LAPORAN KASUS

Drg. Hartono Ruslijanto

Suatu karangan ilmiah yang berisi laporan tentang
sesuatu hasil pengamatan atau tindakan dalam
memecahkan suatu masalah yang belum diketahui

Is a spesific type of research design that

reports on an aspect of the management of
one/two patients
1. To present an unusual or unknown disorder

2. To present unusual etiology for a case

3. To present a challenging differential diagnosis

4. To describe mistakes in diagnosis, their causes

and consequences

5. To describe an unusual setting for care

6. To present information that can not be
reproduced due to ethnical reasons

7. To illustrate a clinical hypothesis

8. To prompt a new hypothesis

9. To disconfirm an hypothesis

10. To support an hypothesis

11. To stimulates further research

12. To make an original contribution to the literature

13. To offer new insight into the pathogenesis of
disease

14. To describe unusual or puzzling clinical features

15. To describe improved or unique technical procedure

16. To describe the historical development og a field or

movement

17. To present a new management for difficult cases

18. To present a new dental material for dentistry

1. Management of patient in an out-patient setting
occurs primarily in an uncontrolled environment.
The care rendered to one patient may not
produce the same effect in another patient

2. Results of patient responses to care also limited

by the natural history of the disorder under study
PRESENTATION STYLES OF CASE
REPORTS

Educational case reports

(Laporan kasus pendidikan)

Diagnostic/assessment case reports

Treatment/management case reports

Based of methods employed:
Retrospective case reports (most commonly in
the literature)

Prospective case

Time series case reports

ADVANTAGES OF CASE REPORTS
(Oliveira & Leles, 2006)

Potential to influence clinical decision because

they are patient-centered & deal with tangible
outcomes (or benefits) that directly measure how
a patient feels, function or survives

Case reports & case series are often the first line
of evidences and likely to accoutt for the greatest
part of discarded treatments in medicine
KESIMPULAN

CASE REPORTS HAVE A

STRONG APPEAL TO THE
DENTIST, PARTICULARLY WHEN
CLINICAL DECISION MAKING IS
NOT AIDED BY AN EVIDENCE
BASE APPROACH
 Finding a rare case

Literature search

Collecting information related to the case including

consent

Summarising and writing

Revising and editing

CASE REPORT COMPONENTS LISTED IN
ORDER OF APPEARANCE
1. Title
2. Structured abstract
3. Introductions
4. Case Report (methods)
5. Discussion
6. Conclusion
7. Acknowledgements (if applicable)
8. References
9. Tables
10. Figures Captions
 Appropiate

Clear

Concise

Specific

Pertinent

Clearly indicate study design (case report) and scope

of the study
EMPAT ELEMEN YANG HARUS DIPERHATIKAN
DALAM PENULISAN JUDUL:

Element Example
1. Intervensi yang dilakukan Endurance training regimen

2. Outcome dari intervensi Changes in isometric low back

3. Populasi studi Extension endurances time office

worker

4. Kondisi yang diamati Low back pain

Judulnya: Changes in isometric low back pain extension endurance times

after an endurance training regimen in an office worker with
low back pain
CASE REPORT STRUCTURED ABSTRACT
Subsection Description
Objective *Clearly state the purpose of the paper

Clinical Features *Present the most salient parts of the case

presentation
*Focus on the primary aspects of the patients
condition and the main outcome measures
used to track patient progress prior to
delivering care
Intervention & *Briefly describe methods used to care for the
Outcome patients status
*Briefly summarize outcomes of care, including
changes in the primary outcome measures
Conclusion *Summarize what the case contributes in the
literature
*Do not summarize the previous section of the
abstract
*State the overall conclusion learned from the
study

Key Words *Use terms found in the Index Medicus database

which are called medical subheadings (MeSH).
MeSH can be found at the PubMed home page
*List additional words that may be unique to the
case or to the profession
1. Clearly state a spesific clinical problem

2. Report rationale derived from research or

clinical experience that supports proposed
intervention & conduct of the study

3. Define an objective to be achieved or

hypothesis to be tested
1. General Information
- age
- gender
- relevant individual characteristic
(sosioeconomic, cultural, etc)

2. Description of Clinical Scenario

- chief complaint
- detailed description of clinical problem
- summary of dental & medical history
3. Clinical scenario must support the intervention
adopted

4. Other realistic alternative approaches must be

proposed & discussed

5. Justification not to use other alternatives

6. Technical & clinical procedures must be properly

described

7. A detailed description of outcomes

8. A report of the impact of treatment on clinical
problem

9. The results of follow-up evaluation.

Photographs must be adequate in number and
clearly describe

10. The initial clinical scenario

11. Technical procedures

12. The final scenario

1. Limitations of study design

2. Potential variations on clinical outcomes must

be presented and/or discussed

3. There must be cited literature that supports the

intervention

4. Restrictions to intervention must be properly

presented and discussed