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The Vancouver system, also known as Vancouver reference style or the author–number system, is a citation style that uses numbers within the text that refer to numbered entries in the reference list. It is popular in the
physical sciences Physical science is a branch of natural science that studies non-living systems, in contrast to life science. It in turn has many branches, each referred to as a "physical science", together called the "physical sciences". Definition Phy ...
and is one of two referencing systems normally used in medicine, the other being the author–date, or "Harvard", system. Vancouver style is used by
MEDLINE MEDLINE (Medical Literature Analysis and Retrieval System Online, or MEDLARS Online) is a bibliographic database of life sciences and biomedical information. It includes bibliographic information for articles from academic journals covering medic ...
and
PubMed PubMed is a free search engine accessing primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine (NLM) at the National Institutes of Health maintain t ...
. Hundreds of
scientific journals In academic publishing, a scientific journal is a periodical publication intended to further the progress of science, usually by reporting new research. Content Articles in scientific journals are mostly written by active scientists such as s ...
use author–number systems. They all follow the same essential logic (that is, numbered citations pointing to numbered list entries), although the trivial details of the output mask, such as
punctuation Punctuation (or sometimes interpunction) is the use of spacing, conventional signs (called punctuation marks), and certain typographical devices as aids to the understanding and correct reading of written text, whether read silently or aloud. An ...
, casing of titles, and italic, vary widely among them. They have existed for over a century; the names "Vancouver system" or "Vancouver style" have existed since 1978. The latest version of the latter is '' Citing Medicine'', per the ''References > Style and Format'' section of the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals. These recommendations, the ''Vancouver Convention'' and ''Vancouver guidelines'', have a much broader scope than only the citation style: they provide ethical guidelines for writers and rules for co-authorship in scientific collaborations to avoid fraud. The Convention further entails compliance with the Helsinki Declaration, and research projects must be recommended by an independent ethics committee. In the broad sense, the Vancouver system refers to any author–number system regardless of the formatting details. A narrower definition of the Vancouver system refers to a specific author–number format specified by the
ICMJE Recommendations The ICMJE recommendations (full title, "Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals") are a set of guidelines produced by the International Committee of Medical Journal Editors for stan ...
(Uniform Requirements for Manuscripts, URM). For example, the AMA reference style is Vancouver style in the broad sense because it is an author–number system that conforms to the URM, but not in the narrow sense because its formatting differs in some minor details from the NLM/PubMed style (such as what is italicized and whether the citation numbers are bracketed).


History

Author–number systems have existed for over a century and throughout that time have been one of the main types of citation style in scientific journals (the other being author–date). In 1978, a committee of editors from various medical journals, the International Committee of Medical Journal Editors (ICMJE), met in Vancouver, BC, Canada to agree to a unified set of requirements for the articles of such journals. This meeting led to the establishment of the
Uniform Requirements for Manuscripts Submitted to Biomedical Journals The ICMJE recommendations (full title, "Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals") are a set of guidelines produced by the International Committee of Medical Journal Editors for stan ...
(URMs). Part of the URMs is the reference style, for which the ICMJE selected the long-established author–number principle. The URMs were developed 15 years before the
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debuted. During those years, they were published as articles or supplements in various ICMJE member journals. These included the 1991 BMJ publication, the 1995 ''
CMAJ The ''Canadian Medical Association Journal'' (French ''Journal de l'Association Médicale Canadienne'') is a peer-reviewed general medical journal published by the Canadian Medical Association (CMA). It publishes original clinical research, an ...
'' publication and the 1997 ''
Annals of Internal Medicine ''Annals of Internal Medicine'' is an academic medical journal published by the American College of Physicians (ACP). It is one of the most widely cited and influential specialty medical journals in the world. ''Annals'' publishes content relevan ...
'' publication. In the late 1990s and early 2000s, journals were asked to cite the 1997 ''
JAMA ''The Journal of the American Medical Association'' (''JAMA'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of biom ...
'' version when reprinting the ''Uniform requirements''. In the early 2000s, with the Web having become a major force in academic life, the idea gradually took hold that the logical home for the latest edition of the URMs would be th
ICMJE website
itself (as opposed to whichever journal article or supplement had most recently published an update). For example, as of 2004, the editors of ''
Haematologica ''Haematologica'' is a monthly, peer reviewed, scientific journal, published by the Ferrata Storti Foundation. The editor in chief is Dr. Jacob M. Rowe (Rambam Medical Center, Haifa, Israel). The focus of ''Haematologica'' is all topics related t ...
'' decided simply to invite their authors to visit www.icmje.org for the 2003 revision of the ''Uniform requirements''. Since the early to mid-2000s, the
United States National Library of Medicine The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library. Located in Bethesda, Maryland, the NLM is an institute within the National Institutes of Health. Its ...
(which runs
MEDLINE MEDLINE (Medical Literature Analysis and Retrieval System Online, or MEDLARS Online) is a bibliographic database of life sciences and biomedical information. It includes bibliographic information for articles from academic journals covering medic ...
and
PubMed PubMed is a free search engine accessing primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine (NLM) at the National Institutes of Health maintain t ...
) has hosted the ICMJE's "Sample References" pages. Around 2007, the NLM created ''Citing Medicine'', its style guide for citation style, as a new home for the style's details. The ICMJE Recommendations now point to ''Citing Medicine'' as the home for the formatting details of Vancouver style. For example, in the December 2013 edition of the ICMJE Recommendations, the relevant paragraph is IV.A.3.g.ii. (''References > Style and Format'').


