning, clinical

vignettes, etc. While these tools are

significant in building and testing the basics

of medical sciences, unusual cases, or novel

treatments presented in case reports allow an

additional expansive clinical knowledge

base. At times clinicians and students were

trained to evaluate numerous diseases based

on a pattern of signs or symptoms. The

evaluation of case reports in clinical

literature permits clinicians and students to

be aware of new or mixed presentation

patterns. At the same time, teaching points

explained in a case report often have

noticeable longevity. Unless there is a huge

change in the protocol caused due to

diagnostic methods or recent therapeutics,

the teaching points from a case report

usually has no expiration date. Hence, many

physicians and professors use previous cases

for teaching purposes.

Finally, it is a standard in which medical

students, experienced clinicians and recent

graduates may record observations and

thoughts in reaching a diagnosis or explain

the rationale behind an innovative treatment.

V. NEW SCIENTIFIC DISCOVERY &

ROLE IN PATIENT CARE

As described above, one of the best features

of the case report is it has the facility to

report novel findings and better-quality

therapeutic strategies. With quick, brief

writing and publication rates, case studies

are an essential tool for rapidly expanding

the growing body of clinical knowledge. An

example of this can be found while

researching rare diseases or disorders.

Running controlled trials with consistent

testing procedures on rare disorders is very

hard, as there are often insufficient patients

to attain statistical power. Case studies

present a venue to record opinions and

possible therapeutic interventions that can

be published.

A broad spectrum of data may be accessible

in case reports such as unexpected

complications, rare diseases from novel

diagnostic or therapeutic techniques,

standard therapy, and consequences from

new technology, to name a few. These

illustrations simultaneously upgrade clinical

knowledge and create a platform for further

questioning through controlled clinical

trials. Thus, case studies also have a

significant role in creating new research and

hypotheses. The culmination of numerous

case reports allows for comparison and

generation of hypotheses for further testing.

It is significant to understand the impact

case reports have had on patient care. For

example, case reports regarding penicillin

and toxic shock syndrome have had

enhanced patient care and direct clinical

impact after publication.

VI. CONCLUSION

When assessing the significance of the case

reports, it is essential to remember numerous

things. First, it serves an essential role in the

field of education. For example, the various

presentations of a given disease explained in

a case report function in enhancing

clinicians' knowledge at all levels.

Irrespective of the publication date,

conclusions drawn from these studies can

generally be reestablished or reassessed,

showing no true conclusion for these

articles. Additionally, case reports provide a

significant foundation for further research

through comparison and reporting novel

clinical phenomena. These comparisons

have allowed for thought-provoking

questions that have directly impacted

medical protocols. Writing a medical case

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report is a long and complicated process to

get help from online service providers.

REFERENCES

1. Li, Y. R., Jia, Z., & Zhu, H. (2013). Understanding the

value of case reports and studies in the context of

clinical research, research design, and evidence-based

practice. Journal of Case Reports and Studies, 1(2).

2. Ortega-Loubon, C., Culquichicón, C., & Correa, R.

(2017). The importance of writing and publishing case

reports during medical training. Cureus, 9(12).