Abstract
Introduction:
Family medicine embraces a wide range of principles. Identifying appropriate journals for publishing family medicine case reports can be challenging for authors. This study aims to identify journals related to family medicine that publish case reports and summarize the requirements of case report submissions.
Methods:
Journals related to family medicine were identified from the subject categories: “family practice” in Scopus and “primary health care” in Web of Science. The author’s instructions on the journal websites regarding the criteria for case report submissions were reviewed, and the specific requirements for case reports of each journal were recorded. Journals were excluded if family medicine was not the main aim and scope.
Results:
Among the 80 journals focused on family medicine, 30 (37.5%) were found to accept submissions of case reports. These reports were classified into various article types, such as case reports, patient studies, clinical case studies. The length of the main text varied between 400 and 3000 words, and some journals did not mandate an abstract. However, for those that did, abstracts typically ranged from 50 to 300 words. The number of references cited ranged from 5 to 30.
Conclusions:
Less than half of the journals in the family medicine field accept case report submissions. It is advisable for authors to choose their target journal early in the preparation process, as each journal typically provides specific submission guidelines and instructions.
Introduction
Family medicine is considered a medical specialty providing continuous and holistic care for individuals, families, and communities of all ages.1,2 It encompasses a wide range of services, including health promotion, disease prevention, diagnosis, treatment, and rehabilitation.3 -6 Family physicians are trained to address various health issues, promote patient-centered care, continuity of care, home care, and serve as the first point of contact in the healthcare system. These principles are keys in primary care settings to increase access to care and enhance healthcare equity.
A case report is an article describing a unique medical case, often highlighting unusual clinical presentations, new treatment approaches, or rare complications. It typically includes signs, symptoms, diagnosis, investigation, treatment, and outcomes.7 -9 Case reports can hold a significant role in documenting and sharing unique clinical scenarios in primary care settings and the field of family medicine.10 -14 However, many journals usually focus on the biomedical aspect. Family physicians often encounter challenges when submitting case reports to medical journals, particularly because cases from primary care may not be perceived as unique or complicated enough to meet the criteria of publications. 15 Many journals prioritize biomedical aspects and novel findings, which can be different from the core principles of family medicine, such as patient-centered care, holistic care, continuity of care, and multidisciplinary care. The distinct focus of family medicine might be undervalued in the context of traditional case report formats. 15 Consequently, family physicians may struggle to find platforms that appreciate and publish their interested issues derived from their everyday clinical practice.
Case reports serve as valuable education tools, as they provide insightful discussion, leading to better understanding of diseases, guiding the direction of further research, and sometimes influencing clinical guidelines. 16 They are essential for sharing practical knowledge and enhancing the medical community’s collective expertise. 17 In order to advocate and facilitate the publication of more case reports tailored to the core concepts and principles of family medicine, the study aims to (1) identify journals publishing case reports in primary care or family medicine practice and (2) summarize the common scopes and format for case report submission to these journals.
Methods
The related journals were identified from 2 multidisciplinary databases: Scopus (Elsevier’s database) and Web of Science (Clarivate Analytics’ database) in August 2024. All journals under the sub-category “family practice” in Scopus and the category “primary health care” in Web of Science (Journal Citation Reports) were included.
Authors (AW, KS, PA, and CA) separately screened the journals for the availability of journal details, including in Scopus: CiteScore 2023, percentile, and journal rank in family practice, and in Web of Science: database edition (eg, Emerging Sources Citation Index (ESCI) and Science Citation Index Expanded (SCIE)), 2023 Journal impact factor (JIF), 2023 Journal Citation Indicator (JCI), JIF Quartile, and journal rank. In addition, the included journals were searched on the National Library of Medicine website (https://www.ncbi.nlm.nih.gov/nlmcatalog/journals/) to determine their indexes in PubMed and/or MEDLINE and/or PubMed Central (PMC) before cross-checked (between AW, KS, and PA) to ensure their current indexing.
Author instructions and submission guidelines on journal websites were reviewed (by AW, KS, and PA) for their article types, scope of publications, word limit, reference limit, number of authors, instructions for displayed items (eg, figures, graphs, images, and tables), number of keywords, additional requirements (eg, patient consent form), and submission/publication fees (in USD).
