Writing papers for the BJGP

 
We consider contributions in a number of categories. Detailed guidance is given below for original articles. Much of this (for instance, length of title, styles of references) applies to all types of contribution and further guidance is given under each heading.
 
Original articles
Title. The title should be a clear description of the research and should not exceed 12 words. Ideally, it will include both the topic and the method of the study.
 
Authors.If you put your name to an article you must fulfil the standard requirements for authorship (see later).
 
Abstract.All research articles should have a structured abstract of no more than 250 words. This should be set out with the following headings: Background, Aim, Design of study, Setting, Methods, Results, Conclusion.
 
Keywords.(Up to six keywords may be included, which should be MeSH headings as used in Index Medicus.)
 
‘How this fits in’. Authors are asked to summarise, in no more than four short sentences, what was known or believed on the topic before, and what this piece of research adds, particularly focusing on the relevance to clinicians.
 
Main text. Articles should follow the traditional format of introduction, methods, results and discussion. The text can be up to 2500 words in length, excluding tables and figures. Generic names of drugs should be used wherever possible. We strongly discourage the use of non-standard abbreviations for medical terms, except where it would otherwise render the text unwieldy.
 
The introduction should be a succinct and up to date review of the key articles that have informed the intellectual background to the study. It does not need to be a systematic review, but it should avoid obviously selective quotation of the literature.
 
The method section should include a description of setting, patients, intervention, the time that the study took place, instruments used to measure outcomes, and the statistical tests applied (and software used for analysis). It should also include any arrangements for data oversight.
 
The results section should contain all the information required by referees and readers to assess the validity of the conclusions. For quantitative studies, the section should include details of the response rates and numbers lost to follow-up.
 
Statistics. Results of statistical analyses should be reported using estimates and confidence intervals whenever possible, in order to provide indications of magnitude and precision rather than just P values. Where P values are presented, so that readers can judge the strength of evidence for themselves the exact figure should be quoted to two significant figures down to P = 0.01; any figure below this can be quoted to one significant figure down to P = 0.001, below which P<0.001 will suffice. Examples of presentations are therefore P = 0.66, P = 0.087, P = 0.002, but not P = 0.0005. Corrections for multiple testing would not in general be expected for P values relating to primary outcomes or, more generally, primary hypotheses. Such corrections should be considered  for secondary outcomes and/or exploratory analyses, and either clearly performed or an explicit justification provided for not performing them.
 
Discussion. The BJGP style is of a structured discussion section, using the subheadings:
  • Summary of main findings;
  • Strengths and limitations of the study;
  • Comparison with existing literature;
  • Implications for future research or clinical practice.

Authors would be expected to adopt this structure unless there are good reasons for not doing so. Additional subheadings can be used if they are likely to help readers understand the paper.

Up to six tables or figures are permitted in an article. Close attention should be paid to ensure clear presentation of data to help readers of the hard copy journal understand with the minimum of effort. This will normally mean keeping the data in each table (and the number of tables) to the minimum possible. A rough guide would be no more than five columns and rows in each table. Where the article requires more data to be presented, the larger tables can and should be included in the electronic, and not the hardcopy version. The same general rule applies to figures. We encourage use of graphic representation of data, if the original data is also included for the purpose of redrafting where necessary. Pie charts are strongly discouraged. All figures and tables must have a caption.
 
At the end of the text and before the references we ask authors to report:
 
  • Funding body with reference number where appropriate;
  • Body giving ethics approval with reference number where appropriate;
  • Competing interests;
  • Acknowledgements. 
    Authors should include acknowledgements of all those who have helped with and contributed to the study (including the patients) who are not authors of the paper. Individuals should only be acknowledged with their express permission.
References are presented in Vancouver style, with standard Index Medicus abbreviations for journal titles. References to personal communications in the text should include the date. Please do not use the footnote/endnote facility on word processors to indicate references.
 
Specific guidance for original articles. Authors submitting randomised controlled trials (RCTs) should follow the revised CONSORT guidelines, including a completed CONSORT checklist and flowchart of participants in the trial. The checklist can be downloaded from http://www.consort-statement.org/. Guidance can also be found at http://jama.ama-assn.org/ifora_current.dtl#SEC14 or JAMA 2004; 291: 125. Authors should also note the difficulty outlined in making statements about an intention-to-treat analysis. We acknowledge that this is a difficult area and ask that authors are honest about handling the data of patients lost to follow-up.
 