Sample usage


Labelling citations

References are numbered consecutively in order of appearance in the text – they are identified by Arabic numerals in
parentheses A bracket is either of two tall fore- or back-facing punctuation marks commonly used to isolate a segment of text or data from its surroundings. Typically deployed in symmetric pairs, an individual bracket may be identified as a 'left' or 'r ...
(1),
square brackets A bracket is either of two tall fore- or back-facing punctuation marks commonly used to isolate a segment of text or data from its surroundings. Typically deployed in symmetric pairs, an individual bracket may be identified as a 'left' or 'r ...
'', superscript1, or a combination /sup>. The number usually appears at the end of the material it supports, and an entry in the reference list would give full bibliographical information for the source: And the entry in the reference list would be: 1.


Placing citations

Several descriptions of the Vancouver system say that the number can be placed ''outside'' the text punctuation to avoid disruption to the flow of the text, ''or'' be placed ''inside'' the text punctuation, and that there are different cultures in different traditions. The first method is recommended by some universities and colleges, while the latter method is required by scientific publications such as the MLA and
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except for in the end of a block quotation. (IEEE are using Vancouver style labels within brackets, for example to cite the first reference in the list, but otherwise refer to Chicago Style Manual.) The original Vancouver system documents (the
ICMJE recommendations The ICMJE recommendations (full title, "Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals") are a set of guidelines produced by the International Committee of Medical Journal Editors for stan ...
and Uniform Requirements for Manuscripts Submitted to Biomedical Journals) do not discuss placement of the citation mark.


Format of citations

Different formats exist for different types of sources, e.g. books, journal articles, etc.


Format of names

Formatting for all names (e.g., authors, editors, etc.) is the same. General rules for names: * List names in the order they appear in the text * Enter surname (family or last name) first for each author * Capitalize surnames and enter spaces within surnames as they appear in the document cited on the assumption that the author approved the form used. For example: Van Der Horn or van der Horn; De Wolf or de Wolf or DeWolf. * Convert given (first) names and middle names to initials, for a maximum of two initials following each surname * Give all authors, regardless of the number * Separate author names from each other by a comma and a space * End author information with a period * See exceptions for author in Appendix F: Notes for Citing MEDLINE/PubMed. Although ''Citing Medicine'' does not explicitly mandate merging initials (e.g. "R. K." would be merged into "RK"), the examples used throughout the book do.