Journals that no longer accept submissions, and non-English main text language were excluded. Additionally, journals whose scope did not cover topics related to family medicine or primary care, such as family practice, home care, patient-centered care, individualized care plan, health promotion, disease prevention, community care, and continuity of care, were excluded from this study. Journals were then categorized as whether they were accepting case report submissions (or similar articles, defined as articles requiring a description of a clinical case).
An exploratory analysis comparing the mean 2023 CiteScore and 2023 JIF between journals accepting case report submissions and journals not accepting case report submissions was done using t-tests.
Results
Journal Selection
A total of 80 journals were categorized in the family practice (Scopus) and/or primary health care (Web of Science; Supplemental Table 1). Thirty journals (37.5%) passed the selection process and were identified as accepting case report (or similar article) submissions. Of the rest of the 50 journals: 15 journals did not publish in English, 10 journals had no longer accepting submissions, and 9 journals were did not cover the scope of interests and 16 journals did not accept case report submissions (Figure 1).

Journal selection diagram.
Characteristic of Family Medicine Journals Accepting Case Reports
Of the 30 journals remained, 29 of them were indexed in Scopus. Their CiteScores ranged from 0.0 to 9.7 with mean (SD) of 2.74 (2.24). Twenty-one journals were indexed in Web of Science. Their JIF ranged from <0.1 to 3.8 with mean (SD) of 1.82 (0.87; Table 1). Among the 30 identified journals, 20 journals (66.7%) accepted case reports while 10 journals (33.3%) used various other terms (eg, patient studies and clinical case studies) to describe articles that were similar to case reports (Table 2).
Journals Related to Family Medicine Accepting Case Report Submissions (n = 30): Publication Metrics.
Abbreviations: ESCI, Emerging Sources Citation Index; FP, family practice; JCI, Journal Citation Indicator; JIF, journal impact factor; PHC primary health care; SCIE, Science Citation Index Expanded; SSCI, Social Sciences Citation Index.
Journals Related to Family Medicine Accepting Case Report Submissions (n = 30): Submission/Publication Guidelines.
Abbreviation: APC, article processing charge.
Scope and Aims of Case Report Submission in Family Medicine
The scope and aims of all of the 30 journals in this study include topics mentioned under family medicine/general practice or primary/community care, with 4 (13.33%) of them require additional specific contexts: European Journal of General Practice only accepted studies in Europe, African Journal of Primary Health Care and Family Medicine only accepted studies in Africa, Canadian Family Physician only accepted cases seen in Canadian family practice settings, and the lead author should be a canadian family physician or family medicine resident, and Primary Care Diabetes only accepted articles relevant to diabetes, while 5 journals (16.67%) also accepted studies under topics beyond that of family medicine/general practice or primary/community care (Table 2).
Guidelines for Case Report Submissions in Family Medicine
Twenty-seven journals (90%) stated the word limit on their websites, which ranged between 400 and 3000 words. Twenty-one journals (70%) limited the number of references, ranging from 5 to 30 references. Eighteen journals (60%) limited displayed items (eg, figures, graphs, photos, and tables) ranging from 1 to 10 items. Four journals (13.3%) limited the number of authors within 3 to 5 authors. Twelve journals (40%) required publication fees, ranging from USD80 to 3150 (see Tables 2 and 3). Based on findings in Tables 2 and 3, a summary checklist to help with the preparation of a case report submission according to the variations found from this study is presented as Table 4.
Summary of Instructions of Case Reports (n = 30).
2 journals stated their word limits in characters and 1 journal stated the word limit in pages
Family Medicine Case Report Preparation Checklist.
Exploratory Analysis Comparing 2023 CiteScore and 2023 JIF Between Journals Accepting and Not Accepting Case Report Submissions
Although not statistically significant, the results show that journals not accepting case report submissions had higher 2023 CiteScore (mean = 3.79 vs 2.74; P = .26) and 2023 JIF (mean = 2.52 vs 1.83; P = .07; Table 5).
Comparisons of 2023 CiteScore and 2023 JIF Between Journals Accepting Case Report Submissions and Journals Not Accepting Case Report Submissions.
