中国科学引文数据库儿科期刊2010至2016年发表的病例报告质量评价

目的：评价中国儿科期刊发表的病例报告的报告质量，并分析其影响因素。方法：手工检索中国科学引文数据库（CSCD）收录的7本儿科期刊在2010年1月至2016年2月发表的病例报告，由2位研究者独立行文献筛选，资料提取，并采用2013年发表的病例报告规范条目表对所纳入文献进行评价，使用Stata12.0软件进行Meta分析。结果共纳入病例报告797篇，病例报告规范评分7～15 （11.1±1.5） 分，评分质量高（14～17分）36篇（6.0%），评分质量中等（10～13分）638篇（62.7%），评分质量差（～9分）123篇（31.2%）。报告率低于50%的病例报告规范条目有：题目、背景、时间轴、影响诊断的因素、影响预后的因素、疾病处理过程中值得借鉴的经验和存在的局限性。分层分析显示：病例报告整体报告质量，病例报告规范发表之后好于之前、有基金资助好于无基金资助；作者单位是否为三甲医院对病例报告整体报告质量影响不显著。结论：CSCD收录的7本儿科杂志中发表的病例报告质量有待提高，影响病例报告质量的因素主要有基金资助；合理利用病例报告规范将有助于提升病例报告的报告质量。

Reporting quality assessment of the case reports published in the journals of Pediatrics in Chinese science citation database

ObjectiveTo assess the reporting quality of case reports published in seven journals of pediatrics included in Chinese Science Citation Database by the CARE (CAse REport) guidelines and to analyze its influencing factors. MethodsCase reports were retrieved in seven journals of pediatrics included in Chinese Science Citation Database from January 2010 to February 2016. Two reviewers independently screened the literatures, extracted data, and assessed the quality of included studies by the CARE guidelines with 17 items. The meta-analysis was performed by Stata12.0 software. ResultsTotal 797 case reports were included, the CARE guidelines checklist score ranged from 7 to 15 points, (±s) was (11.1±1.5) points. Among all studies, 36(6.0%) scored 17-21 points and were regarded as high quality; 638 (62.7%) scored 10 to 13 points, regarded as medium quality; and 123 (31.2%) scored less than 9 points, regarded as poor quality. The reporting rates less than 50% of the CARE guidelines items included following items: title, introduction, timeline,diagnostic challenges, prognostic characteristics, strengths and limitations of the management of the case and relevant medical literature. The results of stratified analysis showed that both the issue of the CARE guidelines and fund support could improve the reporting quality, the primary authors from class Ⅲ grade Ⅰ hospital or university hospital had no significant influence for reporting quality.ConclusionThe overall reporting quality of case reports published in the seven journals of pediatrics included in Chinese Science Citation Database is poor, and it is mostly influenced by the factors of fund support, the reasonable utilization of the CARE guidelines checklist will improve the reporting quality of case report.