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Robin Featherstone, MLIS Liaison Librarian (Medicine) Life Sciences Library How to Conduct a Systematic Search in PubMed Genevieve Gore, MLIS Liaison Librarian (Medicine) Life Sciences Library Slides: http://www.slideshare.net/featherr

How to Conduct a Systematic Search in PubMed

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Page 1: How to Conduct a Systematic Search in PubMed

Robin Featherstone, MLISLiaison Librarian (Medicine)Life Sciences Library

How to Conduct a Systematic Search in PubMed

How to Conduct a Systematic Search in PubMed

Genevieve Gore, MLISLiaison Librarian (Medicine)

Life Sciences LibrarySlides: http://www.slideshare.net/featherr

Page 2: How to Conduct a Systematic Search in PubMed

ObjectivesObjectives

By the end of today’s class, you will be able to:

1.Identify subject headings using the MeSH Database2.Construct a search strategy3.Run your search using the PubMed Advanced Search Builder4.Contact a librarian for help

Page 3: How to Conduct a Systematic Search in PubMed

A review of a clearly formulated question that uses systematic and explicit methods to identify, select, and critically appraise relevant research, and to collect and analyse data from the studies

that are included in the review.

From: Cochrane Collaboration (2012). Glossary: Systematic Review. Accessed Jan 6, 2011: http://www.cochrane.org/glossary/5#term423

What’s a Systematic Review?What’s a Systematic Review?

Page 4: How to Conduct a Systematic Search in PubMed

From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:10.1371/journal.pmed1000097

Flow of Information Through the Different Phases of a Systematic Review

Flow of Information Through the Different Phases of a Systematic Review

Page 5: How to Conduct a Systematic Search in PubMed

Systematic reviews of interventions require a thorough, objective and reproducible search of a

range of sources to identify as many relevant studies as possible (within resource limits).

From: Cochrane Handbook (2012). Section 6: Searching for Studies . Accessed Jan 9, 2011: http://www.cochrane-handbook.org/

What’s a Systematic Search?What’s a Systematic Search?

Page 6: How to Conduct a Systematic Search in PubMed

1. Develop a research question2. Develop a search strategy3. Run the search in PubMed4. Apply filters5. Export references to a citation manager

How to Find ArticlesHow to Find Articles

Page 7: How to Conduct a Systematic Search in PubMed

Develop a Research Question

Page 8: How to Conduct a Systematic Search in PubMed

You’re applying for a grant to support your research on infections in arthritis patients

Think of a question related to this topic...

ScenarioScenario

Page 9: How to Conduct a Systematic Search in PubMed

Relevancy

Retrieval(# of search results)

Broad Questions

Narrow Questions

High = lots of articles

Low = very few articles

High = directly relevant articles

Low = mostly irrelevant articles

How questions influence search resultsHow questions influence search results

Page 10: How to Conduct a Systematic Search in PubMed

Broad:• What is the prevalence of infections in arthritis

patients?

Narrow:• What is the risk of respiratory infections for

rheumatoid arthritis patients treated with biologics?

Very Narrow:• What is the rate of Caplan Syndrome for asbestos

workers in Northern Quebec between 1985 and 2005?

Possible QuestionsPossible Questions

Page 11: How to Conduct a Systematic Search in PubMed

Develop a Search Strategy

Page 12: How to Conduct a Systematic Search in PubMed

1. Break your question into concepts2. Identify subject headings for each concept3. Identify text words for each concept

• Tips: – Use a “target article” to help identify search terms– Use a worksheet to keep track of your terms

Step-by-StepStep-by-Step

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Which concepts are contained in the question:

What is the risk of respiratory infections for rheumatoid arthritis patients treated with biologics?

Identify ConceptsIdentify Concepts

Page 14: How to Conduct a Systematic Search in PubMed

Develop a PICODevelop a PICO

P

I

C

O

Patients with rheumatoid arthritis

Biologics

Risk of respiratory infections

Population

Intervention or Exposure

Comparison

Outcome or endpoint

Type of question?

Page 16: How to Conduct a Systematic Search in PubMed

A. Bird Diseases B. Neutropenia

Which Subject Heading Explodes?Which Subject Heading Explodes?

Page 17: How to Conduct a Systematic Search in PubMed

What are MeSH headings for these concepts?

Add appropriate subject headings to your worksheet

Identify Subject HeadingsIdentify Subject Headings

Rheumatoid Arthritis

Respiratory Infection

Biologics

Page 18: How to Conduct a Systematic Search in PubMed

Find MeSH Using a Target ArticleFind MeSH Using a Target Article

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AND AND

OR

"Arthritis, Rheumatoid"[Mesh:NoExp]

"Respiratory Tract Infections"[Mesh] "Biological Agents"[Mesh]

OR “Biological Therapy”[Mesh]

OR

OR

OR

Concept #1 Concept #2 Concept #3

Subject Headings

TextWords

Blank worksheets: http://www.slideshare.net/featherr/search-strategy-worksheet

Search StrategySearch Strategy

Page 20: How to Conduct a Systematic Search in PubMed

BREAK – 10 mins

Page 21: How to Conduct a Systematic Search in PubMed

Why? 1.Not all citations have subject headings2.Indexers are only humans (they make mistakes)

Next: Identify Text WordsNext: Identify Text Words

Page 22: How to Conduct a Systematic Search in PubMed

Concept #1 Concept #2 Concept #3

Subject Headings

TextWords

AND AND

OR

"Arthritis, Rheumatoid"[Mesh:NoExp]

"Respiratory Tract Infections"[Mesh]

"Biological Agents"[Mesh]

OR“Biological Therapy”[Mesh]

OR

"rheumatoid arthritis"[Title/Abstract]

“chest infection”[Title/Abstract] OR “chest infections”[Title/Abstract]

biologics[Title/Abstract]

OR

"lung infection"[Title/Abstract] OR "lung infections"[Title/Abstract]

"biological agent"[Title/Abstract] OR "biological agents"[Title/Abstract]

Search StrategySearch Strategy

Page 23: How to Conduct a Systematic Search in PubMed

#7) Describe all information sources (e.g. databases with dates of coverage, contact with study authors to identify additional studies) in the search and date last searched.