Abbreviation: JIF, Journal Impact Factor.
Discussion
The study revealed that only about one-third (37.5%) of the journals categorized under family practice by Scopus and/or primary health care by Web of Science accepted case report submissions. Of the 30 journals accepting case report submissions with main text in English, 10 journals (33.33%) accept articles similar to case reports (defined as articles describing a clinical case) under article types with different names (eg, patient studies). Thus, the absence of “case reports” as an explicit article type does not necessarily imply that the journal does not accept them. It is highly recommended that authors read the author’s instructions/submission guidelines carefully for the types of articles accepted.
Journals accepting case report submissions had lower scores for both 2023 CiteScore and 2023 JIF in average compared to journals not accepting case report submissions although the analysis did not show statistical significance. One possible reason is that case reports may receive fewer citations than original research and review articles.18,19
This study also revealed the characteristics, scopes, and considerations surrounding case reports and similar articles in journals related to primary care and family medicine. While most (83.33%) of the included journals are specifically tailored to contents under family medicine/general practice or primary/community care, some (16.67%) also accept studies from other practices. Some journals (13.33%) only accept studies in regard to specific diseases, conditions, or geographies (eg, Primary Care Diabetes and Canadian Family Physician). This demonstrates that journals which specialized in family medicine/primary care or journals with very broad topics of interest are accepting of case reports focusing on family medicine/primary care. Some journals also only accept articles with certain specific requirements (such as articles from particular regions). According to these details, there is no universal format for case report manuscript which suits every journal, authors are encouraged to decide on the target journal(s) relatively early in the manuscript preparation process and should carefully review and adhere to the target journal’s author instructions/submission guidelines. If a journal rejects a submission, authors may need to extensively revise the manuscript due to the possible guideline differences of a new target journal. Alternatively, authors can submit the manuscript to another journal with similar requirements (eg, word limit and reference limit).
We have examined the guidelines and requirements extracted from the selected journals to summarize common formats for case report submissions. Although there is no universal format which fits the journals included in this study, the key findings were summarized into a simple checklist to help the preparation for case report submissions (Table 4). It is recommended that authors should decide on a target journal early on in the manuscript preparation process.
There are some limitations to this study that need to be addressed. First, the findings of this analysis may change in the future as both Scopus and Web of Science update their lists of indexed journals annually. Each journal may change its policy regarding case report submissions and publication (eg, submission and publication fees). Second, this study did not cover the topic interests of case reports in family medicine. Some journals have broad scopes and cover multiple subject categories. Third, due to the broad scope of family medicine, in some unique clinical cases, family medicine case reports should also be publishable in other fields of medical and health journals. This could potentially provide authors with additional options for case report submission outside of journals specifically related to family medicine, which was not explored in this study.
Conclusions
Case reports can hold a significant role in documenting and sharing unique clinical scenarios in primary care settings. About one-third of the family medicine journals indexed in Scopus and/or Web of Science accept case report submissions. There were wide variations in journal formats and instructions. It is advisable for authors to choose their target journal early in the preparation process.
Supplemental Material
sj-docx-1-jpc-10.1177_21501319251320171 – Supplemental material for Advocating Submission of Case Reports in Family Medicine: An Analysis of Case Report Submissions in Journals Related to Family Medicine
Supplemental material, sj-docx-1-jpc-10.1177_21501319251320171 for Advocating Submission of Case Reports in Family Medicine: An Analysis of Case Report Submissions in Journals Related to Family Medicine by Apichai Wattanapisit, Kosin Sirirak, Sanhapan Wattanapisit, Chirk Jenn Ng, Chin Hai Teo, Nutchar Wiwatkunupakarn, Piyachon Aramrat and Chaisiri Angkurawaranon in Journal of Primary Care & Community Health
Footnotes
Acknowledgements
The authors wish to thank Kiattisak Pachpan for his support to arrange meetings for writing this article.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Ethical Approval
Not applicable.
Consent to Participate
Not applicable.
Consent to Publish
Not applicable.
Data Availability Statement
Data associated with this article are available in the Supplementary Table.
Supplemental Material
Supplemental material for this article is available online.
References
Supplementary Material
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