Our experience in this study shows that additional efforts, such as hand searching, reference checking, and contacting key players, should be made to retrieve extra possible includes. Hartling L, Featherstone R, Nuspl M, Shave K, Dryden DM, Vandermeer B. ?lq!9!OW$2w1tp=/0 0aPz6Kx|M}97_jn{oy0@o65I>KrjPov= D@H?z`. "N` ;:"Z,Ov;s90yz`
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Since May 2013, the first author prospectively recorded results from systematic review searches that he performed at his institution. statement and Our study shows that, to reach maximum recall, searches in systematic reviews ought to include a combination of databases. The researchers that requested the search received a deduplicated EndNote file from which they selected the references relevant for inclusion in their systematic review. In the case of a clinical question, precision is most important, as a practicing clinician does not have a lot of time to read through many articles in a clinical setting. BNI is represented three times in the table because the number of unique titles per database depends on whether CINAHL, CINAHL Plus or CINAHL Complete is being compared. From: Complementary Therapies for Physical Therapy, 2008 View all Topics Add to Mendeley Stroke. Bethesda, MD 20894, Web Policies CINAHL, a database that focuses on allied health and nursing literature, has the most articles, although most of them are descriptive articles about the Pilates method of exercise and do not include investigations that tested the claims of Pilates. Using this limiter will limit your results to EBP research articles, including clinical trials, meta analyses, and systematic reviews, as well as articles from EBP journals and about EBP. These values were calculated both for all reviews combined and per individual review. Careers. For more information, please visit our Permissions help page. The recall of the database combinations was calculated over all included references retrieved by any database. J Med Libr Assoc. Designed for an audience ranging from novice test consumers to experienced professionals, the MMY series contains information essential for a complete evaluation of test products within such diverse areas as psychology, education, business, and leadership. On this page you will learn how to limit your results in CINAHL to: For the search of nursing care literature on a medical condition, it was helpful to search both CINAHL and MEDLINE. Syst Rev. Melissa Rethlefsen receives funding in part from the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR001067. HR;QBYVCU-7;-7O?zIo =IBK OH)k11H?3xQao7~Z| Other specialized databases, such as CINAHL or PsycINFO, add unique references to some reviews where the topic of the review is related to the focus of the database. In our analyses, we combined the results from MEDLINE in Ovid and PubMed (the subset as supplied by publisher) into one database labeled MEDLINE. Article LearningExpress Library features nearly 1,000 online tutorials, practice tests, and eBooks to help patrons of all ages. The purpose of this research was to determine which of three databases, CINAHL, EMBASE or MEDLINE, should be accessed when researching nursing topics. 2 0 obj
The calculation is shown in Table5. x]Y~w_R%l@$RI[{odf]y4OH ]C|hpt_m/xt>ov\rxl_ g,)#5|wd=SO'^=I.zZ~|YJ2"%cVK^Ir~PNluRn-2B nlVy*/Us>-|\ .a-=/l :s#C&xdyu3Di*e"ySHs=?7i The other authors declare no competing interests. who wins student body president riverdale. Beckles Z, Glover S, Ashe J, Stockton S, Boynton J, Lai R, Alderson P. Searching CINAHL did not add value to clinical questions posed in NICE guidelines. The higher recall from adding extra databases came at a cost in number needed to read (NNR). Complement Ther Med. We find that Embase is critical for acceptable recall in a review and should always be searched for medically oriented systematic reviews. Of course, the loss of a minor non-randomized included study that follows the systematic reviews conclusions would not be as problematic as losing a major included randomized controlled trial with contradictory results. This database also offers indexing and abstracts for more than 10,100 journals and a total of 10,600 publications including monographs, reports, conference proceedings, etc. The purpose of this research was to determine which of three databases, CINAHL, EMBASE or MEDLINE, should be accessed when researching nursing topics. Special topics databases such as CINAHL and PsycINFO should be added if the topic of the review directly touches the primary focus of a specialized subject database, like CINAHL for focus on nursing and allied health or PsycINFO for behavioral sciences and mental health. At Erasmus MC, search strategies for systematic reviews are often designed via a librarian-mediated search service. On 5 January 2017, we searched PubMed for articles with the phrase systematic review in the title. Although we did not use these special