#8) Present full electronic search strategy for at least one database, including any limits used, such that it could be repeated.

PRISMA Checklist for Reporting Systematic ReviewsPRISMA Checklist for Reporting Systematic Reviews

From: PRISMA Statement for Reporting Systematic Reviews (2012). PRISMA Checklist. Accessed Jan 10, 2011: http://www.prisma-statement.org/

Page 24: How to Conduct a Systematic Search in PubMed

Run the search

Page 25: How to Conduct a Systematic Search in PubMed

PubMed Advanced Search BuilderPubMed Advanced Search Builder

Page 26: How to Conduct a Systematic Search in PubMed

• Start with your first concept– Search for the subject headings first– Then search text words– Combine these synonymous searches with OR

using your search history

• Repeat for your second, third, and subsequent concepts

• Finally, combine large search results set with AND

How to SearchHow to Search

Page 27: How to Conduct a Systematic Search in PubMed

Search #2 =

Search #3 =

Search #4 =

Search #5 = #1 OR #2 OR #3 OR #4

Search #1 =

Concept 1

Search #6 =

Search #7 =

Search #8 =

Search #9 =

Concept 2

Search #10 = #6 OR #7 OR #8 OR #9

Search #11 = #5 AND #10

Results

How to SearchHow to Search

Page 29: How to Conduct a Systematic Search in PubMed

Concept #1 Concept #2 Concept #3Subject Headings

TextWords

AND AND

OR

"Arthritis, Rheumatoid“ [Mesh:NoExp]

"Respiratory Tract Infections"[Mesh]

"Biological Agents"[Mesh]

OR “Biological Therapy”[Mesh]

OR

"rheumatoid arthritis"[Title/Abstract]

“chest infection”[Title/Abstract] OR “chest infections”[Title/Abstract]

biologics[Title/Abstract]

OR

"lung infection"[Title/Abstract] OR "lung infections"[Title/Abstract]

"biological agent"[Title/Abstract] OR "biological agents"[Title/Abstract]

Search StrategySearch Strategy

Page 30: How to Conduct a Systematic Search in PubMed

Applying filters

Page 31: How to Conduct a Systematic Search in PubMed

1. Date of publication – only studies conducted between 2005 and 2010

2. Participants or subjects – only children 6 to 12 years of age

3. Publication language – only materials written in English or French

4. Research design – only clinical trials

Example FiltersExample Filters

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Apply to your combined search result set:

– English & French Language– Publication Year: 2001 – Current

Apply FiltersApply Filters

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Export References to a Citation Manager

Available to McGill students, faculty, staff.

Available to McGill students, faculty, staff.

Information and workshops:http://www.mcgill.ca/library/library-using/endnote

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What they do:– Identify and remove duplicate references– Format your bibliography– Organize references into groups– Share your references with colleagues– Automatically find full-text articles– Provide location for article screening

Information and workshops: http://www.mcgill.ca/library/library-using/endnote

Citation ManagersCitation Managers

Page 35: How to Conduct a Systematic Search in PubMed

Next steps

Page 36: How to Conduct a Systematic Search in PubMed

• Retain as much of your original strategy as possible

• Recognize that subject headings will be different (or non-existent)

• Keep track of your search terms using new worksheets

Moving to EMBASEMoving to EMBASE

Page 37: How to Conduct a Systematic Search in PubMed

From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 6(6): e1000097. doi:10.1371/journal.pmed1000097

Next stepsNext steps

Page 38: How to Conduct a Systematic Search in PubMed

• How would you describe a systematic search?

• To find your subject headings, use ________

• To run your search in PubMed, use the _______

RecapRecap

Page 39: How to Conduct a Systematic Search in PubMed

Where to go for HelpWhere to go for Help

Robin Featherstone

Liaison Librarian Life Sciences Library,

McGill University

514-398-4475 ext. 09844

[email protected]

Genevieve Gore

Liaison Librarian Life Sciences Library,

McGill University

[email protected]

Page 40: How to Conduct a Systematic Search in PubMed

ResourcesResourcesSystematic review guidelines:

Cochrane Handbook for Systematic Reviews of Interventions http://www.cochrane-handbook.org/PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses) http://www.prisma-statement.org/statement.htm Systematic Reviews: CRD’s Guidance for Undertaking Reviews in Health Carehttp://www.york.ac.uk/inst/crd/SysRev/!SSL!/WebHelp/SysRev3.htm IOM (Institute of Medicine). Finding what works in health care: Standards for Systematic Reviewshttp://www.iom.edu/Reports/2011/Finding-What-Works-in-Health-Care-Standards-for-Systematic-Reviews.aspxSystematic Reviews: A Guide to Library Resources at McGillhttp://wikisites.mcgill.ca/systematicreview/index.php/Main_Page

Citation management:

Getting help with EndNotehttp://www.mcgill.ca/library/library-using/endnote/help/

Page 41: How to Conduct a Systematic Search in PubMed

Robin Featherstone, MLISLiaison Librarian (Medicine)[email protected]

QuestionsQuestions

Slides: http://www.slideshare.net/featherr

Genevieve Gore, MLISLiaison Librarian (Medicine)[email protected]