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Structure of a medical research paper: key content elements, writing tips and examples of reporting guidelines from the EQUATOR website
Section
Key content *
Reporting guidelines that provide recommendations on reporting information relating to:
Study design / methodology
Generic framework for reporting key methodology aspects of:
- Main study designs (generic guidelines)
- More specialised designs
- Specific methods, evaluations, analyses
No details relating to specific to diseases
Specific discipline / clinical area
Key focus is on discipline / clinical area specific issues
May or may not address general methodology items
Framework for a complete
research study / research paper
Examples include:
Framework for only a part of the
research study / research paper
Examples include:
Framework for a complete
research study / paper
Examples include:
Title
Indicate the focus of the paper and include important
relevant ‘keywords’ to allow identification of the study
through electronic searches.
Be concise, precise, and informative.
Main study designs (generic
guidelines):
CONSORT: parallel randomised
trials
STROBE: observational studies in
epidemiology
STARD: diagnostic accuracy
studies
COREQ: qualitative research
SQUIRE: quality improvement
studies
COGS: clinical practice guidelines
PRISMA: systematic reviews
MOOSE: systematic reviews of
observational studies in
epidemiology
Case reports
More specialised designs (often
extending the generic guidance):
CONSORT for cluster trials
CONSORT non-inferiority trials
CONSORT for pragmatic trials
TREND: non-randomised
studies of behavioural and
public health interventions
REMARK: tumour marker
prognostic studies
STARE-HI: evaluation studies in
health informatics
Longitudinal studies in
rheumatology
Adverse events reports in
traditional Chinese medicine
Case series of colon tumours
Abstract
Most journals require a structured abstract, typically
including key information on the following:
- Objectives
- Methods (setting, participants, intervention, main
outcome measures)
- Results
- Conclusions
CONSORT for abstracts
STROBE for abstracts
Introduction
Provide the scientific background and clearly explain what
questions you were trying to answer.
Be brief and relevant to the study: start from a broad context
of what is already known, proceed to the specific unknown
problems, and finish with clearly stated study objectives
Methods
Describe in a logical sequence how the study was designed,
carried out, and analysed.
A typical methods section provides key information on the
following:
- Setting, location
- Participants (or objects)
- Study design including planned sample size
- Interventions (or exposures)
- Outcomes (variables)
- All statistical methods
- Ethical issues (e.g. consent)
Information should be clear, accurate, and complete (provide
enough details to repeat, assess, and compare with other
studies)
Content should correspond with the Result section
Statistical guidelines:
Bayesian analysis in clinical trials
Subgroup analyses in trials
Economic evaluations:
Cost-effectiveness analysis
Economic evaluations in trials
Quality of life assessment in trials
STARLITE: literature searches
2
Section
Key content *
Reporting guidelines that provide recommendations on reporting information relating to:
Study design / methodology
Generic framework for reporting key methodology aspects of:
- Main study designs (generic guidelines)
- More specialised designs
- Specific methods, evaluations, analyses
No details relating to specific to diseases
Specific discipline / clinical area
Key focus is on discipline / clinical area specific issues
May or may not address general methodology items
Framework for a complete
research study / research paper
Examples include:
Framework for only a part of the
research study / research paper
Examples include:
Framework for a complete
research study / paper
Examples include:
Results
Report results of the investigations described in the Methods
section (in same order) using text, tables, figures, and
statistics
Be as brief and clear as possible (but don’t leave out
‘disappointing’ results)
A typical structure and chronology includes:
- Description of study participants (if relevant,
separately for important subgroups)
- Presentation of answers to the main questions
(starting with primary outcomes, then secondary
outcomes, and any other analyses)
Report on harms (adverse effects) as well as benefits, if
relevant
Outline any ways in which the study did not follow the
prespecified plan.
Pay special attention to presentation of data and results in
tables and figures
Statistical guidelines:
Heterogeneity in trial treatment
effects
Missing data
Figures, graphs
Discussion
Discuss what your findings mean and where they stand in the
context of other studies
A typical discussion section structure and chronology
includes:
- Brief presentation of the main findings
- Assessment of study strengths and weaknesses
- Comparison of findings with previous studies
- Consideration of clinical and scientific implications
- If relevant, suggestions for future research
Structured discussion
Research recommendations
Conclusions
This section is not always presented separately in a research
article
Any conclusions must be fully supported by the study findings
Acknowledge
ments
State source of funding and any relevant conflict of interest
Acknowledge any person who contributed to the study but
who does not qualify as an author
Conflict of Interest: ICMJE,
WAME guidelines
* Key content column lists basic general content of a primary research paper