Page numbers are included with in-text citations when direct quotes are used. The page numbers are included in round brackets after the number in superscript (no spacing). The source then appears only once in the list of references.
In-text citation:
Short quotes
"Diabetes is a major health problem in the elderly."1(p1)
Quotation marks enclose short quotes. The in-text citation, including the page number(s), is placed after the full-stop and quotation marks.
If emphasis is placed on the author then the in-text citation can be placed after the author's name(s) without using quotation marks:
Hayes and Unwin1(p1) state that diabetes is a major health problem in the elderly.
Quotes longer than 4 lines
Furthermore, evidence of an acceleration in the rate of increase is apparent. Between 1979 and 1984 the prevalence increased by 4% each year, but in the last 5 years for which data were available, this increase had risen to over 10% annually [11]. The available evidence suggests that the prevalence of diagnosed diabetes in the elderly has doubled over the last 15–20 years. It should be noted that these figures are for diagnosed diabetes only. A substantial proportion of diabetes that is undiagnosed exists. It has been estimated that a little over a quarter of people with diabetes are currently undiagnosed [13].1(p5,6)
An indented block of text, in smaller type, is used for quotes longer than 4 lines. The in-text citation is placed at the end of the text after the full-stop.
Reference list:
Citing medicine: the NLM style guide for authors, editors, and publishers (2nd edition) and AMA manual of style provide detailed guidance in formatting bibliographic citations in Vancouver referencing style.