topic databases in all of our reviews, given the low number of reviews where these databases added relevant references, and observing the special topics of those reviews, we suggest that these subject databases will only add value if the topic is related to the topic of the database. A recent paper tried to find an acceptable number needed to read for adding an additional database; sadly, however, no true conclusion could be drawn [20]. Of the individual databases, Embase had the highest overall recall (85.9%). Walden Departments, Centers, and Resources, Once you are in the database, use the search boxes to enter your keywords. Google Scholar adds relevant articles not found in the other databases, possibly because it indexes the full text of all articles. BMC Med Res Methodol. Some reviewers might accept a potential loss of 5% of relevant references; others would want to pursue 100% recall, no matter what cost. In both these reviews, the topic was highly related to the topic of the database. Additionally, search strategies are limited to a maximum of 256 characters, which means that creating a thorough search strategy can be laborious. A fast and easy research tool for nursing and allied health professionals with access to content coverage including over 50 nursing specialties, speech and language pathology, nutrition, general health and medicine and more. The search on substance abuse in pregnancy, not restricted to nursing literature, retrieved better results when searching both MEDLINE and EMBASE. McGowan J, Sampson M. Systematic reviews need systematic searchers. The searcher in the case of all 58 systematic reviews is an experienced biomedical information specialist. We selected the domain from a pre-defined set of broad domains, including therapy, etiology, epidemiology, diagnosis, management, and prognosis. We estimate more than 50% of reviews that include more study types than RCTs would miss more than 5% of included references if only traditional combination of MEDLINE, Embase, and Cochrane CENTAL is searched. For the databases that retrieved the most unique included references, we calculated the number of references retrieved (after deduplication) and the number of included references that had been retrieved by all possible combinations of these databases, in total and per review. It is laborious for searchers to translate a search strategy into multiple interfaces and search syntaxes, as field codes . Psychology & Behavioral Sciences Collectionis a comprehensive database covering information concerning topics in emotional and behavioral characteristics, psychiatry & psychology, mental processes, anthropology, and observational & experimental methods. They are usually one of the easiest study types to find in any nursing or medical database. 2014;67:11929. Imagine you are a patient with cancer and your doctor can't order your pain medication. Syst Rev. In the other 48%, the recall by Scopus was suboptimal, in one occasion as low as 38%. However, the combination with Google Scholar had a higher precision and higher median recall, a higher minimum recall, and a higher proportion of reviews that retrieved all included references. Using data sources beyond PubMed has a modest impact on the results of systematic reviews of therapeutic interventions. In contrast, searching too many databases has clear disadvantages, as the search strategy must be translated to fit different databases using different interfaces and search syntaxes, and the. For four out of five systematic reviews that limited to randomized controlled trials (RCTs) only, the traditional combination retrieved 100% of all included references. This study also highlights once more that searching databases alone is, nevertheless, not enough to retrieve all relevant references. 2004;12:22832. We found that two databases previously not recommended as essential for systematic review searching, Web of Science and Google Scholar, were key to improving recall in the reviews we investigated. Privacy Nursing: Indexes & Databases. Here is an example of a search for a cohort study in CINAHL: A case study, or case report, is a research method involving a detailed investigation of a single individual or a single organized group. Conclusion (DOCX 19kb). However, the wide range of scope, topic, and criteria between systematic reviews and their related review types make it very hard to answer this question. Comparison of CINAHL, EMBASE, and MEDLIN . Medicine, Dentistry, Nursing & Allied Health. A fast and easy research tool for nursing and allied health professionals with access to content coverage including over 50 nursing specialties, speech and language pathology, nutrition, general health and medicine and . Objective: To review the literature on the benefits and disadvantages of clinical and medical audit, and to assess the main facilitators and barriers to conducting the audit process. 