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The Vancouver system, also known as Vancouver reference style or the author–number system, is a
citation A citation is a reference to a source. More precisely, a citation is an abbreviated alphanumeric expression embedded in the body of an intellectual work that denotes an entry in the bibliographic references section of the work for the purpose o ...
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 is called the "physical sciences". Definition ...
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 an openly accessible, free database which includes 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 Institute ...
. Hundreds of
scientific journals Science is a systematic discipline that builds and organises knowledge in the form of testable hypotheses and predictions about the universe. Modern science is typically divided into twoor threemajor branches: the natural sciences, which stu ...
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 marks are marks indicating how a piece of writing, written text should be read (silently or aloud) and, consequently, understood. The oldest known examples of punctuation marks were found in the Mesha Stele from the 9th century BC, c ...
, 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 s ...
(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 A citation is a reference to a source. More precisely, a citation is an abbreviated alphanumeric expression embedded in the body of an intellectual work that denotes an entry in the bibliographic references section of the work for the purpose o ...
style in
scientific journal In academic publishing, a scientific journal is a periodical publication designed to further the progress of science by disseminating new research findings to the scientific community. These journals serve as a platform for researchers, schola ...
s (the other being author–date). In 1978, a committee of editors from various
medical journal A medical journal is a peer-reviewed scientific journal that communicates medical information to physicians, other health professionals. Journals that cover many medical specialties are sometimes called general medical journals. History The first ...
s, the International Committee of Medical Journal Editors (ICMJE), met in Vancouver, British Columbia, 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 s ...
(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
World Wide Web The World Wide Web (WWW or simply the Web) is an information system that enables Content (media), content sharing over the Internet through user-friendly ways meant to appeal to users beyond Information technology, IT specialists and hobbyis ...
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'' 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 releva ...
'' publication. In the late 1990s and early 2000s, journals were asked to cite the 1997 ''
JAMA ''JAMA'' (''The Journal of the American Medical Association'') 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 b ...
'' 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'' 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. I ...
(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 an openly accessible, free database which includes 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 Institute ...
) has hosted the ICMJE's "Sample References" pages. Around 2007, the NLM created ''Citing Medicine'', its
style guide A style guide is a set of standards for the writing, formatting, and design of documents. A book-length style guide is often called a style manual or a manual of style. A short style guide, typically ranging from several to several dozen page ...
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 The ten Arabic numerals (0, 1, 2, 3, 4, 5, 6, 7, 8, and 9) are the most commonly used symbols for writing numbers. The term often also implies a positional notation number with a decimal base, in particular when contrasted with Roman numera ...
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. They come in four main pairs of shapes, as given in the box to the right, which also gives their n ...
(1), square brackets '',
superscript A subscript or superscript is a character (such as a number or letter) that is set slightly below or above the normal line of type, respectively. It is usually smaller than the rest of the text. Subscripts appear at or below the baseline, wh ...
1, 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: #


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
IEEE The Institute of Electrical and Electronics Engineers (IEEE) is an American 501(c)(3) organization, 501(c)(3) public charity professional organization for electrical engineering, electronics engineering, and other related disciplines. The IEEE ...
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 s ...
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 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) 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 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 usua ...
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