Papers describing qualitative research should conform to the guidance set out in: Murphy E, Dingwall R, Greatbatch D, et al. Qualitative research methods in health technology assessment: a review of the literature. Health Technology Assessment 1998; 2(16): 1-13. Illustrative quotes should be included in the results section of the text where the themes are described. Since the quotes are, in a sense, equivalent to the tables and figures of quantitative papers, they should be excluded from the word count. In other words, the limit of 2500 words applies to the text with the quotes removed. To help the process of counting words, it is acceptable to put the illustrative quotes in text boxes when submitting a paper for the first time, but you will be asked to move them into the text as part of the revision
 
Authors submitting studies concerning diagnostic tests should follow the STARD guidelines, which are available at http://www.consort-statement.org/Initiatives/newstard.htm
 
Brief reports
These are a useful method for reporting circumscribed research where the study or the results may not justify a full report. It does not imply a lower standard for the quality of the work reported. The guidance is the same as for original articles with the following exceptions:
  • The abstract need not be structured;
  • Authors should limit themselves to no more than two figures or tables;
  • The word limit for the abstract is 80 words and for the main text it is 1200 words.
Systematic reviews
These are approximately 4000 words in length. We welcome systematic reviews on areas of interest and importance to primary care workers. They should be written in a style suitable for the Journal but should aspire to the quality standards set by the Cochrane Database of Systematic Reviews. Authors may find it helpful to consult the instructions for systematic reviews given on the Cochrane Collaboration website http://www.cochrane.org/. Systematic reviews should conform to the QUORUM statement and this can be downloaded from http://www.consort-statement.org/QUOROM.pdf
 
Reviews should include a structured abstract, a statement of the question that you are attempting to answer and a description of the search strategy used to answer it. Researchers should attempt to synthesise results of primary care research either quantitatively or qualitatively.
 
Discussion papers
These are approximately 4000 words in length. They need to be a statement of a new idea or controversial matter where the opinion being expressed is at least partly based on published evidence. Unlike reviews, there is no obligation for authors of discussion papers to be impartial in citing the available literature. They should include a non-structured abstract.
 
Case reports
We are keen to encourage publication of case reports. The purpose is to use everyday experiences to stimulate debate and education. They should describe a patient or patients with common diagnoses where the presentation or management has prompted a question likely to interest the BJGP’s readership. The format should be a brief description of the problem accompanied by a discussion informed by published literature, citing up to six references. Where possible, the text should follow the evidence-based medicine format (Sackett DL, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine. Edinburgh: Churchill Livingston, 1997), including a statement of the question being asked, the search strategy used, and the conclusions drawn from the papers identified. They should be approximately 800 words in length, excluding references, and may include photos. It is essential to obtain permission from any patients whose story is to be used as the basis for a case report for full requirements of informed consent) and to maintain patient confidentiality. A signed statement of informed consent to publish (in print and online) patient descriptions, photographs, and pedigrees from all persons (parents or legal guardians for minors) who can be identified is required. Such persons should be offered the opportunity to see the manuscript before its submission. Download the Patient Permission form.
 
Editorials
These are statements of informed opinion and not short systematic reviews. Some are commissioned, but we also welcome unsolicited editorials. However, authors considering submitting an editorial should either contact the Editor via the BJGP office and discuss it, or send in an outline so that we can advise you whether it is likely to be welcomed, and whether someone else is already working on that topic.
Editorials should be up to 1200 words in length and have no more than 12 references. We are happy to hear from authors with suggestions for topics we should be covering in an editorial.
 
Letters
Letters can be used to respond to published articles, report original research or raise any other matter of interest to the primary care community. The best letters are brief, lively, and provocative. They may contain data or case reports, but in any case should be no longer than 400 words.
 
All letters are subject to editing and may be shortened. Letters should be sent to the BJGP office by e-mail in the first instance, addressed to journal@rcgp.org.uk (please include your postal address). Alternatively, they may be sent by post as an MS Word or plain text version on CD or DVD. We regret that we cannot notify authors regarding publication. Letters not published in the Journal may be posted online on our Discussion Forum. If you do not wish your letter to appear on the Discussion Forum, please notify us when submitting the letter.
 
Feasibility and pilot studies
We are happy to consider feasibility and pilot studies. They should only report on the acceptability of study designs and methods, and validity of outcome measurement. We have decided that it would be misleading to report substantive results unless there are compelling reasons (which must be included in the text) to believe that they would apply to the general population.
 
 
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