1990;23:58393. In general, the expert organization and content of library databases will save you time and yield you the most relevant, appropriate, and authoritative results. To compare our practice of database usage in systematic reviews against current practice as evidenced in the literature, we analyzed a set of 200 recent systematic reviews from PubMed. EMBASE versus MEDLINE for family medicine searches: can MEDLINE searches find the forest or a tree? Can Fam Physician. Together, these reviews included a total of 1830 references. CINAHL indexing terms and policies reflect a more general approach and the index term "diagnosis," when exploded (ie, when all subdivisions of the indexed term are retrieved), covers most aspects of nursing assessment, screening (people with no symptoms or indications of disease), and diagnosis (people with symptoms or conditions suggestive of We see that reviewers rarely use Web of Science and especially Google Scholar in their searches, though they retrieve a great deal of unique references in our reviews. Part of NOTE There are many limiters that we haven't covered. Once validated and certified for inclusion, these OA journals are treated with high-quality subject indexing and sophisticated, precise/accurate full-text linking. CINAHL contains many systematic reviews published in journals. Bramer, W.M., Rethlefsen, M.L., Kleijnen, J. et al. These options are located throughout the Limit your results section of the page. Beyer FR, Wright K. Can we prioritise which databases to search? >/- 8CqD 0:J AT~Xr Bx:.}U_y>gEdUug1tXA
ed! Most of the previous studies did not include these two databases in their research. Manage cookies/Do not sell my data we use in the preference centre. 2. All authors have approved the final manuscript. WB has received travel allowance from Embase for giving a presentation at a conference. There are also fewer of them, and they can be harder to find. Optimal searches in systematic reviews should search at least Embase, MEDLINE, Web of Science, and Google Scholar as a minimum requirement to guarantee adequate and efficient coverage. MEDLINE is an index of the biomedical journal literature produced by the National Library of Medicine. J Clin Epidemiol. Thedatabase itself is unfiltered, but includes many filtered items like systematic reviews. We did not investigate whether the loss of certain references had resulted in changes to the conclusion of the reviews. 2005;51:8489. Researchers planning a systematic review generally perform one review, and they need to estimate the probability that they may miss relevant articles in their search. Using the results in this research, review teams can decide, based on their idea of acceptable recall and the desired probability which databases to include in their searches. Rethlefsen ML, Farrell AM, Osterhaus Trzasko LC, Brigham TJ. The SMART Imagebase is a unique, educational resource for students, educators, library patrons, and professionals in healthcare and news media. An official website of the United States government. 2014;30:1738. Though we occasionally used the regional databases LILACS and SciELO in our reviews, they did not provide unique references in our study. ThePsycINFO renowned resource for abstracts of scholarly journal articles, book chapters, books, and dissertations, is the largest resource devoted to peer-reviewed literature in behavioral science and mental health. However, searching databases is laborious and time-consuming, as syntax of search strategies are database specific. Starting with the most recent articles, we determined the databases searched either from the abstract or from the full text until we had data for 200 reviews. 2017. doi:10.1002/jrsm.1279. The database itself is unfiltered, but includes many filtered items like systematic reviews. 8600 Rockville Pike The three databases were searched for citations on topics selected by three nurse researchers and the results were compared. Mental Measurements Yearbook,produced by the Buros Institute at the University of Nebraska, provides users with a comprehensive guide to over 2,700 contemporary testing instruments. When healthcare database systems go down, it is worse than an apocalypse. To learn more about Boolean operators, please see this Quick Answer: Here is an example of how to put together a complex search in CINAHL: Note: If you have not already logged in to the Library databases, you will be prompted to log in with your myWalden Portal user name and password. Article Medical Library, Erasmus MC, Erasmus University Medical Centre Rotterdam, 3000 CS, Rotterdam, the Netherlands, Spencer S. Eccles Health Sciences Library, University of Utah, Salt Lake City, Utah, USA, Kleijnen Systematic Reviews Ltd., York, UK, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands, Department of Epidemiology, Erasmus MC, Erasmus University Medical Centre Rotterdam, Rotterdam, the Netherlands, You can also search for this author in Subirana M, Sol I, Garcia JM, Gich I, Urrtia G. J Clin Epidemiol. 0_!g3SR}W/galG/g)Wz37;467WfW_E\wf_Q"#H3)j\]'gr[ ~dFq @Xj7yfC