Journal articles


=Standard journal articles

= * Leurs R, Church MK, Taglialatela M. H1-antihistamines: inverse agonism, anti-inflammatory actions and cardiac effects. Clin Exp Allergy. 2002 Apr;32(4):489–498. * Tashiro J, Yamaguchi S, Ishii T, Suzuki A, Kondo H, Morita Y, Hara K, Koyama I. Inferior oncological prognosis of surgery without oral chemotherapy for stage III colon cancer in clinical settings. World J Surg Oncol. 2014 May 10;12(1):145.
pub ahead of print A pub (short for public house) is a kind of drinking establishment which is licensed to serve alcoholic drinks for consumption on the premises. The term ''public house'' first appeared in the United Kingdom in late 17th century, and was ...
As an option, if a journal carries continuous pagination throughout a volume (as many medical journals do), the month and issue number may be omitted. * Thomas MC. Diuretics, ACE inhibitors and NSAIDs – the triple whammy. Med J Aust. 2000;172:184–185. The NLM lists all authors for all articles, because it is appropriate for capturing all authors and all of their publications in the MEDLINE database to be found by searches. However, in the reference lists of articles, most journals truncate the list after 3 or 6 names, followed by " et al." (which most medical journals do not italicize): * Guilbert TW, Morgan WJ, Zeiger RS, Mauger DT, Boehmer SJ, Szefler SJ, et al. Long-term inhaled corticosteroids in preschool children at high risk for asthma. N Engl J Med. 2006 May 11;354(19):1985–1997. Optionally, a unique identifier (such as the article's DOI or
PMID PubMed is a free search engine accessing primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine (NLM) at the National Institutes of Health maintain the ...
) may be added to the citation: * von Itzstein M, Wu WY, Kok GB, Pegg MS, Dyason JC, Jin B, et al. Rational design of potent sialidase-based inhibitors of influenza virus replication. Nature. 1993 Jun 3;363(6428):418–423. . NLM elides ending page numbers and uses a hyphen as the range indicating character (184-5). Some journals do likewise, whereas others expand the ending page numbers in full (184–185), use an en dash instead of a hyphen (184–5), or both (184–185). Virtually all medical journal articles are published online. Many are published online only, and many others are published online ahead of print. For the date of online publication, at the end of the citation NLM puts " pub Year Mon Day (for online-only publication) or "
pub ahead of print A pub (short for public house) is a kind of drinking establishment which is licensed to serve alcoholic drinks for consumption on the premises. The term ''public house'' first appeared in the United Kingdom in late 17th century, and was ...
for online ahead of print (with the month and day following the year in its normal position). In contrast, AMA style puts " ublished online Month Day, Year at the end of the article title. It no longer uses the term "Epub" and no longer includes the words "ahead of print". It omits the year from its normal location after the journal title abbreviation if there is no print data to give (online-only publication). The titles of journals are abbreviated. There are no periods in the abbreviation. A period comes after the abbreviation, delimiting it from the next field. The abbreviations are standardized. The standardization was formerly incomplete and internal to organizations such as NLM. It is now formalized at the
supraorganization A supraorganization is an organization whose members or stakeholders are organizations rather than individuals and which performs an overarching function. Some organizations may have membership of both organizations and individuals. These are usu ...
al level (see also: ANSI Z39.5 and ISO 4: Information and documentation – Rules for the abbreviation of title words and titles of publications).


=Articles not in English

= As per journal articles in English: * Forneau E, Bovet D. Recherches sur l'action sympathicolytique d'un nouveau dérivé du dioxane. Arch Int Pharmacodyn. 1933;46:178–191. French. The NLM adds an English translation of the title enclosed in square brackets right after the title. The language is specified in full after the location (pagination), followed by a period.


Books

Surname Initial(s). Book title. Edition – if available: Publisher, place of publication; Year .


=Personal author(s)

= * Rang HP, Dale MM, Ritter JM, Moore PK. Pharmacology. 5th ed. Edinburgh: Churchill Livingstone; 2003.


=Editor(s) or compiler(s) as authors

= * Beers MH, Porter RS, Jones TV, Kaplan JL, Berkwits M, editors. The Merck manual of diagnosis and therapy. 18th ed. Whitehouse Station (NJ): Merck Research Laboratories; 2006.


=Authored chapter in edited publication

= * Glennon RA, Dukat M. Serotonin receptors and drugs affecting serotonergic neurotransmission. In: Williams DA, Lemke TL, editors. Foye's principles of medicinal chemistry. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2002.


Electronic material

* World Health Organization (WHO). Mortality country fact sheet 2006 nternet Geneva: WHO; 2006. Available from: www.who.int/whosis/mort_emro_pak_pakistan.pdf


References


External links

Many medical institutions maintain their own style guides, with information on how to cite sources: * * {{DEFAULTSORT:Vancouver System Bibliography Academic style guides