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n=~?@(wg PubMed was used to identify systematic reviews published using our search strategy results. Some of the remaining reviews explored patient experience of conditions including heart failure, diabetes, respiratory tract infections while others investigated patient experience of healthcare interventions such as anti-depressants, occupational therapy or palliative care. Search Limits. For all individual databases or combinations of the four important databases from our research (MEDLINE, Embase, Web of Science, and Google Scholar), we multiplied the frequency of occurrence of that combination in the random set, with the probability we found in our research that this combination would lead to an acceptable recall of 95%. The X-axis represents the percentage of reviews for which a specific combination of databases, as shown on the y-axis, reached a certain recall (represented with bar colors). Systematic review searchers should consider using these databases if they are available to them, and if their institution lacks availability, they should ask other institutes to cooperate on their systematic review searches. Jz9+]J,y92Nt,t\9/FK:>
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)lYUIJa)se2*O:+6XLe[S =d^J>]b=\qf'9E%L`DS_.A\yX Evid Based Libr Inf Pract. Library users and staff use WorldCat Discovery to search the WorldCat database of electronic, digital and physical resources; to identify materials they need and to find out where they are available. 3099067 Case studies may be prospective (in which criteria are established and cases fitting the criteria are included as they become available) or retrospective (in which criteria are established and cases are selected from historical records for inclusion in the study). One explanation for our finding may be that if the research question is very specific, the topic of research might not always be mentioned in the title and/or abstract. The datasets generated and/or analyzed during the current study are available from the corresponding author on a reasonable request. Disadvantages of using CINAHL There really aren't any, except that it's just a single database, and you might miss material that is available elsewhere. Almost all reviews (97%) reported a search in MEDLINE. If the research question is more interdisciplinary, a broader science database such as Web of Science is likely to add value. In that case, Google Scholar might add value by searching the full text of articles. We assessed the frequency at which databases and combinations would achieve varying levels of recall (i.e., 95%). [17] found the added value of other databases only for newer, non-indexed references. When the overall number of hits was low, we additionally searched Scopus, and when appropriate for the topic, we included CINAHL (EBSCOhost), PsycINFO (Ovid), and SportDiscus (EBSCOhost) in our search. <>
2016;16:113. The one review where it was insufficient was about alternative medicine, specifically meditation and relaxation therapy, where one of the missed studies was published in the Indian Journal of Positive Psychology. McKibbon KA, Haynes RB, Dilks CJW, Ramsden MF, Ryan NC, Baker L, Flemming T, Fitzgerald D. How good are clinical MEDLINE searches? Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. We calculated the ratio between the number of results found when searching all databases, including databases not included in our analyses, such as Scopus, PsycINFO, and CINAHL, and the number of results found searching a selection of databases. A comparison of the performance of seven key bibliographic databases in identifying all relevant systematic reviews of interventions for hypertension. The sum of all these values is the total probability of acceptable recall in the random sample. I;u?5Z=bL(lWh{d QrX". Eighty-one journals are uniquely indexed in BNI compared with all versions of CINAHL. See Table1 for definitions of these measures. Preston L, Carroll C, Gardois P, Paisley S, Kaltenthaler E. Syst Rev. For the individual databases and combinations that were used in those reviews, we multiplied the frequency of occurrence in that set of 200 with the probability that the database or combination would lead to an acceptable recall (which we defined at 95%) that we had measured in our own data. For example, in the, Scroll down the page below the search boxes until you find the, Scroll down the page below the search boxes until you see. The reviews covered a wide variety of disease, none of which was present in more than 12% of the reviews. Bull Med Libr Assoc. 2017;33:21724. Select an option by finding it in the list and clicking on it (it will then be highlighted). This site needs JavaScript to work properly. 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